1-Attachment A NON-COLLUSION AFFIDAVIT.docx
DOCX document 18 KB Posted
- Attached to
- RFP 6231 COST ACCOUNTING SYSTEM IMPLEMENTATION
- Solicitation number
- RFP 6231 COST ACCOUNTING SYSTEM IMPLEMENTATION
- Issued by
- Ventura County, California
About this file
This is a Non-Collusion Affidavit required for submission with proposals in response to RFP 6231 issued by the County of Ventura, California. The affidavit serves as a certification document that must be executed by the offeror or an authorized representative and submitted as Attachment A with the proposal. The RFP seeks qualified vendors to provide a Cost Accounting and Decision Support System implementation for the Ventura County Medical Systems, which includes the Ventura County Medical Center Hospital, Santa Paula Hospital, Ambulatory Clinics, and Health Care Agency Admin. The proposed solution must integrate with existing financial platforms and the EHR system (Cerner Millennium), payroll systems (VCHRP - Oracle), and other data sources to enable accounting cost modeling, finance analytics, management reporting, and productivity analysis.
The Non-Collusion Affidavit requires the offeror to certify under oath that the proposal is genuine and not made in collusion with any other party, that no inducements or agreements have been made to manipulate proposal pricing or suppress competing bids, and that all information provided is truthful and accurate. The affidavit must be signed and dated by an authorized representative of the offeror and include the offeror's name, address, representative name, and representative title. The document explicitly prohibits offerors from divulging proposal contents, paying fees to proposal depositories, or engaging in any direct or indirect conduct intended to create false or collusive proposals or gain unfair advantage against the public body or other interested parties.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-RFP 6231 COST ACCOUNTING SYSTEM IMPLEMENTATION.pdf | ||
| 2-RFP 6231 Attachment B Cost Proposal.docx | DOCX document |
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Text version
County of Ventura RFP 6231 Cost Accounting System Implementation GSA/Procurement Services
ATTACHMENT “A” – RFP # 6231
"Non-Collusion Affidavit To Be Executed By Offeror And Submitted With Proposal
State of California ) County of Ventura ss.
____________________, being first duly sworn, deposes and says that he or she is (Owner) of __________________________(Contractor Name) the party making the foregoing proposal that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the offeror has not directly or indirectly induced or solicited any other offeror to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any offeror or anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the offeror has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the offeror or any other offeror, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other offeror, or to secure any advantage against the public body awarding the contract of anyone interested in the offered contract; that all statements contained in the proposal are true; and further, that the offeror has not , directly or indirectly, submitted his or her proposal 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, proposal depository, or to any member or agent thereof to effectuate a collusive or sham proposal."
(Date) (Signed at (Place))
Offeror Name Authorized Representative (Person, Firm, Corp.)
Address Representative's Name
| __________________ | _________________________ |
| City, State, Zip | Representative's Title |
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