Attachment B Non-Collusion Affidavit Form_7.24.2026.pdf
PDF 83 KB Posted
- Attached to
- DPH | Regulatory & Policy Consulting Services
- Solicitation number
- SFGOV-0000011831
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Non-Collusion Affidavit form required for the Request for Proposals SFGOV-0000011831 issued by the City and County of San Francisco's Department of Public Health (DPH), Behavioral Health Services (BHS) division. The affidavit must be completed and submitted with Electronic File #2 as part of the proposal package for Regulatory and Policy Consulting Services. The RFP seeks experienced firms to provide professional consulting staff to support regulatory analysis, policy development, program management, data analysis, training, and interagency coordination to assist BHS in implementing behavioral health policies and strengthening system operations. A pre-proposal conference is scheduled for August 24, 2026 at 10:00 AM PT via Microsoft Teams. The deadline for submitting questions is August 31, 2026 at 5:00 PM PT, with a Q&A addendum expected to be posted on September 8, 2026. Proposals are due by September 22, 2026 at 2:00 PM PT. The estimated award announcement is scheduled for October 30, 2026, with an estimated contract start date of July 1, 2027.
The Non-Collusion Affidavit form requires the proposer to attest under penalty of perjury that the proposal is genuine, not collusive or sham, and that the proposer has not engaged in any coordination, agreement, or communication with other proposers regarding pricing, costs, or submission strategies. The affidavit certifies that all proposal statements are true and that no fees have been paid to any third party to facilitate a collusive or sham proposal. The form requires the proposer's signature, title, and completion of all required fields.
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Text version
Attachment B
Non-Collusion Affidavit
Request for Proposals SFGOV-0000011831
Regulatory and Policy Consulting Services for Behavioral Health Services
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 Click or tap here to enter text. of Click or tap here to enter text., 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 their 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:
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