6-Attachment B - Non-Collusion Affidavit.pdf
PDF 115 KB Posted
- Attached to
- RFB 6238 Handheld Xray Imaging System
- Solicitation number
- RFB 6238 11/18/25
- Issued by
- Ventura County, California
About this file
This is a Non-Collusion Affidavit form for RFP No. 6238 issued by Ventura County, California for a Handheld X-ray Imaging System procurement. The affidavit must be executed by the offeror and submitted with the proposal by the deadline of 5:00 p.m. PST on the specified date. The document serves as a sworn statement to be completed by the owner or authorized representative of the bidding entity, with required fields for the offeror name, authorized representative information, address, and execution date and location.
The affidavit requires the offeror to certify under oath that the proposal is genuine and not collusive or sham, that no undisclosed parties are involved, and that the offeror has not directly or indirectly induced other bidders to submit false proposals, colluded on pricing, or sought competitive advantages against other bidders or the County. The offeror must further attest that all proposal statements are true and that no fees have been paid or will be paid to any entity to effectuate a collusive or sham proposal. Failure to submit this completed affidavit with the bid submission may result in rejection of the proposal, as the County reserves the right to reject any or all bids that do not comply with solicitation requirements.
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Text version
ATTACHMENT “B” – RFP No. 6238 "Non-Collusion Affidavit”
To Be Executed By Offeror and Submitted With Proposal
State of California ) County of Ventura ss.
____________________, 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 .