26._Non-Collusion_Declaration_(CCHCS-MC-379).pdf
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- Solicitation number
- 0000031431
- Issued by
- California
About this file
The document provided is a Non-Collusion Declaration required as part of the Invitation for Bid (IFB) SD23-00080 for Portable Diagnostic Sleep Testing Services issued by the California Department of Correction and Rehabilitation (CDCR) and the California Correctional Health Care Services (CCHCS). The IFB seeks responses for providing portable diagnostic sleep testing services. The bid number is SD23-00080, and all questions should be directed to the contract analyst Amanda.Saragoza@cdcr.ca.gov. The Non-Collusion Declaration affirms that the bid is genuine and not collusive or sham, and that the bidder has not engaged in any activities to fix the bid price or collude with other bidders.
The pricing terms, set-asides, incumbents, funding requirements, and other salient information are not provided in this particular document. The document focuses on the non-collusion declaration required as part of the bidding process for the Portable Diagnostic Sleep Testing Services contract opportunity issued by CDCR and CCHCS.
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Text version
Bid Number: SD23-00080
CCHCS-MC-379 – Non-Collusion Declaration Rev. 09/13/2017
NON-COLLUSION DECLARATION
The undersigned declares:
1. I am the (Title) of (Name of Bidder), the party making the foregoing bid.
2. 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.
3. No owner, partner, member, director, officer, chief financial officer, manager, or employee of Bidder shall be an owner, partner, member, director, officer, chief financial officer, manager, or employee of any other Bidder to this Invitation for Bid.
4. If the Bidder is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, I hereby represent that I have full power to execute, and do 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), at (City/State).
Signature
Printed Name
| the party making the foregoing bid: |
| Title of: |
| Date: |
| CityState: |
| Printed Name: |
File details come from the government source that posted it. Updated .