6-Attachment A-Affidavit of Non-Collusion (2).docx

DOCX document 14 KB Posted

Attached to
E-Rate Category 2 Licenses
Solicitation number
Q2526-02
Issued by
Brown County, Wisconsin

About this file

The document is an Affidavit of Non-Collusion for the Green Bay Area Public School District, specifically related to an E-Rate Category 2 Licenses procurement. The affidavit requires the vendor to certify that their proposal has been developed independently, without collusion or agreement with other vendors, and that all communications about the response have been restricted to authorized personnel. The procurement involves obtaining software licenses for network equipment already owned by the district, with proposals requested for specific makes/models or equivalent alternatives.

The affidavit includes standard legal language requiring the vendor to swear under penalty of perjury that their response is independent and truthful, with a section for the vendor to complete including their firm name, signature, title, address, phone number, and date. The document must be notarized, with space provided for a notary public to complete the certification. While specific pricing details are not included in this attachment, the related contract opportunity indicates that the district will be the final arbiter of equipment equivalence for any proposed alternative solutions, suggesting a technical evaluation process will accompany the procurement.

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Text version

Attachment A Affidavit of Non-Collusion Green Bay Area Public School District

(VENDOR TO COMPLETE AND RETURN WITH PROPOSAL)

I hereby swear (or affirm) under the penalty of perjury:

1. That I am the responder (if responder is an individual), partner in the responder (if the responder is a partnership), or an officer or employee of the responding corporation having authority to sign on its behalf (if the responder is a corporation);

2. That the attached response or responses have been arrived at by the responder independently, and have been submitted without collusion with, and without any agreement, understanding, or planned common source of action with, any other vendor of materials, supplies, equipment, or services described in the invitation to response designed to limit independent responding or competition;

3. That the contents of the response or responses have not been communicated by the responder or its employees or agents to any person not an employee or agent of the responder of its surety on any bond furnished with the response or responses, and will not be communicated to any such person prior to the official opening of the response or responses; and

4. That I have fully informed myself regarding the accuracy of the statements made in this affidavit:

SUBMITTED BY:

Firm Name ________________________________________ Signature ________________________________________ Title ________________________________________ Address ________________________________________ Phone No. ________________________________________ Date ________________________________________ Subscribed and Sworn to before me this________day of__________________, 2025.

Notary Public, State of ______________________ My Commission Expires:____________________

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