District Certifications Form.pdf

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Attached to
RFQ # 27-23 Fortis G1m 11.6 Rugged Chromebook-HD-60 HZ & Google Chrome OS Education Mgmt Licenses
Solicitation number
PE-55267-NONST-2027-000000056
Issued by
Bartow County, Georgia

About this file

This is a District Certification Form for the Jones County School System's RFQ #27-23 for the purchase of 100 HP Fortis G1m 11.6" Rugged HD-60 HZ Chromebooks and 100 Google Chrome OS Management Console Education Licenses in Georgia. The form requires bidders to certify that their proposal is submitted without prior understanding, agreement, or connection with any other corporation, firm, or person submitting a competing bid for the same materials, supplies, or equipment. Bidders must attest that their submission is fair and free from collusion or fraud, and acknowledge that collusive bidding violates both State and Federal law and may result in fines, prison sentences, and civil damage awards.

The certification also requires bidders to confirm compliance with Official Code of Georgia Annotated Section 50-5-67 and provisions of O.C.G.A. 45-10-20 et seq. The authorized representative must sign the form, provide the date, and print their name, certifying they are authorized to execute the bid on behalf of the bidder.

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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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