Attachment B Non-Collusion Affidavit Form_1.pdf
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- Solicitation number
- SFGOV-0000012029
- Issued by
- California
About this file
This is a Non-Collusion Affidavit Form submitted as Attachment B to the Request for Proposals (RFP) issued by the San Francisco Department of Public Health (DPH) for a Cost Accounting and Decision Support System. The RFP was published on September 8, 2026, with a pre-proposal conference scheduled for September 21, 2026, at 10:00 AM PST. The deadline for submitting questions is September 28, 2026, at 5:00 PM PST, followed by a Q&A Addendum posting on October 7, 2026. Proposals are due by October 19, 2026, at 2:00 PM PST. Short-listed proposers are expected to be notified on November 16, 2026, with estimated demonstrations occurring between November 23 and December 11, 2026. The award announcement is anticipated on December 21, 2026, with a Health Commission Presentation potentially scheduled for April 2027 and an estimated contract start date of May 1, 2027.
The Non-Collusion Affidavit requires authorized representatives of proposing firms to certify under oath that their proposal is genuine and not collusive, that they have not solicited false proposals from competitors, and that they have not engaged in any agreements to fix pricing or secure unfair advantages against the public body. Proposers must attest that all statements in their proposal are true and that they have not divulged proposal contents or paid fees to effectuate collusive activity. This form must be completed and included with Electronic File #2 of the proposal submission, with all required fields containing the legal company name, authorized representative's printed name and title, date, and signature.
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Text version
Attachment B
Non-Collusion Affidavit
Request for Proposals SFGOV-
All fields are required. This form must be completed and included with Electronic File #2.
A. Non-Collusion Affidavit
The undersigned deposes and says that they are a duly authorized representative of the party making the foregoing Proposal. The Proposal is not made in the interests of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The
Proposal is genuine and not collusive or sham. The Proposer has not directly or indirectly induced or solicited any other Proposer to submit a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to submit a sham Proposal, or to have anyone refrain from proposing. 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 or anyone interested in the proposed contract. All statements contained in the Proposal are true. The Proposer has not, directly or indirectly, submitted its Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, 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.
Legal Name of Company (Proposer):
Authorized Representative’s Printed Name:
Authorized Representative’s Title:
Date:
Authorized Representative’s Signature:
A. Non-Collusion Affidavit
| Legal Name of Company Proposer: |
| Authorized Representatives Printed Name: |
| Authorized Representatives Title: |
| Date: |
| Solicitation Title: Cost Accounting and Decision Support system |
| Sourcing ID: 0000012029 |
File details come from the government source that posted it. Updated .