3-Non-Collusion Affidavit.pdf

RFQ # 27008 Sale of School District Apple iPads 7th Generation

NON-COLLUSION AFFIDAVIT

This form must be completed and returned with your quote.

I, ______________________________, being duly sworn or affirming under penalty of perjury, state that I am an authorized representative of ______________________________ (the “Vendor”), submitting the attached quote, and certify that:

1. The quote is not submitted in the interest of or on behalf of any undisclosed person, partnership, company, association, organization, or corporation.

2. The quote is genuine and is not collusive or a sham. The Vendor has not directly or indirectly induced or solicited any other vendor to submit a false or sham quote, nor has the Vendor colluded, conspired, or agreed with any other vendor or any other person to submit a sham quote or to refrain from submitting a quote.

3. The Vendor has not, directly or indirectly, sought through any agreement, communication, or conference with any other person to fix the Vendor’s quote price or the price of any other vendor, or to fix any overhead, profit, or cost element of any quote, or to secure an unfair advantage over Rochester Public Schools or any other person interested in the proposed contract.

4. All statements contained in the quote are true.

5. The Vendor has not directly or indirectly disclosed its quote price, any breakdown of its quote price, or the contents of its quote to any person for the purpose of facilitating a collusive or sham quote. The Vendor has not paid and will not pay any fee to any corporation, partnership, company, association, organization, proposal depository, or any member or agent thereof to facilitate a collusive or sham quote.

I certify that I am authorized to make these statements on behalf of the Vendor and that the statements made herein are true and correct

Authorized Signature

Vendor

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Authorized Signature