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Docusign Envelope ID:B2A1 FE72-157F-402C-ABF6-9AD2259E53A3 <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 proposed <br /> contract; that all statements contained in the proposal are true; and, further, that the proposer has not, <br /> directly or indirectly, submitted his or her proposal price or any breakdown thereof, or the contents thereof, <br /> or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, <br /> partnership, company association, organization, bid depository, or to any member or agent thereof to <br /> 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 to criminal prosecution. <br /> Y <br /> Signed <br /> State of CA -, County of Orange _... ..___ <br /> Subscrib and sworn to (or affirmed) before me on this 2nd day of September , 2025 , by <br /> ��16- Ig�-�l�f�-r't_t_-�.�.__, proved to me on the basis of satisfactory evidence to be the person(s) <br /> who appeared before m�. <br /> VIROMIA KNUDTSON <br /> Y COMM. #2501568 z <br /> i Notary Public•California c <br /> z Orange County -� <br /> K Comm.Ex ices Oct.20,2028 <br /> Notary blic Sign tune Notary Public Seal <br /> THIS FORM MIDST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE, <br /> RFP 25-109A City of Santa Ana Page 47 of 50 <br />