Attachment 6 - OCFS-2634 Non-Collusive Bidding Certification2.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 form required by the New York State Office of Children and Family Services (OCFS) for state and local contract opportunities. The form requires the bidder to certify that their bid prices have been arrived at independently, without collusion, consultation, communication, or agreement with any other bidder or competitor, and that no attempt has been made to induce any other person, partnership, or corporation to submit or not submit a bid for the purpose of restricting competition. The bidder must affirm these statements under penalty of perjury.
The form also requires the bidder to provide identifying information such as the legal name, address, and contact details of the bidder, as well as the names and legal residences of the partners, principals, or corporate officers, as applicable. This certification is a standard requirement for state and local contract opportunities in New York to ensure fair and open competition.
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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
File details come from the government source that posted it. Updated .