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PROPOSAL TO PROVIDE FIRE/EMS EMERGENCY TRANSPORTATION & RELATED SERVICES <br />CITY OF SANTA ANA <br />ITEM 16: NON -COLLUSION CERTIFICATION <br />The undersigned hereby certifies on behalf of Care Ambulance Service, Inc. ("Proposer"), and <br />hereby declares under penalty of perjury under the laws of the State of California, that this <br />(TBD) EMS 9-1-1 Emergency Transportation Service RFP is genuine and not sham or collusive, <br />nor made in the interest of or on behalf of any person not herein named; the Proposer has not <br />directly or indirectly induced or solicited any other Proposer to put in a sham proposal nor <br />solicited any other person, firm or corporation to refrain from submitting a proposal; the <br />Proposer has not communicated, directly or indirectly, with any other Proposer regarding the <br />amount, price, and/or service rates proposed herein; and Proposer has not in any manner <br />sought by collusion to secure for himself/herself/itself any advantage over any other Proposer. <br />We declare the foregoing is true and correct under penalty of perjury under the laws of the <br />State of California. <br />Signed, this 22nd day of October, 2018 in Orange, California. <br />IF CORPORATION: <br />October 31, 2018 <br />Signature of CEO <br />Troy M. Hagen <br />October 31, 2018 <br />Signature of Secretary <br />Brian M. Richmond <br />RFP # 18-059—CARE AMBULANCE SERVICE 250-200 50 <br />