E. NONCOLLUSIN AFFIDAVIT.pdf
PDF 204 KB Posted
- Solicitation number
- 147067
- Issued by
- Sacramento County, California
About this file
This is a Noncollusion Affidavit required for bidding on the Laguna Creek Trail and Bruceville Road Sidewalk Improvements Project in California. The affidavit must be executed by the bidder and submitted with the bid proposal. Under Public Contract Code Section 7106 and 23 USC 112, the document requires the bidder to declare under penalty of perjury that the bid is genuine, not collusive or a sham, and made solely in the bidder's interest without coordination with other bidders. The affidavit also requires the bidder to certify that no false bids have been solicited, no bid prices or cost elements have been fixed through agreement with other bidders, and no fees have been paid to depositories or agents to facilitate collusion.
The affidavit must be sworn and notarized, with the bidder providing their name, title, company name, and signature. The document includes fields for the state and county of execution, the date of execution, and the city and state where the affidavit is executed. Any person authorized to execute the affidavit on behalf of a corporate entity, partnership, joint venture, limited liability company, or other entity must represent that they possess full power to bind the bidder. The affidavit serves as a certification that all statements in the bid are true and that the bidder has complied with all legal requirements regarding fair and open competition.
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Text version
- 27 - Part II: Bidding Documents Section E: Noncollusion Declaration
SECTION E. NONCOLLUSION AFFIDAVIT TO BE EXECUTED
BY BIDDER AND SUBMTTED WITH BID
Under PCC 7106 and 23 USC 112, the Bidder declares as follows:
State of ___________________, County of __________________
Name: __________________________, Being first duly sworn, deposes and says that I am the ____________________ (title) of ____________________ (company name), the party making the foregoing Bid; 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 a sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid;
and 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; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Bid 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; or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true; and, further that the Bidder has not, directly or indirectly, submitted their Bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee 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 they have full power to execute, and does execute, this affidavit 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].
Contractor’s Name (Printed):
Bidder’s Signature:
Bidder’s Name (Printed):
(Same Signature as on Bid Proposal Form)
Bidders Title:
Date:
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