18-14. ACKNOWLEDGEMENT NON-COLLUSION AFFIDAVIT.docx
DOCX document 53 KB Posted
- Attached to
- BACKFLOW PREVENTION PARTS & SERVICES
- Solicitation number
- 27004
- Issued by
- Maricopa County, Arizona
About this file
This is an Acknowledgment & Non-Collusion Affidavit document submitted by Scottsdale Unified School District #48 in Arizona for RFP #27004 regarding Backflow Prevention Parts & Services. The solicitation seeks a qualified firm or firms to provide backflow prevention services on an as-needed basis, including annual inspections and certifications of fire, domestic, and irrigation devices, as well as repair or replacement of leaking or failed backflow devices. The successful contractor(s) must furnish all necessary labor, materials, equipment, and transportation to perform the work. The proposal due date is May 28, 2026.
The affidavit requires authorized representatives to certify under oath that their proposal is genuine, not collusive or sham, and that they have not induced other bidders to submit false proposals or refrain from bidding. Proposers must initial acknowledgment of having read and complied with all instructions, terms, conditions, specifications, and any amendments issued. The document must be signed, notarized, and returned with the proposal response. No pricing information, set-asides, contract term details, or funding sources are specified in this affidavit form.
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Other files
| File | Type | Posted |
|---|---|---|
| 17-15. NEW VENDOR FORM.docx | DOCX document | |
| 12-07. PROPOSAL REQUIREMENTS.docx | DOCX document | |
| 16-13. DEVIATIONS AND EXCEPTIONS FORM.docx | DOCX document | |
| 8-BACKFLOW PREVENTION SERVICES BID TABLE.xlsx | XLSX spreadsheet | |
| 7-06. SCOPE OF WORK.docx | DOCX document | |
| 11-09. OFFER AND ACCEPTANCE FORM.docx | DOCX document | |
| 15-05. SPECIAL INSTRUCTIONS TO OFFERORS.docx | DOCX document | |
| 5-17. W-9 FORM.docx | DOCX document | |
| 2-02. UNIFORM INSTRUCTIONS TO OFFERORS.docx | DOCX document | |
| 14-10. CONFIDENTIAL PROPRIETARY SUBMITTAL FORM.docx | DOCX document | |
| 19-11. FAMILIAL RELATIONSHIP DISCLOSURE STATEMENT.docx | DOCX document | |
| 6-Submission Instructions - 27004.docx | DOCX document | |
| 4-18. PROPOSAL PRICING PAGE.docx | DOCX document | |
| 9-04. SPECIAL TERMS AND CONDITIONS.docx | DOCX document | |
| 13-03. UNIFORM GENERAL TERMS AND CONDITIONS.docx | DOCX document | |
| 3-01. FRONT PAGE.docx | DOCX document | |
| 1-16. OFFEROR ADDITIONAL DOCUMENTATION.docx | DOCX document | |
| 10-08. REFERENCES.docx | DOCX document | |
| 20-12. COMPLIANCE STATEMENT.docx | DOCX document |
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Text version
Scottsdale Unified School District #48 Acknowledgment & Non-Collusion Affidavit
Purchasing Department 9313 N. 95th Way Scottsdale, AZ 85258 480-484-6151
RFP#: 27004
PROJECT: BACKFLOW PREVENTION PARTS & SERVICES
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#: 27004 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#: 27004 Page 1 of 1 Due: May 28, 2026 image1.png
File details come from the government source that posted it. Updated .