3-05 - COM MPL Non-Collusion Affidavit.pdf
PDF 947 KB Posted
- Solicitation number
- MPL-25-014
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This is a Non-Collusion Affidavit document required for the Milwaukee Public Library Board of Trustees' Request for Proposal for Library Books & Media Materials in Wisconsin. The affidavit serves as a sworn statement affirming that the bidder's submission is genuine and prepared independently without any collusive arrangements with competing bidders. The document requires the affiant, identified as an owner, partner, officer, representative, or agent of the bidding entity, to certify full knowledge of the bid's preparation and contents while confirming the bid's legitimacy.
The affidavit mandates that bidders attest they have not engaged in any form of collusion, conspiracy, or unlawful agreement to manipulate bid prices, fix overhead or profit elements, or gain unfair advantages against the Milwaukee Public Library Board of Trustees or other interested parties. Bidders must confirm that quoted prices are fair, proper, and untainted by any collusive activity. The document requires notarization and must be signed by an individual bidder, partner, or corporate officer, with the notary providing their signature, printed name, commission expiration date, and seal. The affidavit includes fields for the bidder's company name, title, and contact information, including county and state details.
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Text version
NON-COLLUSION AFFIDAVIT
State of )
) ss.
County of )
, being first duly sworn, deposes and says that:
(1) They are of (owner, partner, officer, representative, or agent)
, the Bidder that has submitted the attached Bid;
(1) They are fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;
(2) Such Bid is genuine and is not a collusive or sham Bid;
(3) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the Milwaukee Public Library Board of Trustees or any person interested in the proposed Contract; and
(4) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Check One) Signature of:
Bidder if the bidder is an individual;
Partner if the bidder is a partnership;
Officer if the bidder is a corporation.
Subscribed and sworn to before me this day of , 20 .
Notary Signature
Print Name
My commission expires , 20 . (SEAL)
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| Company: |
| Title: |
| Name: |
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| Signature of: Off |
File details come from the government source that posted it. Updated .