Attachment_C_-_Non-Collusion_Affidavit.pdf
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- Attached to
- First Street Multimodal Corridor Study RFP
- Solicitation number
- CIP No. 40098
- Issued by
- Orange County, California
About this file
This is a Non-Collusion Affidavit form required by the City of Tustin, California for the First Street Multimodal Corridor Study RFP. The affidavit, mandated under Title 23 United States Code Section 112 and California Public Contract Code Section 7106, must be completed and submitted with all proposals. The form requires bidders to certify under penalty of perjury that their bid is genuine, not collusive or sham, and that they have not engaged in any agreements, communications, or conspiracies with other bidders or parties to fix pricing, manipulate bids, or otherwise engage in anti-competitive conduct. Bidders must also affirm that all statements contained in their bid are true and that they have not divulged bid information to other entities for the purpose of facilitating collusive or sham bidding.
The affidavit must be executed by an authorized representative of the bidding entity, notarized, and included with the proposal submission. The form includes spaces for the date, city, and state of execution, as well as notary acknowledgment. Bidders are cautioned that false certification may result in criminal prosecution. Importantly, the contract opportunity specifies that proposals lacking this completed form will be deemed nonresponsive and rejected from consideration. Signing the proposal signature page constitutes execution of the non-collusion affidavit.
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Text version
CITY OF TUSTIN
ATTACHMENT B
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and California Public Contract Code Section 7106)
To the CITY OF TUSTIN
In accordance with Title 23 United States Code Section 112 and California Public Contract Code Section 7106, the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that 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 proposal 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 his or her 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 and that this declaration is executed on ________[date], at _________[city], __________[state].
Note: The above non-collusion affidavit is part of the bid. Signing this proposal on the signature portion thereof shall also constitute signature of this bidder’s non-collusion affidavit. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.
Signed
State of , County of
Subscribed and sworn to (or affirmed) before me on this day of , 20 , by , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Notary Public Signature Notary Public Seal
THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL.
PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.
ATTACHMENT B
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