9-Non-Collusion Declaration.pdf
PDF 69 KB Posted
- Attached to
- Printing Mailing and Fulfillment Services
- Solicitation number
- 25-06629
- Issued by
- San Bernardino County, California
About this file
This is a Non-Collusion Declaration form required for submission with bids and proposals to the Inland Empire Health Plan (IEHP), a California-based public agency. The declaration must be executed by the bidder or an authorized representative and submitted as part of the quotation or proposal package for the Printing, Mailing, and Fulfillment Services contract opportunity. The form establishes the bidder's certification that the submitted bid is genuine, independent, and made without collusion, conspiracy, or coordination with other bidders or parties. Bidders must affirm that they have not solicited false bids from competitors, fixed bid prices or cost elements with other parties, or divulged bid information to facilitate collusive bidding practices.
The declaration requires the executing party to certify under penalty of perjury under California law that all statements contained within the bid are true and accurate. Any person signing on behalf of a corporate entity, partnership, joint venture, limited liability company, or other organizational structure must represent that they possess full authority to execute the declaration on behalf of the bidder. The completed form must include the date and location (city and state) of execution and the signature of the authorized representative. This certification is a standard bidding requirement designed to promote fair competition and maintain the integrity of the procurement process.
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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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