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(Title 23United States Code Section 112and Public Contract Code SectioD71O6) <br />To the CITY OFGANTAANA <br />|Oaccordance with Title 28United States Code Section 112and Public Contract Code 71O6the proposer <br />declares that the prOpO8&| is not made in the interest of, or OD behalf of, any undisclosed person, <br />partnership, company, 8sSOciatioD. VFg8ObcaUon, or corporation; that the proposal is genuine and not <br />collusive or sham; that the proposer has not directly or indirectly induced or solicited any other proposer <br />to put in 8false 0rsham proposal, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from <br />bidding; that the proposer has not in any manner, din*oi|y Or inUireCt|y, sought by agreement, <br />communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or <br />to fix any overhead, profit, or cost element of the proposal price, or of that of any other prnp0oer, or to <br />secure any advantage against the public body awarding the Contract of anyone interested in the <br />proposed contract; that all statements contained in the proposal are true; and, further, that the proposer <br />has not, directly or |ndinect|y, submitted his or her pn)p0Ga| 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 <br />thereof toeffectuate acollusive orsham proposal. <br />Note: The above nonCoUueion affidavit is part of the proposal. Signing this proposal on the signature <br />portion thereof shall also constitute signature of this noncollusion affidavit. Proposers are cautioned that <br />making a false certification may subject the certifier to criminal prosecution, <br />State of California, County of <br />n�� <br />nneo/oeror�meonDme_���or d ' ' <br />2O�� ,by <br />'��� proved tonneonthe basis nfsatisfactory evidence to bethe pe on�� <br />�ho�pp��r�db��r�[O�. �� �p' <br />� <br />� <br />Notary Public Signature " Notary Public Seal <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PR - OPO SAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />RFPNo. 2/-O25 Underwriting Services for Pension Refinancing Bonds Faoe21 of 24 <br />