2-Exhibit B - MAC Affidavit of Non-Collusion.pdf
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- Attached to
- ERP Assessment and Recommendation Consultant
- Solicitation number
- Solicitation212
- Issued by
- Hennepin County, Minnesota
About this file
This document is an Affidavit of Non-Collusion form required by the Metropolitan Airports Commission (MAC) in Minnesota for proposers responding to a Request for Qualifications for an ERP Assessment and Recommendation Consultant. The affidavit must be completed by the proposer and identifies the organizational structure of the bidding entity, whether an individual, limited liability company, partnership, or corporation, along with the city and state where the proposer conducts business. Proposers are required to certify under penalty of perjury that their proposal is submitted independently, without collusion or coordination with other proposers, and that all statements contained in the proposal are truthful and accurate.
The certification requires proposers to affirm that they have not disclosed proposal contents to unauthorized parties, have not colluded on pricing or cost elements, have not solicited other proposers to submit sham proposals, and have not paid or agreed to pay any compensation for assistance in obtaining the agreement beyond standard employee or bona fide consultant compensation. The completed affidavit must be signed by an authorized representative of the proposing firm and include the signatory's printed name, title, company name, and date of certification.
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Text version
Exhibit B: MAC AFFIDAVIT OF NON-COLLUSION
Proposer Information
Check one and complete the applicable section:
___ Individual:
I am the Proposer, an individual doing business under the name of in the City of ______________________________________________ in the State of ______________________________________________
___Limited Liability Company (LLC):
I am the duly authorized representative of the Proposer, an LLC, doing business under the name of in the City of ______________________________________________ in the State of ______________________________________________
___Partnership:
I am the duly authorized representative of the Proposer, a partnership, doing business under the name of in the City of ______________________________________________ in the State of ______________________________________________
___Corporation:
I am the duly authorized representative of the Proposer, a corporation organized and existing under the laws of the State of
Certification
The Proposer is submitting a proposal to the Metropolitan Airports Commission in accordance with the specifications on file with the Commission.
The undersigned further certifies that:
The proposal is not made in the interest of or on behalf of any undisclosed person, partnership, company, association, organization, or corporation.
The proposal is not collusive or a sham.
The Proposer has not, directly or indirectly, induced or solicited any other Proposer to submit a sham proposal or refrain from submitting a proposal.
The Proposer has not, directly or indirectly, colluded, conspired, connived, or agreed with any person to fix the proposal price, overhead, profit, or any cost element of this or any other proposal.
All statements contained in the proposal are true.
The Proposer has not disclosed the proposal, its contents, or any breakdown thereof to any other person except those directly involved in preparing the proposal.
The Proposer has not paid or agreed to pay any money or other valuable consideration for assistance in obtaining the Agreement, and will not do so if awarded the Agreement, except for standard compensation to its own employees or bona fide commercial consultants.
Signature
I certify under penalty of perjury that the foregoing statements are true and correct.
Signature: ___________________________________________________ Name (printed): ______________________________________________ Title: ________________________________________________________ Company: ____________________________________________________ Date: _______________________
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