8-NONCOLLUSION AFFIDAVIT.pdf
PDF 105 KB Posted
- Attached to
- Catering Services & Supplies
- Solicitation number
- 27-04-31
- Issued by
- Maricopa County, Arizona
About this file
This is a Non-Collusion Affidavit form required for the Tolleson Union High School District #214 catering services and supplies Request for Proposals in Arizona. The affidavit must be completed and notarized by the authorized representative of each bidding contractor or vendor. The document certifies that the submitted bid is genuine and not collusive, that the bidder has not solicited sham bids from competitors or induced other bidders to refrain from submitting proposals, and that the bidder has not sought collusive advantage over other bidders. The affiant must also confirm that no personal gifts or benefits have been offered, conferred, or agreed upon with persons who supervise or participate in contract decisions, purchases, payments, or financial transactions related to the District's procurement processes.
The affidavit references compliance with Arizona Revised Statutes Section 15-213(O) and Arizona Administrative Code Rules R7-2-1024(B.1.q) and R7-2-1003(J), which govern ethical conduct and anti-collusion requirements in public procurement. Completion requires the affiant's signature and notarization before a notary public, with fields for the state and county of notarization. This form is mandatory for bid submission and serves as a legal declaration under oath that the bidder has conducted its proposal in accordance with applicable anti-corruption and fair competition regulations.
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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 .