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<br />City of Santa Ana Community Development Agency <br />Request for Proposals for Housing Successor Agency Properties <br />Page 21 <br />EXHIBIT F <br /> <br />TO BE INCLUDED IN PROPOSAL <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT <br />REQUEST FOR PROPOSALS FOR HOUSING SUCCESSOR AGENCY PROPERTIES <br />AFFORDABLE HOUSING DEVELOPMENT <br /> <br />NON-COLLUSION AFFIDAVIT <br />CITY OF SANTA ANA <br /> <br />PROPOSAL AND CONTRACT AGREEMENT <br /> <br />NON-COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br /> <br />To the CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY <br /> <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the PROPOSER declares that <br />the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, <br />organization, or corporation; that the bid is genuine and not collusive or sham; that the PROPOSER has not directly or <br />indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has not directly or indirectly <br />colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in a sham bid, or that anyone shall <br />refrain from bidding; that the PROPOSER has not in any manner, directly or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the bid price of the PROPOSER or any PROPOSER, or to fix any <br />overhead, profit, or cost element of the bid price, or of that of any other PROPOSER, or to secure any advantage against <br />the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in <br />the bid are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, <br />any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid. <br /> <br />Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion <br />thereof shall also constitute signature of this Non-collusion Affidavit. PROPOSERS are cautioned that making a <br />false certification may subject the certifier to criminal prosecution. <br /> <br />State of California <br />County of <br /> <br />Subscribed and sworn to (or affirmed) before me on this day of , 20 _____, by <br /> , proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me. <br /> <br /> <br /> <br /> <br />Notary Public Signature Notary Public Seal <br /> <br />4-24