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CITY OF SANTA ANA <br />ATTACHMENT C <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Secfion 112 and Public Contract Code Section 7106) <br />To the CITY of SANTA ANA <br />In acxordance with True 23 United States Code SechOn 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, assvciatian, organization, or corporation; that the proposal is genuine and not <br />collusive or shorn; that the proposer has not directly or indirecUyinduced or solicited any other proposer <br />to put in a false or sham proposal, and has not directly or indirectly colluded, aonspired� 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, profft, or cast 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 irrterested 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, organizatian, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham proposal., <br />Nate: The above nancoilusian affidavit is part of the proposal- Signing this proposal on the signature <br />portion thereof shall also constitute signature aF this nancoilu$ion affidavit. Proposers are cautioned that <br />making a false certification may subject the rertifer to criminal prosecution. <br />Signed <br />State of California, County of <br />Subscribed and swum to far affirmed) before me on this day of �n� to <br />��� a Y <br />Raul AmezcuaMMWEWW� , proved to me on the bass of satrsfactory e►nperson(s) <br />who appeared before me. <br />SEE ATTACHED CERTIF'CA TE <br />Notary Public Signature <br />Notary Public Seal <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />RFP No. 2 1-o025 Underwriting Services for Pension Refinancing Bands Page 21 of 24 <br />