8-Non-Collusion Affidavit.pdf
PDF 93 KB Posted
- Attached to
- Graduation Supplies and Photography
- Solicitation number
- RFP 27-09-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Non-Collusion Affidavit document required for submission in response to an Arizona school district's request for qualified vendors to provide graduation supplies and photography services to the district's high schools and any additional schools constructed over the next five years. The affidavit must be completed and notarized by the individual authorized to sign the proposal on behalf of the offeror. The document certifies that the proposal is genuine and submitted independently, without collusion or coordination with competing offerors, and that no sham proposals have been induced or submitted.
The affidavit requires the affiant to affirm compliance with Arizona Revised Statutes Section 15-213(O), Arizona Administrative Code R7-2-1042(A.1.L), and R7-2-1003(J), which govern restrictions on offering personal gifts or benefits to individuals involved in contract supervision, financial transactions, or procurement decision-making for the district. The document must be signed before a notary public and include the affiant's title, the exact date of notarization, and the notary's signature and county designation. This form is a mandatory submission requirement for all contractors or offerors responding to the graduation supplies and photography services solicitation.
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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
File details come from the government source that posted it. Updated .