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APPENDIX <br />ATTACILMTNT 3; CERTIFICATIONS <br />NMCOLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 71.06) <br />in conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bid Is not made in the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any <br />other BIDDER to put in afalse or sham bid, and has not directly or indirectly colluded, conspired, <br />connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall <br />refrain from bidding; that the BIDDER has not In any manner, directly or Indirectly, sought by <br />agreement, communication, or conference with anyone to flxthe bid price of the BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other BIDDER, or to secure any advantage against the public body awarding the contract: of <br />anyone interested In the proposed contract; that all statements contained in the bid are true; <br />and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or <br />paid, and will not pay, any fee to any corporation, partnership, company association, <br />organization, bid depository, orto any member oragentthereof to effectuate a collusive orsham <br />bid. <br />Note: The above Non-colluslon Affidavit is part of the Proposal. BIDDERS are cautioned <br />that inking a falsearcprtifjcation may subject the certifier to criminal prosecution. <br />Signed <br />State of Colorado <br />Countyof Denver <br />subscribed and sworn to (or affirmed) before me on this 28rd day ofOcfober , 2017, by <br />Jason Fletcher, Chief Operating Officer proved to me on the basis of <br />satisfactory evidence to be the persons) who appeared before me <br />C�I �Notary Public <br />e NotaryPuhlicSeal L;mj <br />City of Santa Ana RFP 17-107 <br />Page 26 <br />