25CRB004_-_Non-Collusion_Declaration.pdf
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- Solicitation number
- 0000035147
- Issued by
- San Bernardino County, California
About this file
This document is a Non-Collusion Declaration form for a California State Department of Veterans Affairs solicitation with the number 25CRB004. The form is a legally binding declaration that ensures the bidder is submitting an honest, independent bid without collusion, conspiracy, or coordination with other potential bidders. The declaration requires the bidder to affirm that their bid is genuine, not made on behalf of any undisclosed parties, and that they have not engaged in any activities designed to manipulate the bidding process, such as fixing bid prices or inducing other bidders to submit false or sham bids.
The document provides a template for a company representative to complete, requiring them to fill in their title, company name, date, and city of execution. By signing the document, the representative declares under penalty of perjury that the statements are true and correct. The form applies to various business entities, including corporations, partnerships, joint ventures, and limited liability companies, and emphasizes the legal and ethical standards expected in the competitive bidding process for state contracts.
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Text version
State of California Solicitation Number: 25CRB004 Department of Veterans Affairs
NON-COLLUSION DECLARATION
The undersigned declares:
I am the of (Bidder), the party making the foregoing
(Title) (Name of Bidder) 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 the Bidder, if the Bidder 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 , at , California.
(Date) (City)
Company Representative Signature
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