24-0148_Attachment_2,_Noncollusion_Affidavit.pdf

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Attached to
24-0148 Long valley Inspection Booth
Solicitation number
0000034482
Issued by
Los Angeles County, California

About this file

This is a Non-Collusion Declaration form from the State of California's Contracting Manual (Volume I, Chapter 10 Appendix) that must be executed by bidders and submitted with bids for public works projects. The document was revised in April 2022 and requires bidders to declare under penalty of perjury that their bid is genuine and not made through collusion with other parties.

The declaration requires bidders to affirm that they have not engaged in any direct or indirect collusion, conspiracy, or agreement with other bidders to submit false bids, fix prices, or manipulate overhead costs and profit margins. It also requires confirmation that no bid information has been shared with other entities to create sham bids and that no payments have been made to effectuate collusive bidding. The document must be signed by someone with full authority to execute it on behalf of the bidding entity, whether that entity is a corporation, partnership, joint venture, or other business structure.

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24-0148_Attachment_1,_LABOR_CODE_CERTIFICATIONS.pdf PDF
24-0148_Cost_proposal.xls XLS spreadsheet
24-0148_IFB.pdf PDF

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Text version

State Contracting Manual – Volume I 164

CHAPTER 10 – APPENDIX

NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER

AND SUBMITTED WITH BID FOR PUBLIC WORKS

(Rev 04/22)

The undersigned declares:

I am the ________________of _____________________, the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on

____________ (date) in____________________ (city), ________ (state).

Signed: __________________________________

Print/Type Name: __________________________

Name:
Date:
City:
State:
Title:
Business Name:

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