6-Attachment B - Non-Collusion Affidavit.pdf
PDF 192 KB Posted
- Attached to
- RFB 6253 Videoscope Inspection System
- Solicitation number
- RFB 6253 Videoscope Inspection System
- Issued by
- Ventura County, California
About this file
This is a Non-Collusion Affidavit for RFB No. 6253 issued by Ventura County, California for a Videoscope Inspection System procurement. The affidavit must be executed by the offeror and submitted with the proposal by the deadline of 5:00 p.m. Pacific Standard Time on the specified bid date. The document requires an authorized representative of the bidding entity to certify that the proposal is genuine and submitted independently without collusion, conspiracy, or coordination with other bidders regarding pricing, costs, overhead, or profits.
The affidavit obligates the offeror to attest under oath that no undisclosed parties have an interest in the proposal, that no false or sham bids have been solicited from competitors, and that no agreements have been made to fix proposal prices or secure unfair advantages against the public body or other interested parties. The signatory must also confirm that all statements contained in the proposal are truthful and that no fees have been paid or will be paid to any entity to effectuate a collusive or sham proposal. The form requires completion of offeror name, authorized representative information, address, signature, date, and place of signature before submission.
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Text version
ATTACHMENT “B” – RFB No. 6253 "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 .