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EXHIBIT G •. ..•.• a. •. .• I Nil 210 1 IM 4614 Wyj JAM 4M I• R • PROPOSAL AND CONTRACT AGREEMENT NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7108) To the CITY OF SANTA ANA, In accordance with Title 28 United States Code Section 112 and Public Contract Code 7108 the PROPOSER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other PROPOSER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non -collusion Affidavit. PROPOSERS are cautioned that making a false certification may subject the certifierto criminal prosecution. State of California County of __ Ant o., Subscribed and sworn to (or affirmed) before me on this day of ka,(� 20 _L, by UO W proved to me on the basis of satisfactory evidences o be the per son(sl who appeared before me. 1 PAULA WALSFi Nota y Public Signature Notary Public, Seal ;F Gnmmtssron 2098883 -r m Notary Puglie-caldornla z z ii4.'"N Ventura county Pott' Gomm. Expire, h4at 2, 2019 � City of Santa Ana Community Development Agency Request for Proposals Environmental Services —Housing Division Page 18