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CERTIFICATIONS CITY OF :MANTA AN'A ATTACHMENT C NON -COLLUSION AFFIDAVIT _..................---- ----- --- ...... (Title 23 United States Code Suction 112 and Public Contract Code) Section 'T 106) To the CITY OF S'AN I A ANA In accordance with 'Title 23 United States Code Section 112, and Public Contract Code 7106 the Respondent dccfares that the statornent of qualrticationsis not rnade in the interasl of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation, that the statement of qualdicationsm gr:nuine antl riot collusive of sf�arn; heat the Respondent has not directly or indirectly induced or solicited any other Respondent to put in a fnl¢r nr sham ctatnmpnf of climlifir-,alion„ and has not directly or indirectly coeiuded, conspired, connived or agreed with any Respondent or anyone else to put in a sham statement of qualification, of that anyone shall refrain troor bidding; that the Respondent has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the statement of quald caaonspnc_, of the Respondent or any Respondent, or to fix any overheard, profit, or cost element of the statement of quahhcallunsplrcoor of that of any other Respondent., or to secure any advantage against the public body awarding the contract of anyone; interested in the proposed contract, that all siafenienls cuotaned in tilt state nett[ of qualificationsale true'. and, furthctr, that the Ropuridfint has not directly or indirectly, tiubrnitted his or hot statc:maxd of qualificationspuce or any breakdown thereof, or the contents thereof, or divulged information or data 'Mative thBreln. or pAi[l;end will n;)t pay, any fee to any corpol'OtIBn, partnership, company association, organization, bid depository. or to any member os agent thereof to effectuate a collusive or Shane statement of qualification_ Note: Tho above noncolltlsion affidavit is part of the statement of qualification. Signing this slatemerrt of quaUtcationson the signature portion thereof shalt also constitute signature of this noncollusion affidavit. Respondents are cautioned that making a false certification may subject the certifier to criminal prosecution. j✓� .® I �1_0 7 r Sty ofV Stito Of California, Cc , % CIC Subscribed and sworn to (or affirmed) before me on this f Cl day 2 by provod W me on the basis of satisfactory ovWunce to be peason(s) who appeared before me- 10SI, COWLIN Gcmik v2272888 f;i_z�nTr NOIARYO I CCAI IF(41111 _NGe COUNrx . ^@pee plfOYlY16N M. Z_021 N I;r u'61uc Slgrrature Notary Public Seal rHIS FORM MUST BE COM,Qi,k�.T�g AND ({1,Ofr_,�itpF.p�ijfJTH THE STATEMEJ-IfJ�F �UALIFICATIONyR. STATEMENT OF OUALCFICATIONS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.. izFG No 21-016 Svito LogPx4 tiveT Advocacy Sorvices Pago 26 of 29 CjCim COT it 30 — 4� 4/6l20 aternen of Qualifications for State Legislative Advocacy ervlces I City of Santa Ana P28ge 24