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! <br /> I <br /> ATTACHMENT F - <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 /> I <br /> In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the proposer declares <br /> that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership,company, <br /> association,organization,or corporation;that the proposal is genuine and not collusive orsham;that the proposer <br /> has not directly or indirectly induced or solicited any other proposer to put in a false or sham proposal, and has <br /> not directly or indirectly colluded, conspired, connived or agreed with any proposer or anyone else to put in a <br /> sham proposal, or that 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 proposal price of the <br /> proposer or any proposer, or to fix any overhead, profit, or cost element of the proposal price, or of that of any <br /> other proposer, or to secure any advantage against the public body awarding the contract of anyone interested <br /> in the 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 contents <br /> thereof, 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 effectuate <br /> a collusive or sham proposal. <br /> Note: The above non-collusion affidavit is part of the proposal. Signing this proposal on the signature portion <br /> thereof shall also constitute signature of this non-collusion affidavit. Proposers are cautioned that making a false <br /> certification may subject the certifier to criminal prosecution. <br /> I <br /> Signed <br /> State of Zr�l ounty of <br /> Su scribed and sworn to_ (or affirmed) before me on this__,day of 20 d\6, by <br /> proved to me on the basis of satisfactory evidence to be the person(s)who <br /> appeared be ore me. <br /> YOUNG K. CHOI <br /> Comm # 2465608 .z , <br /> _R,= ORANGE County <br /> 'y'Califernia Notary Public" <br /> �SZ Comm Exp Oct. 5, 2027 <br /> .... .........-......................�• <br /> Notary Public Signature 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 />