3-Attachment A-Affidavit of Non-Collusion (2).docx

DOCX document 14 KB Posted

Attached to
E-Rate Firewall License Renewal
Solicitation number
Q2526-05
Issued by
Brown County, Wisconsin

About this file

This document is an Affidavit of Non-Collusion for the Green Bay Area Public School District, designed to accompany a proposal submission. The affidavit requires the vendor to certify that their proposal has been developed independently, without collusion with other vendors, and that they have not communicated proposal contents to unauthorized parties. The document provides a template for vendors to complete, including spaces for firm name, signature, title, address, phone number, and date, with a notarization section to be completed by a notary public.

The affidavit is related to an E-Rate Firewall License Renewal opportunity for the district, which involves procuring licenses for existing firewall equipment. The district is seeking proposals for specific software licenses or equivalent solutions, with the district retaining the right to determine functional and technical equivalency of alternative proposals. The document indicates that a detailed list of requested software is included in Attachment G, and vendors must submit product specifications if proposing alternative makes or models to the specified equipment.

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Text version

Attachment A Affidavit of Non-Collusion Green Bay Area Public School District

(VENDOR TO COMPLETE AND RETURN WITH PROPOSAL)

I hereby swear (or affirm) under the penalty of perjury:

1. That I am the responder (if responder is an individual), partner in the responder (if the responder is a partnership), or an officer or employee of the responding corporation having authority to sign on its behalf (if the responder is a corporation);

2. That the attached response or responses have been arrived at by the responder independently, and have been submitted without collusion with, and without any agreement, understanding, or planned common source of action with, any other vendor of materials, supplies, equipment, or services described in the invitation to response designed to limit independent responding or competition;

3. That the contents of the response or responses have not been communicated by the responder or its employees or agents to any person not an employee or agent of the responder of its surety on any bond furnished with the response or responses, and will not be communicated to any such person prior to the official opening of the response or responses; and

4. That I have fully informed myself regarding the accuracy of the statements made in this affidavit:

SUBMITTED BY:

Firm Name ________________________________________ Signature ________________________________________ Title ________________________________________ Address ________________________________________ Phone No. ________________________________________ Date ________________________________________ Subscribed and Sworn to before me this________day of__________________, 2025.

Notary Public, State of ______________________ My Commission Expires:____________________

File details come from the government source that posted it. Updated .