2-J-2.pdf
PDF 128 KB Posted
- Solicitation number
- 2014
- Issued by
- Alexandria City, Virginia
About this file
This is a Certified Statement of Non-Collusion form required by the City of Alexandria, Virginia for bidders participating in the Beauregard Street Shared Use Path construction project. The form serves as a mandatory certification that bidders must complete and submit as part of their proposal process. Bidders are required to certify that their offer is not the result of collusion with other businesses or fraud, and that they understand the legal obligations and penalties associated with submitting false statements. The document does not contain specific project details, quantities, timelines, or meeting information related to the construction project itself.
The form emphasizes compliance with Virginia state law, specifically referencing multiple sections of the Code of Virginia that establish criminal penalties for non-compliance. Bidders who knowingly submit false statements face prosecution under Virginia's Governmental Frauds Act and related statutes, with violations classified as Class 6 felonies. The form requires the bidder's name, authorized signatory, date, and the signatory's title and name. This certification is a prerequisite document rather than a substantive contract document and does not address pricing, contract terms, funding sources, or project deliverables.
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Text version
J-2
CERTIFIED STATEMENT OF NON-COLLUSION
A. This is to certify that the undersigned is seeking, offering or agreeing to transact business or commerce with the City of Alexandria, a municipal corporation of Virginia, or seeking, offering or agreeing to receive any portion of the public funds or moneys, and that the offer or agreement or any claim resulting therefrom is not the result of, or affected by, any act of collusion with another person engaged in the same line of business or commerce; or any act of fraud punishable under Article 1.1 (Virginia Governmental Frauds Act), Chapter 12 (Miscellaneous), Title 18.2 (Crimes and Offenses Generally) of the Code of Virginia (1950), as amended.
B. This is to further certify that the undersigned has read and understands the following:
(1) The City is authorized by Section 18.2-498.4 of the Code of Virginia (1950) as amended, to require this certified statement. That section also provides that any person that is required to submit this statement that knowingly makes a false statement shall be guilty of a Class 6 felony.
(2) Section 18.2-498.3 of the Code of Virginia (1950), as amended, provides that any person, in any commercial dealing in any matter within the jurisdiction of any local government or any department or agency thereof, who knowingly falsifies, conceals, misleads, or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be guilty of a Class 6 felony.
(3) Section 59.1-68.7 of the Code of Virginia (1950), as amended, provides that any combination, conspiracy or agreement to intentionally rig, alter or otherwise manipulate, or to cause to be rigged, altered or otherwise manipulated, any Proposal submitted to any governmental unit for the purpose of allocating purchases or sales to or among persons, raising or otherwise fixing the prices of goods or services, or excluding other persons from dealing with the state or any other governmental unit shall be unlawful. Any person violating the foregoing shall be guilty of a Class 6 felony.
Bidder’s Name
Bidder’s Authorized Signatory Date
Name and Title of Bidder’s Authorized Signatory
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