[D] Certificate_and_Non-Collusion_Statement.pdf

PDF 110 KB Posted

Attached to
Vehicle GPS Tracking & Management System-Cecil County
Solicitation number
BPM055264
Issued by
Cecil County, Maryland

About this file

This is a Certificate and Non-Collusion Statement form issued by the Cecil County, Maryland Department of Finance Procurement Division for use in response to the Vehicle GPS Tracking & Management System solicitation. The form requires an authorized representative of the responding vendor to certify under oath that all information contained in their proposal is true and complete to the best of their knowledge. The respondent must further affirm that neither they nor any employee has arranged for any person to solicit or procure a contract from the County, and that no payments have been made or agreed to in connection with the procurement of the contract.

The form is a standard certification document that must be completed, signed, and notarized before a notary public. The signatory must provide their name and title, the respondent organization name, and complete address information. The notary must complete the attestation section with the date and commission expiration date. Completed forms should be submitted to the Cecil County Purchasing Office at purchasingoffice@cecilcountymd.gov or mailed to 200 Chesapeake Boulevard, Elkton, Maryland 21921.

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Text version

PURCHASINGOFFICE@CECILCOUNTYMD.GOV

Office of the County Executive Department of Finance Raymond Hamm, Director

Adam Streight Procurement Division County Executive Connie S. Kamit Procurement Manager

Dan Schneckenburger Director of Administration

Office: 410.996.5202 County Information Fax: 410.996.1014 410.996.5200

410.658.4041

CECIL COUNTY, MARYLAND

Department of Finance Procurement Division

200 Chesapeake Boulevard, Elkton, MD 21921

CERTIFICATE and NON-COLLUSION STATEMENT

The undersigned person duly authorized to represent respondent regarding this proposal, hereby certifies the information contained within this proposal to be true and complete to the best of his/her knowledge and belief.

The undersigned further certifies that neither he/she nor anyone employed by respondent has arranged for any person to solicit or procure any Contract from the County, nor will anyone make any payment or agree to make any payment in connection with the procurement of this Contract.

BY ___________________________________________

NAME & TITLE ___________________________________________

(RESPONDENT) ___________________________________________

ADDRESS ___________________________________________

COUNTY OF________________________)

STATE OF__________________________)

Subscribed and sworn to before me this _____ day of _______________, 20______.

My commission expires:

PURCHASINGOFFICE@CECILCOUNTYMD.GOV

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