Laserfiche WebLink
TO BE INCLUDED IN PROPOSAL <br />EXHIBIT G <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY <br />REQUEST FOR QUALIFICATIONS FOR AFFORDABLE HOUSING FINAll ANALYTICAL AND <br />ADVISORY SERVICES (RFQ) <br />PROPOSAL AND CONTRACT AGREEMENT <br />NOWCOLLUSION AFFI�V�; <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA, <br />In accordance with Title 23 United States Code Section 112 and Public Contract Cade 7106 the PROPOSER <br />declares that the bid is not made in the interest.of, or on behalf of, any undisclosed person, partnership, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham; that the PROPOSER <br />has not directly or Indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has <br />not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in <br />a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not in any manner, directly or <br />Indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the <br />PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other PROPOSER, or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract; that all statements contained in the bid are true; and, further, that the <br />PROPOSER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization, bid depository, or to any member or agent thereof <br />to effectuate a collusive or sham bid. <br />Note; The above Non -collusion Affidavit is park of the Proposal. Signing this Proposal on the signature <br />portion thereof shall also constitute signature of this Non -collusion Affidavit. PROPOSERS are cautioned <br />that making a false certification may subject the certifier to criminal prosecution. <br />State of California <br />County of /63- _/fn_.6(c£..__ <br />Subscribed.and sworn to (or affirmed) before me on this ._..•_• [� day of�� , 20.21 by <br />proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me. <br />AEEXANagh LnpE2 - <br />Natto Vublic• California <br />ma Angeie County r <br />„✓ cum <br />n"I'Ston N 2245996 <br />^My'COMM. Expire Jun 14, 2022 <br />c Signatures Notary Public Seal <br />City of Santa Ana Community Development Agency <br />Request for Qualifications —Affordable Housing Financial, Analytical and Advisory Services <br />Page 20 <br />