Affidavit of Non-Collusion.pdf
PDF 32 KB Posted
- Attached to
- Statewide Outpatient Services
- Solicitation number
- 23012-3
- Issued by
- Alamosa County, Colorado
About this file
The Affidavit of Non-Collusion is a legal document issued by the State of Colorado Judicial Department for the 3rd round statewide Request for Qualifications (RFQ) for outpatient services. The RFQ seeks to create a list of qualified providers to offer services to adult and juvenile probationers across multiple judicial districts, primarily focusing on the 3rd, 6th, 7th, 9th, 11th, 12th, 13th, 15th, 16th, 21st, 22nd, and 23rd Judicial Districts. The outpatient services include treatment in areas such as substance use, mental health, DUI, domestic violence, cognitive behavioral therapy, specialized treatment, and case management, with the exclusion of inpatient and sex offender evaluation and treatment.
The affidavit requires respondents to certify that their proposal is genuine, not collusive, and does not involve any undisclosed agreements or attempts to manipulate the bidding process. Contractors must attest to meeting all licensing and certification requirements from DORA, OBH, and/or the DVOMB. Providers are not required to offer services statewide or in all service categories to be eligible, providing flexibility for respondents. The document emphasizes ethical bidding practices and prohibits any actions that could compromise the integrity of the procurement process, such as price-fixing, sham responses, or divulging confidential information.
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Text version
Affidavit of Non-Collusion
(Name of Affiant)
, states that they are ____________________________________ (Title) of ______________________________________________________________________________________________ , Name of Respondent and submits the attached solicitation response to the State of Colorado Judicial Department; that the response is not made in the interest of, or on behalf of any undisclosed person, partnership, company, association, organization or corporation; that the response is genuine and not collusive or a sham; that the Respondent has not directly or indirectly induced or solicited any other Respondent to put in a false or sham response, and has not directly or indirectly colluded, conspired, connived, or agreed with any Respondent or anyone else to put in a sham response, or that anyone shall refrain from proposing; that the Respondent has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the response price of the Respondent or any other Respondent, or to fix any overhead, profit, or cost element of the proposed price, or of that of any other Respondent, or to secure any advantage against the public body awarding the Agreement of anyone interested in the proposed Agreement; that all statements contained in the response are true; and, further, that the Respondent has not, directly or indirectly, submitted his/her/its proposed price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto; that Respondent has not paid, and will not pay, any fee to any corporation, partnership, company association, organization, or to any member or agent thereof, to effectuate a collusive or sham response.
I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.
Executed on the ____________ (day) day of ________________ (month)
(year)
(city and state) at
Signature of Affiant
| (Name of Affiant): |
| Title: |
| Name of Respondent: |
| city and state: |
| year: |
| month: |
| day: |
File details come from the government source that posted it. Updated .