5-MHRC Attachment E-Non-Collusion Affidavit.docx
DOCX document 24 KB Posted
- Solicitation number
- 230328
- Issued by
- Ventura County, California
About this file
This is a Non-Collusion Affidavit attachment required for submission with proposals to Ventura County Behavioral Health for the Lewis Road Mental Health Rehabilitation Center (MHRC) RFP. The affidavit must be executed by the bidder and submitted as part of the formal proposal package. The document serves as a sworn certification that the bidder's proposal is genuine and independent, without collusion or coordination with other potential bidders or interested parties.
The affidavit requires the bidder to affirm that the proposal is not made on behalf of undisclosed entities, that no false or sham proposals have been solicited or induced, and that no agreements or communications have occurred with other bidders regarding proposal pricing, overhead, profit, cost elements, or any other advantages against the public body. The signatory must also certify that all statements within the proposal are truthful and that no fees have been paid or will be paid to any entity to facilitate a collusive or sham proposal. The document requires completion of fields for the date signed, location, offeror name, authorized representative information, and the representative's title.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-Attachment A - Lewis Road MHRC Budget Template.xls | XLS spreadsheet | |
| 6-MHRC RFP Final.docx | DOCX document | |
| 2-MHRC Attachment B-Standard Provider Agreement.docx | DOCX document | |
| 3-MHRC Attachment C-Key Staff Listing Template.docx | DOCX document | |
| 4-MHRC Attachment D-References.docx | DOCX document |
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Text version
Ventura County Behavioral Health MHRC RFP
RFP Attachments
RFP Attachment “E”
Non-Collusion Affidavit To Be Executed by Bidder and Submitted with Proposal
| , being first duly sworn, deposes and says that he or she is (Owner) of |
| (Contractor Name) the party making the foregoing proposal that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the offeror has not directly or indirectly induced or solicited any other offeror to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any offeror or anyone else to put in a sham proposal, or that anyone shall refrain from bidding; that the offeror has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the offeror or any other offeror, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other offeror, or to secure any advantage against the public body awarding the contract of anyone interested in the offered contract; that all statements contained in the proposal are true; and further, that the offeror has not , directly or indirectly, submitted his or her proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, proposal depository, or to any member or agent thereof to effectuate a collusive or sham proposal. |
Date Signed at (Place)
Offeror Name Authorized Representative (Person, Firm, Corp.)
Address Representative's Name
City, State, Zip Representative's Title
File details come from the government source that posted it. Updated .