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TO BE INCLUDED IN PROPOSAL <br /> EXHIBIT G <br /> CITY OF SANTA AND COMMUNITY DEVELOPMENT AGENCY <br /> REQUEST FOR QUALIFICATIONS 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 Code 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 7106 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 public 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-collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br /> portion thereof shall also constitute signature of this Non-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 1 -z-- <br /> S b cribed and sworn to (o affirmed) before me on this 1 "" day of %�v �, , 20 by <br /> proved to me on the basis of satisfactory evidence to the person(s) <br /> who appeared before me. <br /> " I. My ERINE 1.BRATTON Commission ►1979623 <br /> Notary PuNic-Camorms <br /> Los Anoss County <br /> Comm.Ex <br /> Notary Public Signature Notary Public Seal <br /> rn JM 22;2018 <br /> City of Santa Ana Community Development Agency <br /> Request for Qualifications- Housing Financial Analytical and Advisory Services <br /> Page 18 <br />