2-NONCOLLUSION AFFIDAVIT.pdf
PDF 78 KB Posted
- Attached to
- 2025038-BID2510 Scott 3M Airpak XD's
- Solicitation number
- 2025038-BID2510 Scott 3M Airpak XD's
- Issued by
- Columbia County, Georgia
About this file
This is a Non-Collusion Affidavit for a competitive bidding process issued by Columbia County, Georgia in conjunction with Columbia County Fire Services. The affidavit pertains to a bid submission for 30 new, unused 3M Scott Air Pak XD respirators with PASS (Personal Alert Safety System) devices. The specification requires exact product compliance with no alternate products accepted. The document does not specify response deadlines, site visit requirements, or bidder conference dates within the affidavit itself, as these details would appear in the associated bid solicitation documents.
The Non-Collusion Affidavit requires the bidder's representative to swear under oath that the bid submission is genuine and has not been subject to any collusive agreements, price fixing, or anticompetitive conduct in violation of O.C.G.A. 36-91-21(e). The affiant must certify that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has engaged in collusion with other bidders or taken any action to secure unfair advantage against Columbia County. The affidavit must be notarized and submitted with the bid to confirm compliance with Georgia state law requirements regarding competitive procurement integrity.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-3m-Scott-Air-Pak-XD-bid-pkg final.pdf |
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Text version
Columbia County NCA-1 NON-COLLUSION AFFIDAVIT
NON-COLLUSION AFFIDAVIT OF BIDDER
State of Georgia
County of
I, (name of individual), being first duly sworn, deposes and says that:
(1) He is ___________________________ (title) of ______ ______________ (Company) the Bidder that has submitted the Bid on the following;
Project Name:
Project Number:
(2) He makes an oath that O.C.G.A. 36-91-21 (e) has not directly or indirectly been violated;
(3) Such Bid is genuine and is not a collusive or sham Bid;
(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Columbia County, Georgia or any person interested in the proposed Contract; and
(5) The price or prices quoted in the attached Bid are fair and proper and not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Signed)___________________________________
Title______________________________________
Subscribed and sworn to before me, This day of , 20__
Notary Public:
(Notary Seal)
My commission expires:
Columbia
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