27._Non-Collusion_Declaration_(CCHCS-MC-379).pdf
PDF 72 KB Posted
- Attached to
- SD23-00088 Ocular Prosthetic Services (Region 4)
- Solicitation number
- 0000032627
- Issued by
- San Bernardino County, California
About this file
This document is a Non-Collusion Declaration for Bid Number 23-00088 CCHCS-MC-379 issued by the California Correctional Health Care Services (CCHCS). The declaration states that the bid submitted is genuine and not collusive or sham, and that the bidder has not engaged in any collusive behavior to fix the bid price or other elements of the bid. The declaration must be signed and submitted by the bidder.
The document outlines the requirements for the bidder to affirm the authenticity and non-collusive nature of their bid submission. It specifies that no owner, partner, member, director, officer, chief financial officer, manager, or employee of the bidding entity shall be associated with any other bidder on this opportunity. The declaration must be executed under penalty of perjury under the laws of the State of California.
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Text version
Bid Number: 23-00088
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 Information 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).
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Printed Name
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