2-Non-Collusion Affidavit.pdf

PDF 45 KB Posted

Attached to
Prospect Street Sewer Relocation Project
Solicitation number
Not on record
Issued by
Northampton County, Pennsylvania

About this file

This document is a Non-Collusion Affidavit for the Commonwealth of Pennsylvania, designed to ensure fair and ethical bidding practices for public contracts. The affidavit requires the undersigned to declare that they have not been convicted or found liable for any acts of conspiracy or collusion with respect to public contract bidding within the last three (3) years. If such a conviction exists, the bidder must provide a full explanation, though such a declaration does not automatically disqualify them from contract consideration.

The affidavit serves as a legal document that must be sworn and notarized, with the signatory attesting to the truthfulness of their statements to the best of their knowledge. While a prior conviction does not prevent the owner from accepting a bid, it may be grounds for further evaluation of the bidder's responsibility. The document includes spaces for the authorized signatory's name, title, signature, and requires formal notarization by a Notary Public in the specified county and commonwealth.

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Text version

NA-1

NON-COLLUSION AFFIDAVIT

The undersigned does hereby state that (I, We, It) (have, has) not been convicted or found liable for any act prohibited by any State or Federal law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract within the last three (3) years. If the undersigned (have, has) been so convicted or found liable for any act so prohibited, a full and complete explanation shall be set forth below.

An Affidavit stating that the undersigned (have, has) been convicted or found liable for any act, prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any public contract within the last three (3) years, does not prohibit Owner from accepting a bid from or awarding a contract to the undersigned, but may be grounds for consideration on the question of whether or not to award a contract to the undersigned on the basis of lack of responsibility.

(Authorized Signatory’s Name, Title)

(Signature)

COMMONWEALTH OF PENNSYLVANIA )

) SS:

COUNTY OF )

Before me, the undersigned authority, a Notary Public in and for said County and

Commonwealth, appeared _________________________________ whom, being duly sworn according to law, deposes and says that the facts set forth in the foregoing Non-Collusion Affidavit are true and correct to the best of (his, her) knowledge, information and belief.

SWORN TO and subscribed before me this day of , 20 .

Notary Public

Notary Public

File details come from the government source that posted it. Updated .