District Certifications Form.pdf
PDF 77 KB Posted
- Attached to
- 25-34 Desktops/Laptops/Chromebooks
- Solicitation number
- PE-55267-NONST-2025-000000022
- Issued by
- Jefferson County, Georgia
About this file
This is a District Certification Form requiring bidders to certify against collusion in the state of Georgia. The form contains an anti-collusion certification statement that must be signed by an authorized representative of the bidding entity.
The form references Georgia state law (O.C.G.A 50-5-67 and 45-10-20) and requires bidders to certify that their proposal is made without prior understanding, agreement, or connection with other bidders for the same materials, supplies, or equipment. The certification acknowledges that collusive bidding is illegal under state and federal law and can result in fines, prison sentences, and civil damage awards. The form requires an authorized signature, printed name, and date to be considered valid.
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Text version
District Certification Form:
Collusion:
“ I certify that this proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a bid for the same materials, supplies, or equipment, and is in all respect fair and without collusion or fraud. I understand that collusive bidding is a violation of State and
Federal law and can result in fines, prison sentences, and civil damage awards. I agree to abide by all conditions of this bid and certify that I am authorized to sign this bid for the bidder. (O.C.G. A 50-5-67). I further certify that the provisions of the official code of Georgia annotated 45-10-20 et seq. have not and will not be violated in any respect.”
Authorized Signature Date
Print Name
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