27._NonCollusion_Declaration_(CCHCS-MC-379).pdf
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- Solicitation number
- 0000035871
- Issued by
- California
About this file
The document is a Non-Collusion Declaration form for the California Correctional Health Care Services (CCHCS), associated with Bid Number SD24-00021. The form is a standard legal document designed to prevent bid rigging and ensure fair competition in the bidding process. It requires the bidder to affirm that their bid is genuine, not collusive or sham, and that they have not engaged in any activities to manipulate the bidding process or collaborate with other bidders to fix prices.
The declaration requires the bidder to certify that no employee or representative of their organization is also an employee or representative of another bidding organization, and that they have the authority to submit the bid. By signing the document, the bidder declares under penalty of perjury that all statements are true, and they have not shared bid information or paid anyone to influence the bidding process. The form is part of the standard procurement protocols for state and local government contracts, specifically for the California Correctional Health Care Services, and is dated with a revision on 09/13/2017.
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Text version
Bid Number: SD24-00021
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: |
| Name of Bidder: |
| Date: |
| CityState: |
| Printed Name: |
File details come from the government source that posted it. Updated .