District Certifications Form.pdf

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Attached to
ESET Protect Elite Product
Solicitation number
PE-55267-NONST-2026-000000031
Issued by
Jefferson County, Georgia

About this file

This is a District Certification Form from the State of Georgia, establishing collusion and ethical compliance requirements for bidders submitting proposals. The form requires bidders to certify that their proposal is submitted independently without prior understanding, agreement, or connection with other bidders submitting responses for the same materials, supplies, or equipment. Bidders must affirm that their submission is fair and free from collusion or fraud, and acknowledge their understanding that collusive bidding violates State and Federal law and can result in criminal penalties including fines and imprisonment, as well as civil damage awards.

The certification further requires bidders to confirm that the provisions outlined in the Official Code of Georgia Annotated (O.C.G.A.) 45-10-20 et seq. have not been and will not be violated in any respect. The form must be signed by an authorized representative of the bidding entity, who certifies their authority to execute the bid on behalf of the bidder. This certification is based on O.C.G.A. 50-5-67 and serves as a standard ethics and compliance verification document for all state contract opportunities in Georgia.

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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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