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ANTI -COLLUSION AFFIDAVIT <br />Proposer as a part of this proposal submits the following affidavit: <br />The undersigned deponent, of lawful age, being duly sworn, upon his oath deposes and says: <br />That he has lawful authority to execute the within and foregoing proposal; that he has <br />executed the same by subscribing his name hereto under oath for and on behalf of said <br />proposer, that proposer has not directly or indirectly entered into any agreement, express or <br />implied, with any proposer or proposers, having for its object the controlling of the price or <br />amount of such proposal or proposals, the limiting of the proposals or proposers, the <br />parceling or farming out to any proposer or proposers or other persons of any part of the <br />contract or any part of the subject matter of the proposal or proposals or of the profits thereof, <br />and that he has not and will not divulge the sealed Proposal to any person whomsoever, <br />except those having a partnership or other financial interest with him in said proposal or <br />proposals, until after the said sealed proposal or proposals are opened. <br />Deponent further states that the proposer has not been a party to any collusion among <br />proposers in restraint of freedom of competition; by agreement to make a proposal at a fixed <br />price or to refrain from submitting a proposal, or with any City official or employee as to <br />quantity, quality, or price in the prospective contract, or in any discussions between <br />proposers and any City official concerning exchange of money or other things of value for <br />special consideration in the letting of a contract; that the proposer has not paid, given or <br />donated or agreed to pay, give or donate to any official, officer or employee of the City <br />directly or indirectly, in the procuring of the award of contract pursuant to this proposal. <br />Executed under penalty of perjury on this day of I at <br />SIGNED <br />BY <br />TITLE <br />COMPANY <br />Failure to complete and submit this form will deem the proposers proposal incomplete and <br />Draft, March 9, 2020 5-1 City of Santa Ana <br />