7-Non-Collusion Declaration.pdf
PDF 119 KB Posted
- Attached to
- iRFP Every Door Direct Mail (EDDM) Services
- Solicitation number
- 25-06880
- Issued by
- San Bernardino County, California
About this file
This is a Non-Collusion Declaration form required by Inland Empire Health Plan (IEHP) in California for bidders responding to an Every Door Direct Mail (EDDM) Services contract opportunity. The declaration must be executed by the bidder and submitted with the quotation or proposal. The form requires the bidder to certify that the bid is genuine, independent, and free from collusive or sham activities, and that no agreements have been made with other bidders regarding pricing, costs, or bid suppression.
The declaration obligates the bidder to affirm under penalty of perjury that all statements in the bid are true and that no bid pricing, breakdowns, or related information has been shared with other entities to facilitate collusive bidding. The declaration must be signed and dated by an authorized representative of the bidding entity, with the signatory confirming they have full authority to execute the document on behalf of a corporation, partnership, joint venture, limited liability company, or other business entity.
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Text version
Non-Collusion Declaration 03.14.2024
NON-COLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH QUOTATION/PROPOSAL
The undersigned declares:
I am the of , the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on:
[date], at [city], [state].
Signature Date
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