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CITY OF SANTA ANA <br /> RFP NO.: 20-139 <br /> DESIGN, CONSTRUCTION,MAINTENANCE AND MANAGEMENT <br /> OF DIGITAL BILLBOARDS AND MANAGEMENT OF BUS SHELTERS AND STOPS <br /> NON-COLLUSION AFFIDAVIT <br /> (Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br /> In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br /> PROPOSER declares that the bid is not made in the interest of, or on behalf of, any undisclosed <br /> person,partnership,company, association, organization, or corporation;that the bid is genuine and <br /> not collusive or sham; that the PROPOSER has not directly or indirectly induced or solicited any <br /> other PROPOSER to put in a false or sham bid, and has not directly or indirectly colluded, <br /> conspired, connived, or agreed with any PROPOSER or anyone else to put in a sham bid, or that <br /> anyone shall refrain from bidding; that the PROPOSER has not in any manner, directly or <br /> indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of <br /> the PROPOSER or any other PROPOSER, or to fix any overhead, profit, or cost element of the <br /> bid price, or of that of any other PROPOSER, or to secure any advantage against the public body <br /> awarding the contract of anyone interested in the proposed contract; that all statements contained <br /> in the bid are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his <br /> or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data <br /> relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company <br /> association, organization, bid depository, or to any member or agent thereof to effectuate a <br /> collusive or sham bid. <br /> Note: The above Non-collusion Affidavit is part of the Proposal. PROPOSERS are <br /> cautioned that making a false certification may subject the certifier to criminal <br /> prosecution. <br /> Signed <br /> State of California <br /> County of <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 /> City Council 24 — 53 1/18/2022 <br /> Page 1 of 1 <br />