2-NONCOLLUSION AFFIDAVIT.pdf
PDF 78 KB Posted
- Attached to
- 2026010-BID5100 Sawdust Road Water Line
- Solicitation number
- 2026010-BID5100 Sawdust Road Water Line
- Issued by
- Coffee County, Georgia
About this file
This is a Non-Collusion Affidavit form required by Columbia County, Georgia for the Sawdust Road Water Line project (Project Number 2026010-BID5100). The affidavit must be completed and sworn by an authorized representative of any bidder submitting a proposal for the construction of water distribution system additions consisting of 30,000 linear feet of 12-inch Ductile Iron Water Line and associated appurtenances. The form requires the bidder to certify compliance with O.C.G.A. 36-91-21(e) and to confirm that the submitted bid is genuine and not collusive or sham in nature.
The affiant must attest under oath that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has colluded, conspired, or agreed with any other bidder to submit collusive bids, refrain from bidding, fix overhead or profit elements, or gain unlawful advantage against Columbia County or any interested party. Additionally, the bidder must certify that all quoted prices are fair, proper, and free from any collusion, conspiracy, or unlawful agreement. The affidavit must be notarized and submitted with the bid proposal as a condition of bid acceptance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1-SAWDUST ROAD -Project plans 02-10-26.pdf | ||
| 4-Proposal Form.pdf | ||
| 3-Statement of Qualifications.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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