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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 />_ - oLthat of anyother 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 Califo nia <br />County of _i -a- 1�1/ <br />Sub ribed and sworn to (or affirmed) before me on this�S day of, 20 ,J, _, by <br />proved to me on the basis of sa isfactory evidence to the persons) <br />who appeared before me. • * ' "" ` <br />KATHERINE I, BRATTON <br />t ' 1 `commission # 1979023 <br />(4" Notary Pub <br />lio - California <br />zLe Los Angeles County <br />Notary Public Signature Notary Public Seal. M Comm. Ez iresJun 22,2e10 <br />City of Santa Ana Community Development Agency <br />Request for Qualifications - Housing Financial Analytical and Advisory Services <br />Page 18 <br />