10-Non-Collusion Affidavit.pdf

PDF 104 KB Posted

Attached to
Writing and Plagiarism Online Program State and local contract opportunity
Solicitation number
RFP 27-01-31
Issued by
Maricopa County, Tucson City, Arizona

About this file

This is a Non-Collusion Affidavit form required for the Arizona school district's competitive proposal process for a Writing and Plagiarism Online Program. The affidavit must be completed and notarized by the authorized representative of each bidding contractor or offeror. The document serves as a sworn statement certifying that the submitted proposal is genuine and not collusive in nature, and that the offeror has not engaged in any anticompetitive practices such as soliciting sham proposals, inducing competitors to refrain from bidding, or seeking unfair advantages through collusion with other bidders.

The affiant must also attest under oath that all necessary due diligence has been exercised to ensure no personal gifts or benefits have been offered to district personnel involved in contract supervision, purchasing, payments, or selection processes, in compliance with Arizona Revised Statutes Section 15-213(O) and Arizona Administrative Code Rules 7-2-1042(A.1.L) and 7-2-1003(J). Notarization by a qualified notary public is mandatory before submission. The form requires completion of standard identifying information including the affiant's name, title, contractor name, state and county of notarization, and the date of execution.

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Text version

NON-COLLUSION AFFIDAVIT

State of ____________________ )

) ss.

County of __________________ )

Before me, the undersigned, personally appeared

______________________________________________________________________ , affiant, (Name) the _____________________________________________________________________________ (Title)

(Contractor/Offeror) the persons, corporation, or company who makes the accompanying Proposal, having first been duly sworn, deposes and says:

That such Proposal is genuine and not sham or collusive, nor made in the interest of, or behalf of, any persons not herein named, and that the Offeror has not directly or indirectly induced or solicited any other Offeror to put in a sham Proposal, or any other person, firm or corporation to refrain from submitting a Proposal, and that the Offeror has not in any manner sought by collusion to secure for itself an advantage over any other Offeror; and

That Offeror has taken steps and exercised due diligence to ensure that Offeror has not offered, conferred, or agreed to confer any personal gift or benefit on a person who supervises or participates in contracts, purchases, payments, claims or other financial transactions, or on a person who supervises or participates in planning, recommending, selecting or contracting for materials, services, goods, construction or construction services of the District, in accordance with A.R.S. § 15-213(O), A.A.C. R7-2-1042(A.1.L), and A.A.C. R7-2-1003(J).

(Signature of Affiant)

(Title)

Subscribed and sworn to before me this __________ day of ___________________________ , 20 ____________

Signature of Notary Public in and for the

State of ___________________________________________

County of _________________________________________

THIS FORM MUST BE NOTARIZED

File details come from the government source that posted it. Updated .