3-6. Exhibit-C.pdf
PDF 39 KB Posted
- Attached to
- CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)/ BILEVEL POSITIVE AIRWAY PRESSURE (BIPAP) EQUIPMENT
- Solicitation number
- 202522
- Issued by
- Erie County, New York
About this file
This is a Non-Collusive Bidding Certification document required for submission with a proposal to Erie County Medical Center Corporation (ECMCC) in New York for the provision of CPAP and BiPAP equipment. ECMCC is seeking qualified vendors to supply CPAP and BiPAP devices along with necessary accessories including tubing, filters, humidifiers, and compatible stands for each device. The initial order consists of ten devices with potential for additional purchases during the contract period.
By submitting a proposal, respondents certify under penalty of perjury that prices have been arrived at independently without collusion, consultation, communication, or agreement with other respondents or competitors; that quoted prices have not been disclosed to competitors prior to opening; and that no attempts have been made to induce other parties to submit or withhold proposals. False statements in this certification constitute a Class A misdemeanor under New York Penal Law Section 210.45. The certification requires an authorized signature, printed name, title, and date of execution by the respondent.
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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: |
File details come from the government source that posted it. Updated .