2. Non-Collusion Adffidavit FILLABLE.pdf
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- Solicitation number
- 147430
- Issued by
- Riverside County, California
About this file
This is a Non-Collusion Affidavit required by the City of Indian Wells for the Fire Station No. 55 and City Hall Window and Sliding Glass Door Replacement Project in California. The affidavit must be completed and submitted by proposers as part of their bid response, with hard copy bid bonds due by November 12, 2026, at 2:00 PM PST. The document serves as a certification form where bidders declare the authenticity of their proposals and confirm compliance with federal and state regulations under Title 23 United States Code Section 112 and California Public Contract Code Section 7106.
The affidavit requires the proposer to affirm that the bid is genuine and not collusive, that no inducements or agreements have been made with other bidders, and that no bid price fixing, overhead manipulation, or advantage-seeking against the public body has occurred. Proposers must also certify that all proposal statements are true and that no fees have been paid to facilitate collusive or sham bidding. The document includes signature, date, and company name fields and warns that false affidavits may result in criminal prosecution. This affidavit is a mandatory component of the proposal submission process for this project.
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Text version
12 | P a g e
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)
To the CITY OF INDIAN WELLS
In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the PROPOSER declares that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in a sham proposal, or that anyone shall refrain from proposing; that the PROPOSER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other PROPOSER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the proposal are true; and, further, that the PROPOSER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, of the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
Company Name: __________________________________
Signature: _______________________________________ Date: _____________
Print Name: _____________________________________
The above Non-collusion Affidavit is part of this Proposal. PROPOSERS are cautioned that making a false affidavit may subject the certifier to criminal prosecution.
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