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TQ BE INCLUDED IN PROPOSAL <br />EXHIBIT G <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENTAGENCY <br />REQUEST FOR QUALIFICATIONS FOR AFFORDABLE HOUSING FINANCIAL, ANALYTICAL AND <br />ADVISORY SERVICES (RFQ) <br />PROPOSAL AND CONTRACT AGREEMENT <br />NON-COLLU510N AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA, <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the PROPOSER <br />declares that the bid Is not made'In the Interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or cotporatlon; 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 hes 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, fuhher, that <br />the PROPOSER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contants thereof, or divulged Information or date relative thereto, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization, bid depository, or to any member or agent thereof <br />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 orlminal prosecution. <br />State of California <br />County of 1)(ZAi�,t�� <br />Subscribed and sworn to (or affirmed) before me on this <br />`4A—. day of J tx D , 2016 , by <br />1 t i � i r E D In proved to me on the basis of satisfactory evidence to be the person($) <br />EN0149 <br />"M1"FNEwm1N1;"who appeared before me, r1ePNea 02185917 <br />Io CBIlfornlG <br />e County <br />lre� Nov, 1D, E02o <br />otaryPu Iic gnature Notary Public Sea) <br />City of Santa Ana Community Development Agency <br />Request for qualifications – Affordable Housing Financial, Analytical and Advisory Services <br />Page 20 <br />80A-60 <br />