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EXHIBIT F <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR <br />SECURE BIKE PARKING FACILITIES <br />Installation and Service Agreement <br />RFP #13-019 <br />NON-COLLUSION AFFIDAVIT <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 Code 7106 the proposer <br />declares that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that <br />the proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham <br />proposal, and has not directly or indirectly colluded, conspired, connived or agreed with any proposer or <br />anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the proposer has not in <br />any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the <br />proposal price of the proposer or any proposer, or to fix any overhead, profit, or cost element of the proposal <br />price, or of that of any other proposer, or to secure any advantage against the public body awarding the <br />contract of anyone interested in the proposed contract; that all statements contained in the proposal are true; <br />and, further, that the proposer has not, directly or indirectly, submitted his or her proposal price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not <br />pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any <br />member or agent thereof to effectuate a collusive or sham proposal. <br />Note: The above non Ilusion affid vit is part of the proposal. Signing this proposal on the signature portion <br />thereof shal so c titute signat e f this noncollusion affidavit. Proposers are cautioned that making a <br />false certi 'cation m subject the erttiier to criminal prosecution. <br />Sig <br />State of California, County of <br />Subscri ed and sworn to (or affirmed) before me on this I syday of 20 1-3, by <br />k- M, proved to me on the basis of satisfactory evidence to be the person( who <br />appeared before me. <br />0 DUANE J. LEE <br />Comm. # 1873232 rn <br />f.r,.....1 NOTARY PUBLIC-CALIFORNIA N <br />-' <br />ORANGE COUNTY <br />Mr Comm. ExP. DEC.14, 2013 <br />Notary Public Sig re Notary Public Seal <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />11111/Ii?il11i/?IAfOw?l?r-???//I? - - ?/?1???\? ¦ /rIYYll?rlY?/I/rrll?rr/I-rY/?I? <br />City of Santa Ana RFP 13-019 <br />Page 25 <br />25H-43