Attachment 3 - Non-Collusion Affidavit.pdf

98 KB Posted

Attached to
ITB - EMERGENCY PROPERTY DAMAGE RESPONSE
Solicitation number
00002636
Issued by
Oregon

About this file

Written by GovTribe AI ·

This is a Non-Collusion Affidavit form for the City of Portland, Oregon, related to Solicitation No. 000002636 for Emergency Property Damage Response (City Project 133244). The affidavit must be notarized and submitted with the bid. The document serves as a sworn statement in which the bidding firm's authorized representative certifies that bid prices have been developed independently without consultation, communication, or agreement with other contractors or potential offerors, except as specifically disclosed.

The affidavit requires the signatory to affirm that bid prices have not been disclosed to other bidders prior to opening, that no attempt has been made to encourage competitors to refrain from bidding or to submit noncompetitive bids, and that the submission is made in good faith without any agreement or inducement to submit complementary bids. Additionally, the firm must declare that it and its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not been convicted or found liable in the past four years for any act involving conspiracy or collusion in public contract bidding. The City of Portland relies on these representations as material and important to the contract award process, and any misstatement in the affidavit is treated as fraudulent concealment.

View the file

Other files

File Type Posted
Attachment 4 - Exceptions and Deviations to the Sample Contract.pdf PDF
Notice of Intent to Award ITB 2636.pdf PDF
Exhibit B - Buyspeed Submittal Instructions.pdf PDF
ITB 00002636 Emergency Property Damage Response.pdf PDF
Updated Attachment 2 - Bid Schedule.pdf PDF
Attachment 1 - Representations and Certifications.pdf PDF
Updated ITB 00002636 Emergency Property Damage Response.pdf PDF
Exhibit A - ITB 00002636 Sample Price Agreement.pdf PDF
Addendum 02 ITB 00002636 Emergency Board Up Services Question and Answer.pdf PDF
ITB 00002636 Emergency Property Damage Response Proposal Receipt Record.pdf PDF
Attachment 2 - Bid Schedule.pdf PDF
ITB 00002636 Bid Summary.pdf PDF
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

City Project 133244 Page 16 of 17 Emergency Property Damage Response

ATTACHMENT 3

NON-COLLUSION AFFIDAVIT

FOR

CITY OF PORTLAND SOLICITATION NO. 000002636

[This form notarized and submitted with bid]

STATE OF

COUNTY OF

I, , state that I am (Printed Name) (Position/Title) of and that I am authorized to execute this affidavit (Name of Firm) on behalf of this firm, and its owners, directors, and officers. I am the person responsible in my firm for the price(s) and the amount of this bid.

I state that:

1. The price(s) and the amount of this bid have been arrived at independently and without consultation, communication or agreement with any other contractor, offeror, or potential offeror, except as disclosed.

2. Neither the price(s) nor the amount of this bid, and neither the approximate price(s) nor approximate amount of this bid, have been disclosed to any other firm or person who is an offeror or potential offeror, and the price(s), will not be disclosed before bid opening.

3. No attempt has been made or will be made to induce any firm or person to refrain from bidding on this Contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.

4. The bid of this firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive bid.

5. (Name of Firm) , its affiliates, subsidiaries, officers, directors and employees are not currently under investigation by any governmental agency and have not in the last four years been convicted or found liable for any act prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any public contract, except as described.

I state that (Name of Firm) understands and acknowledges that the above representations are material and important, and will be relied on by THE CITY OF PORTLAND, OREGON in awarding the Contract(s) for which this bid is submitted. My firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from THE CITY OF PORTLAND, OREGON of the true facts relating to the submission of bids for this Contract.

Signature

Subscribed and sworn to before me on this _______ day __________ of _________ x

SIGNATURE OF NOTARY PUBLIC

MY COMMISSION EXPIRES________

STATE OF:
COUNTY OF:
I:
state that I am:
of:
Name of Firm:
I state that Name of Firm:

File details come from the government source that posted it. Updated .