Attachment B - Non-Collusion Declaration.pdf

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Attached to
Construction Management as Advisor Services Camarillo City Hall Renovation — Design Phase, Bid Phase, and Construction Phase
Solicitation number
148009
Issued by
Ventura County, California

About this file

This file is a Non-Collusion Declaration form (PCC 7106) required for the Construction Management as Advisor Services solicitation for the Camarillo City Hall Renovation project in California. The declaration is a sworn statement that the bidder must complete and submit as part of their bid response. The form requires the bidder to certify that the bid is genuine, independently prepared, and free from any collusive or fraudulent activity. The declarant must confirm that no agreements, communications, or understandings exist with other bidders regarding bid pricing, cost elements, or bid content, and that no inducements have been offered to solicit false or sham bids from competitors.

The form requires the bidder to provide identifying information including the title and name of the person executing the declaration, the firm name, the date, and location of execution. The signatory must declare under penalty of perjury under California law that all statements are true and correct. For entities such as corporations, partnerships, joint ventures, limited liability companies, or other organizational structures, the person executing the declaration must represent that they have full authority to do so on behalf of the bidder.

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Text version

Non-Collusion Declaration (PCC §7106)

The undersigned declares:

I am the _____________________ of __ ___________________________________ , the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation.

The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted the bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed on ______________________, at _____________________, ___________.

Signature: ___________________________

Name: _______________________________

Title: _______________________________

Firm Name: __________________________

File details come from the government source that posted it. Updated .