9-NONCOLLUSION AFFIDAVIT.pdf
PDF 105 KB Posted
- Attached to
- Roll-up Door Repairs and Services
- Solicitation number
- RFP #26-09-30
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Non-Collusion Affidavit form for contractor/bidder submissions to a District, referencing Arizona Revised Statutes (A.R.S.) § 15-213(O) and Arizona Administrative Code (A.A.C.) regulations R7-2-1024 and R7-2-1003(J), which indicates this is likely for an Arizona school district procurement. The document is a standard legal form template with blank fields for the affiant's name, title, contractor/bidder information, state and county of execution, and notarization details, but does not contain specific information about products, services, quantities, dates, or contract terms as it is a supporting document rather than the main procurement solicitation.
The affidavit requires the bidder to swear under oath that their bid is genuine and not collusive, that they have not induced other bidders to submit sham bids or refrain from bidding, and that they have not sought unfair advantages through collusion. Additionally, the form requires confirmation that the bidder has exercised due diligence to ensure no personal gifts or benefits have been offered to District personnel involved in contracts, purchases, or other financial transactions, in accordance with Arizona state law and administrative code provisions governing public procurement ethics.
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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 .