Attachment B Affidavit.pdf
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- Solicitation number
- S-P30001-00016285
- Issued by
- Union County, Oregon
About this file
This is an Affidavit of Non-Collusion and Compliance with Tax Laws for Hermiston School District 8R's Invitation to Bid 2026-02 for the Highland Hills Elementary Painting Project. The affidavit is a mandatory submission required from all bidders and serves as a certification document affirming the bidder's compliance with state and federal tax obligations and competitive bidding regulations. Bidders must complete and notarize the form, providing their Federal Employer ID Number and Oregon ID Number, and certify that bid prices were developed independently without consultation, communication, or agreement with other potential bidders. The affidavit requires bidders to confirm they have not disclosed their bid amounts to other firms, made no attempts to induce competing firms to refrain from bidding, and submitted bids in good faith without any complementary or noncompetitive arrangements.
The affidavit further requires bidders to declare that neither they nor their affiliates, subsidiaries, officers, directors, and employees are currently under investigation by any governmental agency and have not been convicted or found liable in the past four years for acts involving conspiracy or collusion with respect to public contract bidding. Bidders must also certify their understanding that the representations in the affidavit are material to the District's contract award decision and that any misstatement constitutes fraudulent concealment. The signatory must be authorized to act on behalf of the bidder and possess knowledge regarding the bidder's tax payment status and compliance with Oregon tax laws, including those administered under ORS 305.380(4), the elderly rental assistance program, and local taxes under ORS 305.620. The affidavit must be signed, notarized, and submitted with the sealed bid by the April 22, 2026, deadline at 2:00 PM Pacific Daylight Time.
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Text version
ITB 2026-02 Highland Hills Elementary Painting Project Page 10 of 11 March 2026
Attachment B
AFFIDAVIT OF NON-COLLUSION / COMPLIANCE WITH TAX LAWS
______________________________________ (Bidder)
I state that:
(1) The correct taxpayer identification numbers are:
A. Federal Employer ID Number (EIN): _______________ B. Employer’s Oregon ID Number: ________________
(2) Bidder is not subject to backup withholding because (i) Bidder is exempt from backup withholding, (ii) Bidder has not been notified by the IRS that Bidder is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified Bidder that Bidder is no longer subject to backup withholding;
(3) The price(s) and amount of this Bid must be arrived at independently and without consultation, communication or agreement with any other Supplier, Bidder or potential Bidder, except as disclosed on the attached appendix.
(4) That neither the price(s) nor the amount of this Bid, and neither the approximate price(s) nor approximate amount of this Bid, will be disclosed to any other firm or person who is a Bidder or potential Bidder, and they will not be disclosed before Contract award.
(5) No attempt has been made or will be made to induce any firm or person to refrain from proposing on this Solicitation, or to submit any noncompetitive Bid or other complementary Bid.
(6) The Bid of my 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.
(7) _________________________________________ (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 of or found liable for any act prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to proposing on any public contract, except as described in the attached appendix.
I state that ________________________________________________ (name of firm) understands and acknowledges that the above representations are material and important, and will be relied on by the Hermiston School District in awarding the contract(s) for which this Bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and will be treated as fraudulent concealment from the Hermiston School District of the true facts relating to the submission of Bids for this contract. I am authorized to act on behalf of Bidder, and have authority and knowledge regarding Bidder's payment of taxes, and to the best of my knowledge, Bidder is not in violation of any Oregon tax laws, including, without limitation, those tax laws listed in ORS 305.380(4); the elderly rental assistance program under ORS 310.630 to 310.706; and any local taxes administered by the Oregon Department of Revenue under ORS 305.620.
________________________________________________ (Affiant’s Signature)
STATE OF OREGON
County of _________________________________
Signed and sworn to before me on ___________________________ by _________________________________ (date) (Affiant’s name)
Notary: ____________________________________
My Commission Expires: _________________________
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