5-Exhibit D – MAC Affidavit of Non-Collusion.pdf
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- Attached to
- Automated Teller Machine Concession 2026
- Solicitation number
- Solicitation209
- Issued by
- Hennepin County, Minnesota
About this file
This is an Affidavit of Non-Collusion form issued by the Metropolitan Airports Commission in Minnesota for bidders responding to the Automated Teller Machine Concession 2026 opportunity at Minneapolis-St. Paul International Airport. The affidavit requires bidders to certify their entity type (individual, partnership, or corporation) and location, and to submit the completed form as part of their bid package. The document serves as a formal attestation that the bidder's submission complies with competitive bidding requirements and ethical standards.
The affidavit requires bidders to certify under penalty of perjury that their bid is independent, non-collusive, and truthful. Specifically, bidders must affirm that the bid is not made on behalf of undisclosed parties, has not been coordinated with other bidders to fix prices or suppress competition, and that no information about the bid has been shared with unauthorized parties. Additionally, bidders certify that they have not paid or agreed to pay anyone for assistance in obtaining the concession agreement, except for compensation to their own employees or legitimate commercial consultants. The form must be signed by an authorized representative and includes spaces for the bidder's name, title, company, and submission date.
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Text version
Exhibit D – MAC Affidavit of Non-Collusion
Bidder Information
Check one and complete the applicable section:
___ Individual:
I am the Bidder, an individual doing business under the name of in the City of ______________________________________________ in the State of ______________________________________________
___Partnership:
I am the duly authorized representative of the Bidder, a partnership, doing business under the name of in the City of ______________________________________________ in the State of ______________________________________________
___Corporation:
I am the duly authorized representative of the Bidder, a corporation organized and existing under the laws of the State of ______________________________________________
Certification
The Bidder is submitting a bid to the Metropolitan Airports Commission in accordance with the specifications on file with the Commission.
The undersigned further certifies that:
• 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 not collusive or a sham.
• The Bidder has not, directly or indirectly, induced or solicited any other Bidder to submit a sham bid or refrain from submitting a bid.
• The Bidder has not, directly or indirectly, colluded, conspired, connived, or agreed with any person to fix the bid price, overhead, profit, or any cost element of this or any other bid.
• All statements contained in the bid are true.
• The Bidder has not disclosed the bid, its contents, or any breakdown thereof to any other person except those directly involved in preparing the bid.
• The Bidder has not paid or agreed to pay any money or other valuable consideration for assistance in obtaining the Agreement, and will not do so if awarded the Agreement, except for standard compensation to its own employees or bona fide commercial consultants.
Signature
I certify under penalty of perjury that the foregoing statements are true and correct.
Signature: ___________________________________________________ Name (printed): ______________________________________________ Title: ________________________________________________________ Company: ____________________________________________________
Date: _______________________
Exhibit D – MAC Affidavit of Non-Collusion
File details come from the government source that posted it. Updated .