5-NONCOLLUSION AFFIDAVIT.pdf
PDF 78 KB Posted
- Attached to
- 2026011-BID3289 Pollard House Renovation - REBID
- Solicitation number
- 2026011-BID3289 Pollard House Renovation - REBID
- Issued by
- Columbia County, Georgia
About this file
This is a Non-Collusion Affidavit form for Columbia County, Georgia, required as part of the bidding process for the Pollard House Renovation project (Project Number 2026011-BID3289). The affidavit must be completed and sworn by an authorized representative of the bidding company and notarized prior to bid submission. The document serves as a certification that the bidder's submission is genuine and that no collusive or sham bidding practices have occurred in connection with this contract opportunity.
The affidavit requires the bidder to affirm compliance with O.C.G.A. 36-91-21(e) and certify that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusion, conspiracy, or unlawful agreement with other bidders regarding bid pricing, overhead, profit margins, or any other elements. The bidder must also confirm that the quoted prices are fair, proper, and free from any collusive or unlawful arrangements. The completed form must be signed by the bidder's authorized representative, include their title, and be notarized with the notary's seal and expiration date clearly indicated.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-Pollard House Bidder Spec Book REBID.pdf | ||
| 1-Pollard House Renovation - REBID Front Ends Bonfire.pdf | ||
| 3-Pollard House - Revision 2 - 03.06.26.pdf | ||
| 4-Proposal.docx | DOCX document |
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Text version
Columbia County NCA-1 NON-COLLUSION AFFIDAVIT
NON-COLLUSION AFFIDAVIT OF BIDDER
State of Georgia
County of
I, (name of individual), being first duly sworn, deposes and says that:
(1) He is ___________________________ (title) of ______ ______________ (Company) the Bidder that has submitted the Bid on the following;
Project Name:
Project Number:
(2) He makes an oath that O.C.G.A. 36-91-21 (e) has not directly or indirectly been violated;
(3) Such Bid is genuine and is not a collusive or sham Bid;
(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Columbia County, Georgia or any person interested in the proposed Contract; and
(5) The price or prices quoted in the attached Bid are fair and proper and not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Signed)___________________________________
Title______________________________________
Subscribed and sworn to before me, This day of , 20__
Notary Public:
(Notary Seal)
My commission expires:
Columbia
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| Project Name: |
| Project Number: |
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| Notary Public: |
| My commission expires 1: |
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