6-Non-Collusion Affidavit.pdf
PDF 93 KB Posted
- Attached to
- Site Monitoring Services
- Solicitation number
- RFP 27-07-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Non-Collusion Affidavit form required for contract proposals submitted to Arizona school districts and eligible public entities under a cooperative contracting agreement for site monitoring services. The affidavit must be completed by the named affiant representing the contractor or offeror and notarized before submission. The document serves as a sworn statement confirming that the proposal submitted is genuine and made independently without collusion, sham bidding, or anti-competitive arrangements with other potential offerors.
The affiant certifies under oath that no inducements or solicitations have been made to other offerors to submit false proposals or refrain from bidding, and that no collusive arrangements have been pursued to gain competitive advantage. Additionally, the affiant attests that due diligence has been exercised to ensure no personal gifts, benefits, or improper offers have been conferred upon any district personnel involved in contract supervision, financial transactions, planning, or procurement decisions, in compliance with Arizona Revised Statutes Section 15-213(O), Arizona Administrative Code Rule 7-2-1042(A.1.L), and Arizona Administrative Code Rule 7-2-1003(J). The form requires the affiant's signature, title, and notarization with the notary public's signature, seal, and identifying information before the document is submitted as part of the proposal package.
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Text version
NON-COLLUSION AFFIDAVIT
State of ____________________ )
) ss.
County of __________________ )
Before me, the undersigned, personally appeared
______________________________________________________________________ , affiant, (Name) the _____________________________________________________________________________ (Title)
(Contractor/Offeror) the persons, corporation, or company who makes the accompanying Proposal, having first been duly sworn, deposes and says:
That such Proposal is genuine and not sham or collusive, nor made in the interest of, or behalf of, any persons not herein named, and that the Offeror has not directly or indirectly induced or solicited any other Offeror to put in a sham Proposal, or any other person, firm or corporation to refrain from submitting a Proposal, and that the Offeror has not in any manner sought by collusion to secure for itself an advantage over any other Offeror; and
That Offeror has taken steps and exercised due diligence to ensure that Offeror has not offered, conferred, or agreed to confer any personal gift or benefit on a person who supervises or participates in contracts, purchases, payments, claims or other financial transactions, or on a person who supervises or participates in planning, recommending, selecting or contracting for materials, services, goods, construction or construction services of the District, in accordance with A.R.S. § 15-213(O), A.A.C. R7-2-1042(A.1.L), and A.A.C. R7-2-1003(J).
(Signature of Affiant)
(Title)
Subscribed and sworn to before me this __________ day of ___________________________ , 20 ____________
Signature of Notary Public in and for the
State of ___________________________________________
County of _________________________________________
THIS FORM MUST BE NOTARIZED
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