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City of Santa Ana <br />RFP: Homeless Services - Street Outreach and Engagement <br />PROPOSAL AND CONTRACT AGREEMENT <br />NON -COLLUSION AFFIDAVIT <br />SIGNATURE PAGE <br />FIRM <br />SIGNED AND PRINTED NAME <br />TITLE <br />State of California <br />County of <br />DATE <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 />Notary Public Signature Notary Public Seal <br />30 <br />