Attachment B Non-Collusion Affidavit Form_1.pdf
PDF 73 KB Posted
- Attached to
- DPH | HIV Prevention CBA Program Admin Services
- Solicitation number
- SFGOV-0000011811
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Non-Collusion Affidavit form submitted by the California Department of Public Health (DPH) for the HIV Prevention Capacity Building Assistance Program Administration Services Request for Proposals (SFGOV-0000011811). Proposers are required to complete and submit this affidavit with their technical and work proposals. The RFP was published on July 10, 2026, with a pre-proposal conference scheduled for July 23, 2026. The deadline for submitting questions is July 30, 2026, with a Questions and Answers addendum estimated for posting on August 6, 2026. Proposals are due by 2:00 PM PT on August 13, 2026, with an estimated award announcement in September 2026. The Health Commission presentation is scheduled for March 2027, and the estimated contract start date is April 1, 2027.
The affidavit certifies that the proposing organization submits a genuine, non-collusive proposal and confirms that no undisclosed parties are involved in the proposal submission. Signatories attest that they have not engaged in any collusion, conspiracy, or agreement with other proposers regarding proposal pricing, overhead, profit margins, or cost elements, and have not solicited false or sham proposals from competitors. The form further certifies that all statements in the proposal are truthful and that no fees have been paid to any entity to facilitate collusive or sham proposals. The program is funded by the Centers for Disease Control and Prevention under Funding Opportunity Announcement PS 24-0020, component D, and seeks qualified firms to provide program administration and staffing services for the getSFcba capacity building assistance initiative.
View the file
Other files
Show all 26
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT “B”
NON-COLLUSION AFFIDAVIT
REQUEST FOR PROPOSALS SFGOV-0000011811
HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION CAPACITY BUILDING
ASSISTANCE PROGRAM ADMINISTRATION SERVICES
*THIS FORM MUST BE COMPLETED AND SUBMITTED WITH YOUR TECHNICAL/WORK
PROPOSAL (Electronic File #1)*
The undersigned, deposes and says that he or she is of , the party making the foregoing Proposal. That the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the
Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
Signature: ______________________________________________
Title: _____________________________________________
| of: |
| Title: |
| Text1: |
File details come from the government source that posted it. Updated .