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'ro BE INCLUDED IN PROPOSAL <br />EXHIBIT IS <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT <br />REQUEST FOR QUALIFICATIONS FOR ENVIRONMENTAL SERVICES <br />NOWCOLLOS|ON AFFIDAVIT <br />CITY OF SANTA ANA <br />PROPOSAL AND CONTRACTAGREEMENT <br />NON-GOLLUSION AFFIDAVIT <br />(Title 23 United States Code. Section 112 and Public Contract Code Section"71 06) <br />To the City of SANTA ANA COMMUNITY DEVELOPMENT AGIENCY <br />Inaccordance witriTtle 23 United State Code Section 1,12 and -`ublic Contract Code 7106 the PROPOSER <br />declares that this bid is not made in the interest of, or on behalf ot, any undisclosed person, partnership, <br />company, association, organization, mrcorporation; that the bid i$gaouino and not collusive orsham, thatiho <br />PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or shanl <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with qny PROPOSER or anyone <br />elso to put in a sharn bid, orthatt anyone shall refrain frorn lfidding| that the PROPOSER has not in any <br />:uonner.dirmwt|yurindi/oo[|y.00ughtbyogrea/nunt.umnnnunicetiunorom)fananumvvi\hvnynnmtofixthebid <br />price of the PROPOSER or any PROPOSER. or to fix any overhead, profit, or cost element of flie bid price, or <br />Of that nf any other PROPOSER, o[tosecure any mdvan\ogm against the public body awarding the contract uf <br />anyone interested in the, proposed contract; that all statements contained in the bid are true; and, further, that <br />the contents thereof, or divulged information or data relative thereof, or paid, and will nor pay, any f o-e1Uany <br />corporation, partnership, company associations, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive vr shmmbid� <br />Note: The above Non-collusion Affidavit is part of the PrnpnouL Signing this Proposal mn the signature <br />portion thereof shall also constitute signature of this Non-collusion Affidavit. PROPOSERS are <br />c6uhmnodihatrnmk|ngatm|weooUi/iuuiiunmayuuNecdihnued|fierincri8l|Aa|pk/$ecUh0n. <br />State of California <br />CounWuf <br />8ubSn|ibod and sworn tn (or a0nnod) before rneonthis dayu(� r I�����_.� .hy <br />proved 1nnneon the basis vf satisfactory evidence, to the po/oon(o) <br />who apaea/nd before nnw. <br />ALIFORMIA <br />VENTURACOUNTY <br />MAY 20 2015 <br />UNuhsry Public SiWnaiuoa Notary Public 8ed,`~`~—'---- <br />City of Santa Ana Community Development Agency <br />Request for PropusabEnvirvnmonio|Services <br />Page 17 <br />