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CITY OF SANTA ANA <br />ATTACHMENT D <br />NON -COLL US ION AFF IDAVIT <br />(Title 23 United States Code Section 112 and Publ ic Contract Code Section 7106) <br />To the CITY OF SANTA ANA <br />In accordance with Title 23 United States Code Section 112 and Pub lic Contract Code 7106 the <br />proposer decl ares that the proposa l is not made in th e in t erest of, or on beha lf of, any undisclosed <br />person , partnership, company , association , organization , or corporation; that the proposal is <br />genuin e and not co llu sive or sham; that the proposer has not directly or indirectly induced or <br />so licited any other proposer to put in a fa lse or sham proposa l, and has not directly or indirectl y <br />co llud ed, conspired, con ni ved or agreed with any proposer or anyone else to put in a sham <br />proposa l, or that anyone sha ll refra in from bidding ; that the proposer has not in any manner, <br />directly or indirectl y, sought by agreement, commun ication , or co nference with anyone to fix the <br />proposa l pri ce of the propo ser or any proposer, or to fix any overhead , profit, or cost element of <br />the proposal price , or of that of any other proposer, or to sec ure any advantage against the public <br />body awarding the contract of anyone interested in the proposed contract; that all statements <br />contained in the proposal are true ; and, further, that the proposer has not, d irectl y or indirectly , <br />subm itted his or her proposa l price or any breakdown thereof, or the contents th ereof, or divulged <br />inform ation or data re lative thereto , or paid , and will not pay, any fee to any corporation , <br />partnership , company association . organization , bid depository, or to any member or agent <br />thereof to effectuate a collusive or sl1am proposa l. <br />Note: The above non-collusion affidavit is part of the proposal. Signing this proposa l on the <br />signature portion thereof shall also constitute signature of this non-co llusion affidavit. Proposers <br />are cautioned that making a fa lse certification may subject the certifier to crimina l prosecution. <br />Signed (}-iu <br />State of ____ . County of <br />Subscribed and sworn to (or affirmed) before me on this ____ day of _____ _ <br />20 __ , by ___________ , proved to me on the basis of satisfactory evidence to <br />be the person(s) who appeared before me. <br />Notary Public Signature <br />SEE A TI ACHED <br />NOTARIAL CERTIFICATE <br />Notary Pub li c Sea l <br />TH IS FORM MUST BE COMPLETED AND INC LUDED W ITH THE PROPOSAL. <br />PROPOSALS TH AT DO NOT CONTAI N TH IS FORM W ILL BE CONSI DERED <br />NONRESPONSI VE. <br />C11y of Santa Ana RFP No . 25-019A Page 68 of 101 <br />EXHIBIT 2 <br />  <br />  <br />City Council 10 – 211 7/1/2025