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EXHiBIT F CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR SECURE BIKE PARKING FACILITIES Installation and Se toe Agreement RFP #13.019 NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Cade Section 7106) To the CITY OF SANTA ANA In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the proposer declares that the proposal is not made in the Interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the proposer has not directly or indirectly Induced or solicited any other proposer to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived or agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the proposer has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other proposer, or to secure any advantage against the public body awarding the contract of anyone interested In the proposed contract; that all statements contained in the proposal are true; and, further, that the proposer has not, directly or Indirectly, submitted his or her proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham proposal. Note; The above non Ilusion aftid At is pert of the proposal. Signing this proposal on the signature portion thereof shal so c tit signal of this noncclluslon affidavit. Proposers are cautioned that making a false certi ation m subject the riper to criminal prosecution. State of California, County Subscri ppad and sworn to (or affirmed) before me on this 5'xday of 20 13, by iggi.-A, proved to me on the basis of satisfactory evidence to be the person(4) who appeared before me. �DUANE J. LEE Caurr.A t671 M 110% O PYR C�•pGyU�I�IA . Mr COWL Er. OrO. N, ttl11 Notary Public Slgpafft Notary Public Seal THIS CORM MUST BE COMPLETED AND ,r t rnoD WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana RFP 13.019 Page 25 25A -48