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TO BE INCLUDED IN PROPOSAL <br />EXHIBIT G <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT <br />REQUEST FOR PROPOSALS FOR PARKING OPERATIONS AND MANAGEMENT SERVICES <br />NON-COLLUSION AFFIDAVIT <br />CITY OF SANTA ANA <br />PROPOSAL AND CONTRACT AGREEMENT <br />NON-COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the PROPOSER <br />declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the <br />PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone <br />else to put in a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not in any <br />manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid <br />)rice of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or <br />A that of any other PROPOSER, or to secure any advantage against the public body awarding the contract of <br />anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that <br />the PROPOSER has not, directly or indirectly, submitted his or her bid 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 thereof <br />to effectuate a collusive or sham bid. <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 <br />cautioned that making a false certification may subject the certifier to criminal prosecution. <br />State of California <br />County of ORANGE <br />Subscribed and sworn to ( <br />who appeared before me. <br />affirmed) before <br />c?' J?f?rLy <br />day of DEC-EibtBLR, 2011 by <br />proved to Fr on the basis of satisfactory evidence to be the persol <br />y u 'c Signature <br />HARVEY GONZALEZ <br />Commission # 1878398 <br />i Notary Public - California z <br />Orange County D. <br />AA Comm. Expires Jan 29, 2014 <br />Notary Public Se-al <br />City of Santa Ana Community Development Agency <br />Request for Proposals for Parking Operations and Management Services <br />20.P 38 <br />%f <br />r <br />2% 126