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CITY OF SANTA ANA <br />RFP NO.: 20-139 <br />DESIGN, CONSTRUCTION, MAINTENANCE AND MANAGEMENT <br />OF DIGITAL BILLBOARDS AND MANAGEMENT OF BUS SHELTERS AND STOPS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />PROPOSER 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 and <br />not collusive or sham; that the PROPOSER has not directly or indirectly induced or solicited any <br />other PROPOSER to put in a false or sham bid, and has not directly or indirectly colluded, <br />conspired, connived, or agreed with any PROPOSER or anyone else to put in a sham bid, or that <br />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 <br />the PROPOSER or any other PROPOSER, or to fix any overhead, profit, or cost element of the <br />bid price, or of that of any other PROPOSER, or to secure any advantage against the public body <br />awarding the contract of anyone interested in the proposed contract; that all statements contained <br />in the bid are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his <br />or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data <br />relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company <br />association, organization, bid depository, or to any member or agent thereof to effectuate a <br />collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. PROPOSERS are <br />cautioned that making a false certification may subject the certifier to criminal <br />prosecution. <br />Signed <br />State of California <br />County of <br />Subscribed and sworn to (or affirmed) before me on this day of , 20_, by <br />, proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me <br />Notary Public Signature Notary Public Seal <br />Page 1 of 1 <br />