5-Non-Collusion Declaration 03.14.2024.pdf
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- Attached to
- Telephonic Interpreter Services and American Sign Language Video Remote Interpreter Services
- Solicitation number
- 25-06410
- Issued by
- San Bernardino County, California
About this file
The document is a Non-Collusion Declaration form from Inland Empire Health Plan (IEHP) Procurement, dated 03.14.2024. The form is a legal document designed to prevent bid rigging and collusive practices in the procurement process. It requires the bidder to affirm that their bid is genuine, not made in collaboration with other bidders, and does not involve any attempts to manipulate bid pricing or competition.
The declaration requires the bidder to swear under penalty of perjury that they have not engaged in any collusive or deceptive bidding practices, including inducing other bidders to submit false bids, conspiring to fix bid prices, or divulging bid information to third parties. The form is to be signed and dated by an authorized representative of the bidding entity, with the declaration being executed under the laws of the State of California. The document includes contact information for IEHP located in Rancho Cucamonga, CA, and features the organization's logo with a heart-shaped "love" symbol.
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Text version
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
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| Date: |
| Signature3_es_:signer:signature: |
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File details come from the government source that posted it. Updated .