4-Non-Collusion Declaration 03.14.2024.pdf

PDF 135 KB Posted

Attached to
Janitorial Services Staffing Augmentation
Solicitation number
26-07128
Issued by
San Bernardino County, California

About this file

This Non-Collusion Declaration form is required for bidders responding to Inland Empire Health Plan's Request for Proposal #26-07128 for janitorial services staffing augmentation in California. The declaration must be executed and submitted with each quotation or proposal. The RFP, issued May 12, 2026, seeks qualified vendors to provide temporary janitorial staffing across eight IEHP facility locations in Riverside and San Bernardino counties, with services including trash and recycling removal, restroom sanitation, floor care, surface disinfection, glass cleaning, and project-based work on both day shift (7:00 AM–6:00 PM) and swing shift (5:00 PM–1:30 AM) schedules. Bidders must submit questions by 5:00 p.m. PT on May 15, 2026, with proposals due by 2:00 p.m. PT on May 29, 2026. The initial contract term is one year with IEHP holding the option to renew for up to four additional one-year periods.

The Non-Collusion Declaration requires bidders to certify under penalty of perjury that the bid is genuine and not collusive, that no inducements or solicitations have been made to other bidders, and that no price-fixing or bid-rigging agreements exist. Bidders must affirm that all bid statements are true and that no bid information has been shared with other parties for purposes of collusion. The declaration must be signed and dated by an authorized representative, with authority to execute on behalf of corporations, partnerships, joint ventures, limited liability companies, or other entities. This certification is a mandatory compliance requirement for all submissions to the RFP.

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5-Non-Collusion Declaration 03.14.2024.pdf PDF
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Non-Collusion Declaration 03.14.2024

NON-COLLUSION DECLARATION

TO BE EXECUTED BY BIDDER AND SUBMITTED WITH QUOTATION/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].

Signature Date

date:
at city:
state:
Date:
Signature3_es_:signer:signature:
Text4:
Text5:

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