3-Non-Collusion Declaration 5-14-18.pdf
PDF 92 KB Posted
- Attached to
- Check Stock Services State and local contract opportunity
- Solicitation number
- 25-06650
- Issued by
- San Bernardino County, California
About this file
This document is a Non-Collusion Declaration form from the Inland Empire Health Plan Purchasing Department, dated 05/14/18. The form is designed to be completed and submitted by bidders participating in a procurement process, serving as a sworn statement that the bid is genuine and free from collusive or fraudulent practices. The declaration requires the bidder to affirm that they have not engaged in any activities intended to manipulate the bidding process, such as inducing other bidders to submit false bids, conspiring to fix bid prices, or sharing confidential bid information with other parties.
The declaration must be signed under penalty of perjury under California state law, with the signatory representing that they have full authority to execute the document on behalf of the bidding entity, which could be a corporation, partnership, joint venture, or other business structure. By executing this document, the bidder attests to the truthfulness of their bid and commits to fair and ethical bidding practices, with the form serving as a legal safeguard against bid rigging and other anti-competitive behaviors in the procurement process.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 6-Local Preference Affidavit 1-25-22.pdf | ||
| 1-RFP Bidder Terms and Conditions 05-14-18.pdf | ||
| 7-iRFP 25-06650 Check Stock Services Final 09092025 POSTED.pdf | ||
| 4-PROFESSIONAL SERVICES AGREEMENT.pdf | ||
| 5-RFP Certification of Non-Debarment - Separate for upload to Bonfire.pdf | ||
| 2-RFP Principal Certification Page Binding Bidders Response.pdf |
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Text version
Inland Empire Health Plan Purchasing Department
Terms and Conditions 05/14/18
Attachment A: Non-Collusion Declaration
NON-COLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH PROPOSAL
The undersigned declares:
I am the ___________________ of ___________________, the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on ____________________[date], at ___________________[city],___________________[state]."
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File details come from the government source that posted it. Updated .