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FULL PACKET_2014-04-07%
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FULL PACKET_2014-04-07%
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5/7/2015 4:07:33 PM
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5/7/2015 3:10:13 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Date
4/7/2015
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TO BE INCLUDED IN PROPOSAL <br /> EXHIBIT Q <br /> CITY OF SANTA AND COMMUNITY DEVELOPMENT AGENCY <br /> REQUEST FOR QtUALFICATIONS FOR HOUSING FINANICAL ANALYTICAL AND ADVISORY SERVICES <br /> NON-COLLUSION AFFIDAVIT <br /> CITY OF SANTA ANA <br /> PROPOSAL AND CONTRACT AGREEMENT <br /> NON-COLLUSION AFFIDAVIT <br /> (Title 23 United States Code Section 112 and Public Contract Cade Section 7106) <br /> To the City of SANTA ANA COMMOUNITY DEVELOPMENT AGENCY <br /> In accordance with Title 23 United State Code Section 112 and Public Contract Code 7166 the PROPOSER <br /> declares that this bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br /> company, association, organization, or corporation;that the bid is genuine and not collusive or sham;that the <br /> PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham <br /> bid, and has not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone <br /> else to put in a sham bid, or that anyone shall refrain from bidding,that the PROPOSER has not in any <br /> manner, directly or indirectly, sought by agreement, communication or conference with anyone to fix the bid <br /> price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or <br /> of that of any other PROPOSER, or to secure any advantage against the publ'i'c body awarding the contract of <br /> anyone interested in the proposed contract; that all statements contained in the bid are true; and„ further„ that <br /> the contents thereof,or divulged information or data relative thereof, or paid, and will not pay, any fee to any <br /> corporation, partnership, company associations, organization, bid depository, or to any member or agent <br /> thereof to effectuate a collusive or sham bid. <br /> Note: The above Non-coliusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br /> portion thereof shall also constitute signature of this INon-collusion Affidavit. PROPOSERS are <br /> cautioned that making a false certification may subject the certifier to criminal prosecution. <br /> State of California <br /> County of <br /> Subscribed and sworn to (or affirmed) before me on this day of , 2Q _ , by <br /> p roved to me on the b s )1"s fisfactory evidence to the person(s) <br /> who appeared before me. ' <br /> I � T u) <br /> Notary Public§jqwdr6re Notary Public Seal <br /> City of Santa Ana Community Development Agency <br /> Request for Qualifications .Rousing Financial Analytical and Advisory Services <br /> Page 18 <br />
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