Attachment B Non-Collusion Affidavit Form.docx
DOCX document 27 KB Posted
- Attached to
- DPH | Ending HIV Epidemic Intensive Case Mgmt
- Solicitation number
- SFGOV-0000011852
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Non-Collusion Affidavit form required for submission to the San Francisco Department of Public Health in response to Request for Proposals SFGOV-0000011852 for Ending the HIV Epidemic Intensive Case Management services. The RFP seeks qualified firms to operate an intensive case management program supporting people with HIV experiencing complex behavioral health issues and unstable housing. The pre-proposal conference is scheduled for August 17, 2026 at 11:00 AM PT, with a deadline for questions on August 24, 2026 at 5:00 PM PT. Proposals must be submitted by September 9, 2026 at 2:00 PM PT, with estimated short-listing notifications and interviews occurring in October 2026, award announcement in October 2026, and an estimated contract start date of March 1, 2027.
The Non-Collusion Affidavit must be completed by the authorized representative of the proposing organization and submitted as part of Electronic File #2. The affidavit requires the signatory to certify under penalty of perjury that the proposal is genuine and not collusive, that no inducements or agreements have been made with other proposers to fix pricing or secure advantages, and that all statements in the proposal are truthful. Proposers must also affirm they have not divulged proposal contents or paid fees to any third parties to effectuate a collusive or sham proposal.
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Text version
Attachment B Non-Collusion Affidavit Request for Proposals SFGOV-0000011852 Ending the HIV Epidemic Intensive Case Management All fields are required. This form must be completed and included with Electronic File #2.
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.
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File details come from the government source that posted it. Updated .