4 HCSD Non-Collusion

This is a Non-Collusion Certification form required by Haralson County School District in Georgia for a gas tank/dispenser installation project. The certification affirms that the offeror's proposal is submitted independently without prior understanding, agreement, or coordination with any other corporation, firm, or person submitting a competing proposal for the same product. The document establishes that the proposal is bona fide, fair, and not the result of fraud or collusion with another entity in the same line of business. Offerors must understand that collusive bidding violates Federal Law and that any false statement on this certification constitutes a felony subject to fines, imprisonment, and civil damages. The form requires signature by a company officer authorized to bind the company, along with printed name, title, date, and company name.

This certification form must be completed and returned with the complete RFP packet as a mandatory requirement. Failure to sign and submit this statement renders the proposal non-responsive and ineligible for award consideration. The form serves as a legal attestation of competitive integrity in the bidding process for the installation of a gasoline tank and dispenser in an existing fuel island for Haralson County School District.