6-NONCOLLUSION AFFIDAVIT.pdf

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Attached to
Printer Supplies
Solicitation number
IFB 26-03-30
Issued by
Maricopa County, Tucson City, Arizona

About this file

This is a Non-Collusion Affidavit form related to a bidding process for a District (likely a school district based on the Arizona Revised Statutes references). The form is a standard legal document that must be completed and notarized by bidders participating in the procurement process, though the specific products, services, project details, quantities, dates, or contract terms are not specified in this template document.

The affidavit requires bidders to swear under oath that their bid is genuine and not the result of collusive practices, that they have not induced other bidders to submit sham bids or refrain from bidding, and that they have not sought unfair advantages through collusion. Additionally, bidders must certify compliance with Arizona statutory requirements (A.R.S. § 15-213(O), A.A.C. R7-2-1024 (B.1.q), and A.A.C. R7-2-1003(J)) regarding the offering of personal gifts or benefits to District personnel involved in contracts, purchases, or financial transactions. The form requires notarization and includes spaces for the affiant's name, title, contractor/bidder identification, signature, and notarial acknowledgment.

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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/Bidder) the persons, corporation, or company who makes the accompanying Bid, having first been duly sworn, deposes and says:

That such Bid is genuine and not sham or collusive, nor made in the interest of, or behalf of, any persons not herein named, and that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a sham Bid, or any other person, firm or corporation to refrain from submitting a Bid, and that the Bidder has not in any manner sought by collusion to secure for itself an advantage over any other Bidder, and

That Bidder has taken steps and exercised due diligence to ensure that Bidder 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-

2-1024 (B.1.q), 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

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