8-NONCOLLUSION AFFIDAVIT.pdf

PDF 105 KB Posted

Attached to
Audit Services State and local contract opportunity
Solicitation number
27-06-31
Issued by
Maricopa County, Tucson City, Arizona

About this file

This is a Non-Collusion Affidavit form required for an Arizona school district's Request for Proposals for audit services. The affidavit must be completed and notarized by the authorized representative of any bidding firm and certifies that the submitted bid is genuine and not made in collusion with other bidders or interested parties. The affiant affirms that no solicitation of sham bids has occurred, no collusive arrangements have been made to secure competitive advantage, and no personal gifts or benefits have been offered to district personnel involved in contract supervision, planning, selection, or financial transactions, in compliance with Arizona Revised Statutes section 15-213(O) and Arizona Administrative Code sections R7-2-1024(B.1.q) and R7-2-1003(J).

The form requires completion of standard fields including the affiant's name and title, the contractor or bidder name, the state and county where the oath is administered, the notary public's information, and the date of execution. Notarization is mandatory, and the completed affidavit must accompany the bid submission for the five-year audit services contract covering fiscal years ending June 30, 2026 through 2030. The contract encompasses annual audits of financial transactions and accounts in accordance with Title 2 U.S. Code of Federal Regulations Part 200 (Uniform Guidance) and completion of the Uniform System of Financial Records for Arizona School Districts Compliance Questionnaire.

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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 .