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Data Ticket, Inc. City of Santa Ana <br />Newport Beach, CA Request for Proposals for Automated <br />O; 949 752-6937; IF: 949 752-6033 Parking Citation and Processing Services <br />SECTION G: EXHIBIT H — NONCOLLUSION AFFIDAVIT <br />EXHIBIT H <br />CITY OF SANTA ANA <br />R9QUEST FOR PROPOSALS FOR AUTOMATED PARKING CITATION AND PROCESSING SERVICES <br />NONCO LUSION AFFIDAVIiT' <br />0--91ON AFFICUIT <br />M110 23 Unlhrd Bfatoo Cadre Section 112 and <br />Public Contract Coda Season 7106)1 <br />To the CITY OF SANTA ANA <br />in accordance with Title 4 united States Code Section 112 and Public Contract Code 7100 that proposer <br />declares that the proposal is not made in the Irdeaast of, or on babel of, any undisclosed person, partnership,, <br />company, eaaoaletfpn organization, or corporation; that the proposal is gonaine and Mal collusive or sham; that <br />the proll has not dirsosy or Indirectly Induced or solicited any other proposer to put In a false, or sham <br />proposal, and has not directly or Indirectly colluded, conspired, connived or agreed with any proposer or <br />anyone e€ee to put In a sham proposal, or that anyone shalt refrain from bidding: that the proposer has not in <br />any manner, directly or ind racily, sought by agreement, communication, or conference with anyone to fix than <br />proposalprice of the proposer or any proposer, or to fix any overhead, prone. or cost element of the proposal <br />price, or of that of any other proposer, or to secure any advantage agatnst thepublic body awarding the <br />contract, of anyone interested in the proposed contract; that all statements contained In the proposal are true: <br />and, further, that the proposer has not, directly or indirectly, submitted his or her proposal price or any <br />breakdown thereof, or the contents thereof, or divulged Information or data relative thereto, or paakt, and vrfll not <br />pray, any fee to any corporation, partnerahlp, company association, organization, bid depositary, or to any <br />member or agent thereof to effectuate a collusive or sham proposal. <br />Note: The above rlontolluaion affidavit Is part of the proposal. Signing this proposal on the signature portion <br />thereof shalt slap constitute signature of this noncoifusion sf ll Proposers are cautioned that making a <br />false certification may subtloot the certifier to criminal prosecution - <br />Signed— <br />State of California, County <br />Subscribed and swomt to for affirmed) before me on thus r^:a0 day of elseta ,ae, 20 &� by <br />6Uk Ff nm t aaara , proved to me on the basis of satisfactory evidence to lee the parsoil;(sj who <br />appeared before one. <br />Notary p ao Signature <br />Proprietary and Confidential to Data Ticket, Inc. <br />Notary Public; Seat <br />341Page <br />