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TO BE I CLUDIE =D Q
<br />EX �JjY13PQ�U
<br />HI
<br />CITY OF SANTA ANA C0jMML)NjTY DEVELOPMENT
<br />REQUEST FOR QUALIFICATIONS FOR ENVIRONMENTAL SERVICES
<br />NON-COLLUS16N OFIDAMT,
<br />eITY'OF SANTA ANA
<br />PRO'' A L AND :,N ff RA 01-_A6 R fft W NIT
<br />NON7,00ILLUSION AFFIDAVIT,
<br />(TIW21 United States Code Section 112 alno Public CQntrac1'Code Section 7106)
<br />To tfie4tty of$ANTAANA -010 MUNITY OE __,ELOPME A RN,'CY-
<br />T 0
<br />th Ei,0001:.Vance with title 28 VrIftiad State Cc 4-$0e V d R :aQt a NiJP0,"S
<br />de,, Join 111 _U6( 0 dtac�( 0 de 71 , h P ER
<br />dedlgris,evthal W8, bid Is noUrriticle In the interest of, or on bdftalfef; any undisclosed person, parthoeship,
<br />company, association, organization, or corporatibn; that the bid is gehAe'larid tvt collusive or sham;
<br />—PROPOSER has•not directly or Indirectly induced or soliciteclany other PROPOSER to put in a false or sham
<br />bid, and haanot,directly or indirectly colluded, consplrecljrconnived or agreed with any PROPOSER or anyone
<br />else,, to put in a.eham, bid, or that anyone shall lrefrq
<br />In from kidding; that the PROPOSER has not In any
<br />manner, directly or i0dirqptjyj sought try agr em with anyone to'fixtfte bid
<br />e ,]I et,,dommunication-or -a
<br />P.r19el.o,f.the PROPO.$RRor any PROPOSER, :orto,i, any 'ead, profit, or cost element of the bid,pribe
<br />,Of Ithat0feny other PROPOSER; Or to -secure any adV8htjg&a(l;iain6t"f1he publla'bocly awarding tlie-coritratt"Of
<br />Anydbe, k4rested in -the proposed', contract" 1416mants contained 4,a the 'bid are true; and, further, that
<br />the d6rit6bits,therecif, bi-diVUlgedJhfdrm0tidn orrdats( reldtiWlhereoT, or paid, and will Trot pay, any foe to any
<br />corporation, partnership., company associations, orgarlization,,, bid deporitofty, 6eto,any member or agent
<br />thereof to effectuate a collusive-ovsham bid,
<br />No',fe:The,abpy Non - collusion Affidavit Is pa(dW the Proposoji ftaing this Proposal on the signature
<br />portion thate0f-stY,aJI,0lso constitute sIgnaJurerof this,,,Non-collusion Affidavit. PROPOSERS-are,
<br />captioned that making a false certifiration.mpy, sublottlithproertiffer to cjrim,
<br />_ ng[ prosecution
<br />to
<br />me,
<br />I by
<br />the person(d)
<br />c4rtM[i
<br />Notary Notary PUbllo $oal
<br />, I
<br />
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