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EXHIBIT D <br />APPENDIX <br />ATTACHMENT 3-1 NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />y vjaW,_�W_MTRIBUTION PROGRAMS <br />RFP •. _ 1 1.. t <br />NON�COLLUSION AFFIDAVIT <br />(Title23 United States Code Section 112 and. <br />Public Contract Code Section 710,6) <br />To the CITY OF SANTA ANA CITY MANAGER'S OFFICE <br />in accordance with Title 23 United States Cade Section 112.and Public Oontraet Code 7106 the BIDDER declares <br />that the bid Is not made in the interest of, oron behalf of, any undisclosed person, partnership, company, association, <br />organization, or corporation; that the bid is genuine and not collusive or sham, that the BIDDER has not directly or <br />indirectly induced or, so! iclted any other BIDDER to put in a false or sham bid, and has not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone else to put In a sham bid, orlhat anyone shall <br />refrain from bidding; that the BIDDER has not in any manner, directly or, indirectly, sought by agreement; <br />communication; or conference with anyoneto fixthe bid price of <br />the BIDDER or any BIDDER, or to fix any overhead, <br />profit, or cost element of the bid price, orof thatof any other KIDDER, or tosecure any advantage against the public <br />body awarding the contract of anyone interested in the proposed contract; that all statements contained In the bid. <br />are true; and, further, thatthe BIDDER has not, directly or indirectly, submitted his or her bid price or.any'breakdown <br />thereof, or the contents thereof, or divulged information or data relative thereto,, or paid, and will not pay, any fee to <br />any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof <br />to e.ffectuate.a collusive or shard bid, <br />Note; The above Non-ooilusion Afiidavitis part of the Proposal. Signing this. Proposal on the signature portion <br />thereof shelf also constitute signature of this Non -collusion Affidavit_ BIDDERS are cautioned that making a <br />false certification may sublact the certifier to criminal prosecutloh.r <br />Organization 1�bno <br />Signed and Printed Name. <br />Title c- ,i, isofE <br />city of Santa Ana RFP 22-009A <br />Page 42 <br />