10-15. ACKNOWLEDGEMENT NON-COLLUSION AFFIDAVIT.docx

Scottsdale Unified School District #48 Acknowledgment & Non-Collusion Affidavit

Purchasing Department 9313 N. 95th Way Scottsdale, AZ 85258 480-484-6151

RFP#: 26001

PROJECT: MEDICAL AND PHARMACY BENEFITS

Each proposer will initial as having read and complied with all the Instruction, Terms, Conditions and Specifications. Failure to do so may seriously hamper the evaluation process.

Uniform Instructions to Offerors please initial

Uniform General Terms & Conditions please initial

Special Instructions please initial

Special Terms & Conditions please initial

Acknowledgment & Non-Collusion Affidavit please initial

Please initial as an acknowledgment, if applicable, for amendments received:

Amendment #1: ________Amendment #2: ________Amendment #3: ________ Amendment #4: ________

As an authorized representative of the persons, corporation, or company who makes the accompanying Proposal (“Offeror”) with respect to the District’s RFP # 26001 and having first been duly sworn, I hereby depose and state as follows:

1. The accompanying Proposal is genuine and such Proposal is neither a sham nor collusive, nor is such Proposal made in the interest or on behalf of any person or corporation not named herein.

2. The Offeror has not directly or indirectly induced or solicited any other bidder to put in a sham or collusive bid, or induced or solicited any other bidder to refrain from submitting a proposal.

3. The Offeror has not in any manner sought by collusion or anti-competitive means or practices to secure for itself an advantage over any other bidder.

(Signature of Person Authorized to Sign Offer)

(Title)

Subscribed and sworn to before me this day of____________________ , 20_____

Signature of Notary Public in and for the State of County of

This page must be signed, notarized and returned with your proposal response RFP#: 26001 Page 1 of 1 Due: October 15, 2025 image1.png