11-10. Non-Collusion Affidavit.docx
DOCX document 32 KB Posted
- Attached to
- Food Service Management Consultant
- Solicitation number
- RFP #27-13-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Non-Collusion Affidavit form for RFP #27-13-31 issued by Tolleson Union High School District #214 in Arizona for a Food Service Management Consultant position. The affidavit must be completed and notarized by the affiant, who serves as the authorized representative of the proposing contractor, firm, or corporation. The document requires the affiant to attest under oath that the submitted proposal is genuine and made in good faith, without collusion or deception with other offerors or interested parties.
The affidavit specifically requires the offeror to certify that no sham proposals have been solicited, no other offerors have been induced to refrain from submitting proposals, and no collusive arrangements have been made to gain competitive advantage. Additionally, the offeror must confirm compliance with Arizona Revised Statutes Section 15-213(O) and Arizona Administrative Code Regulations 7-2-1042(A.1.L) and 7-2-1003(J) by affirming that no personal gifts or benefits have been offered, conferred, or agreed to any individuals involved in contract supervision, financial transactions, planning, selection, or procurement decisions for the District. Notarization by a public notary is mandatory for form submission.
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Text version
REQUEST FOR PROPOSAL
Food Service Management Consultant
RFP #27-13-31
Tolleson Union High School District # 214
Purchasing Department 9801 W Van Buren Tolleson, AZ 85353
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 make 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
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