4-Attachment II - NON-COLLUSION STATEMENT.pdf

678 KB Posted

Attached to
Architectural and Engineering Services for Dayton Public Schools
Solicitation number
26-004
Issued by
Montgomery County, Ohio

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This document is Attachment II, a Non-Collusion Statement from Dayton Public Schools for a procurement qualification process. The form is a declaration under penalty of perjury, requiring the signatory (a corporate officer, owner, or partner) to affirm that their qualifications submission is prepared and submitted without any collusion with other persons, business entities, or corporations. The declarant must also confirm that their firm is the only entity with interest in the resulting contract.

The form provides a template for a business representative to complete, including fields for the firm's name, signature, title, address, and date. Its primary purpose is to legally attest that the bidding process is fair, transparent, and free from anti-competitive practices, which is a standard requirement in public procurement to ensure ethical and equitable vendor selection.

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ATTACHMENT II

NON-COLLUSION STATEMENT

NON-COLLUSION STATEMENT

DECLARATION UNDER PENALTY OF PERJURY

The undersigned declares that: he/she holds the position indicated below as a corporate officer or the owner or partner in the business entity submitting these qualifications; that the undersigned is informed of all the relevant facts surrounding the preparation and submission of these qualifications; that the undersigned knows and represents and warrants to the DPSD that these qualifications are prepared and submitted without collusion with any other person, business entity or corporation; and, that the

Firm submitting these qualifications is the only person, business entity, or corporation with any interest in the resultant contract.

I declare under penalty of perjury that the foregoing is true and correct.

FIRM:

BY:

(Signature)

TITLE:

ADDRESS:

DATE:

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