3-6. Exhibit-C.pdf
PDF 39 KB Posted
- Attached to
- GIFT CARD PROGRAM FOR GRANT PURPOSES
- Solicitation number
- 202521
- Issued by
- Erie County, New York
About this file
This document is a Non-Collusive Bidding Certification exhibit required by Erie County Medical Center Corporation (ECMCC) in New York for a gift card program procurement solicitation. The certification requires respondents to attest under penalty of perjury that pricing has been developed independently without collusion, consultation, communication, or agreement with other respondents or competitors regarding any pricing matters. Respondents must further certify that quoted prices have not been disclosed to competitors prior to proposal opening and that no attempts have been made to induce other entities to submit or withhold proposals for purposes of restricting competition.
The certification carries the legal weight of New York Penal Law Section 210.45, making false statements in the written instrument punishable as a Class A misdemeanor under New York State law. All authorized representatives signing on behalf of respondents must acknowledge these certifications by signature, printed name, and title, with the date of affirmation to be completed at the time of proposal submission.
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Text version
EXHIBIT C
NON-COLLUSIVE BIDDING CERTIFICATION
By submission of this proposal, each respondent and each person signing on behalf of any respondent certifies, and in the case of a joint proposal each party thereto certifies as to its own organization, under penalty of perjury, that to the best of his knowledge and belief:
1) The prices in this proposal have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other respondent or with any competitor;
2) Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the respondent and will not knowingly be disclosed by the respondent prior to opening, directly or indirectly, to any other respondent or to any competitor; and
3) No attempt has been made or will be made by the respondent to induce any other person, partnership, limited liability company or corporation to submit or not to submit a proposal for the purpose of restricting competition.
NOTICE
(Penal Law, Section 210.45)
IT IS A CRIME, PUNISHABLE AS A CLASS A MISDEMEANOR UNDER THE LAWS OF THE
STATE OF NEW YORK, FOR A PERSON, IN AND BY A WRITTEN INSTRUMENT, TO
KNOWINGLY MAKE A FALSE STATEMENT, OR TO MAKE A FALSE STATEMENT, OR TO
MAKE A STATEMENT WHICH SUCH PERSON DOES NOT BELIEVE TO BE TRUE.
Affirmed under penalty of perjury this ____ day of __________________, 20___.
Authorized Signature
Print Name and Title
| day of_2: |
| 20: |
| undefined_3: |
| Print Name and Title: |
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