2-NONCOLLUSION AFFIDAVIT.pdf
PDF 106 KB Posted
- Attached to
- Criminal Justice Equipment & Instructional Aids
- Solicitation number
- IFB 26-02-30
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Non-Collusion Affidavit form required by a District, referencing Arizona Revised Statutes (A.R.S. § 15-213(O)) and Arizona Administrative Code (A.A.C. R7-2-1024 (B.1.q) and A.A.C. R7-2-1003(J)), indicating this is likely for an Arizona school district procurement. The form serves as a sworn statement that must accompany bids to certify that the bidder has not engaged in collusive practices or improper influence in the bidding process. The document includes blank fields for the contractor/bidder's name, title, state and county information, and requires notarization with spaces for the notary's signature, date, and jurisdiction details.
The affidavit specifically requires bidders to swear that their bid is genuine and not collusive, that they have not induced other bidders to submit sham bids or refrain from bidding, and that they have not sought unfair advantages through collusion. Additionally, the form addresses compliance with Arizona regulations regarding gifts or benefits to district personnel involved in contracts, purchases, or construction services, demonstrating the district's commitment to maintaining ethical procurement practices. The form must be notarized as indicated by the emphasized text at the bottom, making it a legally binding sworn statement that becomes part of the bid submission requirements.
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Text version
NON-COLLUSION AFFIDAVIT
State of ____________________ )
) ss.
County of __________________ )
Before me, the undersigned, personally appeared
_____________________________________________________________________________ , affiant, (Name) the ____________________________________________________________________________________
(Title)
(Contractor/Bidder) the persons, corporation, or company who makes the accompanying Bid, having first been duly sworn, deposes and says:
That such Bid is genuine and not sham or collusive, nor made in the interest of, or behalf of, any persons not herein named, and that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a sham Bid, or any other person, firm or corporation to refrain from submitting a Bid, and that the Bidder has not in any manner sought by collusion to secure for itself an advantage over any other Bidder, and
That Bidder has taken steps and exercised due diligence to ensure that Bidder has not offered, conferred, or agreed to confer any personal gift or benefit on a person who supervises or participates in contracts, purchases, payments, claims or other financial transactions, or on a person who supervises or participates in planning, recommending, selecting or contracting for materials, services, goods, construction or construction services of the District, in accordance with A.R.S. § 15-213(O), A.A.C. R7-
2-1024 (B.1.q), and A.A.C. R7-2-1003(J).
(Signature of Affiant)
(Title)
Subscribed and sworn to before me this ___________ day of _______________________________ , 20 _____________
Signature of Notary Public in and for the
State of ________________________________________________
County of _______________________________________________
THIS FORM MUST BE NOTARIZED
File details come from the government source that posted it. Updated .