Appendix A _ Proposal Certification.pdf

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Attached to
Canada Creek Bridge Replacement
Solicitation number
PE-74400-NONST-2025-000000009
Issued by
Ware County, Georgia

About this file

This is a Bidder's Certification form for Union County Project #UC-2025-03, the Canada Creek Bridge Replacement project in Union County. The certification form serves as the official document through which bidders acknowledge compliance with all proposal requirements and certify that their submission is made independently without collusion, fraud, or prior understanding with competing bidders. Bidders must provide complete information including company name, mailing address, phone number, fax number or email address, and tax identification number or social security number. The form requires signature by a person authorized to sign on behalf of the bidder, with the bidder's name and title also documented on the certification.

The form emphasizes that bidders understand collusive bidding violates state and federal law and can result in fines, prison sentences, and civil damages awards. Bidders certify they are authorized to submit the proposal and agree to abide by all conditions outlined in the bid. Proposals or bids that are not signed will be declared non-responsive and may be excluded from award consideration. This certification document is a mandatory component of the proposal submission process for the bridge replacement project.

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Appendix A

BIDDER’S CERTIFICATION

CANADA CREEK BRIDGE

REPLACEMENT IN UNION COUNTY

UNION COUNTY PROJECT #UC-2025-03

Date of Proposal___________________

I certify that this Proposal is submitted without prior understanding, agreement or connection with any corporation, firm or person submitting a Proposal for the same goods/services and is in all respects fair and without collusion or fraud. I understand that collusive bidding is a violation of state and Federal law and can result in fines, prison sentences and civil damages awards. I agree to abide by all conditions of this bid and certify that I am authorized to sign this bid for the bidder.

Bidder Information Name and Mailing Address (Type or Print) (Where to Send Payment)

Name of Company Name of Company

Address Address

City, State, & Zip Code City, State, & Zip Code

Phone Number Phone Number

Fax # Email Address

__________________________ OR __________________________

Tax ID Number Social Security Number

Name & Title of Person Authorized to Sign

Name SIGNATURE

Title

Proposals or Bids not signed shall be declared as “Non-Responsive” and may not be considered for award

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