1-NONCOLLUSION AFFIDAVIT.pdf
PDF 78 KB Posted
- Solicitation number
- 2026006-BID5200 2026 Storm Drain UV Rehabilitation Projects
- Issued by
- Columbia County, Georgia
About this file
This is a Non-Collusion Affidavit for Columbia County, Georgia, required as part of the bidding process for the 2026 Storm Drain UV Rehabilitation Projects. The affidavit must be completed and sworn by a representative of the bidding company before a notary public. The document serves as the bidder's attestation that the submitted bid complies with Georgia Code O.C.G.A. 36-91-21(e) and that all bid pricing and terms are genuine and developed independently.
The affidavit requires the bidder to certify that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has colluded, conspired, or agreed with any other bidder to submit collusive or sham bids, fix pricing elements, or gain unlawful advantage against Columbia County or other interested parties. The bidder must affirm that the quoted prices are fair, proper, and untainted by any collusion, conspiracy, or unlawful agreement. This standard attestation document is a mandatory compliance requirement for bid submission and must be notarized with the affiant's signature, title, date, and the notary's commission information.
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Text version
Columbia County NCA-1 NON-COLLUSION AFFIDAVIT
NON-COLLUSION AFFIDAVIT OF BIDDER
State of Georgia
County of
I, (name of individual), being first duly sworn, deposes and says that:
(1) He is ___________________________ (title) of ______ ______________ (Company) the Bidder that has submitted the Bid on the following;
Project Name:
Project Number:
(2) He makes an oath that O.C.G.A. 36-91-21 (e) has not directly or indirectly been violated;
(3) Such Bid is genuine and is not a collusive or sham Bid;
(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Columbia County, Georgia or any person interested in the proposed Contract; and
(5) The price or prices quoted in the attached Bid are fair and proper and not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Signed)___________________________________
Title______________________________________
Subscribed and sworn to before me, This day of , 20__
Notary Public:
(Notary Seal)
My commission expires:
Columbia
| County of: |
| I: |
| 1 He is: |
| Project Name: |
| Project Number: |
| Signed: |
| Title: |
| This: |
| day of: |
| Notary Public: |
| My commission expires 1: |
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