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Agenda Packet_2023-06-20
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Agenda Packet_2023-06-20
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Agenda Packet
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6/20/2023
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DocuSign Envelope ID: 5C666F1F-E77F-43CE-8AE0-2CDA4FE129A8 <br />Attachment-05: Attachment D <br />CITY OF SANTA ANA <br />ATTACHMENT D <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and 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 proposal is not made in the interest of, or on behalf of, any undisclosed person, <br />partnership, company, association, organization, or corporation; that the proposal is genuine and not <br />collusive or sham; that the proposer has not directly or indirectly induced or solicited any other proposer <br />to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from <br />bidding; that the proposer has not in any manner, directly or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or <br />to fix any overhead, profit, or cost element of the proposal price, or of that of any other proposer, or to <br />secure any advantage against the public body awarding the contract of anyone interested in the <br />proposed contract; that all statements contained in the proposal are true, and, further, that the proposer <br />has not, directly or indirectly, submitted his or her proposal price or any breakdown thereof, or the <br />contents thereof, or divulged information or data 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 <br />thereof to effectuate a collusive or sham proposal. <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 cautioned that <br />making a false certification may subject the certifier In criminal prosecution. <br />State of Ll�, County of <br />5 ribed ands Q fit. (gr a rmed) before me on this �� day of U 20 Z �by <br />�(�( U v l�tV1,i proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me. <br />Notary Public <br />PROPOSALS <br />RFP No. 23-036 <br />MAMA 111111i <br />COM. #2334126 c <br />R► Nowy Public - c4wom* w <br />~ F RIVERSIDE COUNTY <br />r' IAY Comm. E "OCT 7. 2.1 <br />Notary Public Seal <br />JST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />Parking Control Enforcement Services Page 40 of 42 <br />NACCREDITE _ Parking Control Enfor 30 <br />"1.'PARKIN I I1 CITY OF SANTA A?� CA4RL NO. 23-036 MARCH, 2820�a"cTi�mc� <br />r ORGANIZATIONS <br />
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