Attachment 6 - OCFS-2634 Non-Collusive Bidding Certification.docx
DOCX document 22 KB Posted
- Attached to
- IFB # 1006 Automatic Vending Machine Service - NYS DOT Rest Areas "Unadilla" and "East Worcester"
- Solicitation number
- 2051812
- Issued by
- Essex County, Franklin County, New York
About this file
This document is a Non-Collusive Bidding Certification required by Section 139-D of the New York State Finance Law. It is to be submitted by bidders on contracts with the New York State Office of Children and Family Services. The certification requires bidders to attest that their bids have been arrived at independently, without collusion, communication, or agreement with other bidders for the purpose of restricting competition. Bidders must also certify that they have not disclosed and will not disclose their bid prices to any other bidder or competitor prior to the bid opening.
The document outlines the legal requirements and penalties for non-compliance with the non-collusion certification. It provides space for the bidder to provide an explanation if they are unable to make the required certifications. The certification must be signed and dated by an authorized representative of the bidding entity, whether a partnership or corporation.
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Text version
OCFS-2634 (Rev. 12/2016)
NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
NON-COLLUSIVE BIDDING CERTIFICATION
Required by Section 139-D of the State Finance Law
SECTION 1 39-D. Statement of Non-Collusion in bids to the State of New York:
By submission of this bid, bidder and each person signing on behalf of bidder certifies, and in the case of joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of his/her knowledge and belief:
1. The prices of this bid have been arrived at independently, without collusion, consultation, communication, or agreement, for the purposes of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor;
2. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor; and
3. No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit or not to submit a bid for the purpose of restricting competition.
A bid shall not be considered for award nor shall any award be made where 1, 2, and 3 above have not been complied with; provided however, that if in any case, the bidder(s) cannot make the foregoing certification, the bidder shall so state and shall furnish below a signed statement which sets forth in detail the reasons therefore:
[AFFIX ADDENDUM TO THIS PAGE IF SPACE IS REQUIRED FOR STATEMENT]
| Subscribed to under penalty of perjury under the laws of the State of New York, this |
| day of |
| , 20 |
| As the act and deed of said corporation or partnership. |
If bidder(s) (are) a partnership, complete the following:
Names of Partners or Principals
Legal Residence
If bidder(s) (are) a corporation, complete the following:
Names
Legal Residence
President
Secretary
Treasurer
President
Secretary
Treasurer
Identifying Data
| Potential Contractor: |
| Street Address: |
| City, State, Zip Code: |
| Title/Telephone #: |
Signature
Date
Typed/Printed name and title
Legal name of person, firm or corporation
Legal name of person, firm or corporation
By:
Name
Name
Address:
Street
Street
City, State, Zip Code
City, State, Zip Code
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