EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf
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- Attached to
- Uninterruptible Power Supply (UPS) Purchase
- Solicitation number
- PS127177(3)
- Issued by
- California
About this file
This file is a Noncollusion Affidavit form required for bid submission on a California state and local contract opportunity for Uninterruptible Power Supply (UPS) Purchase. The affidavit must be executed by an authorized representative of the bidding entity and submitted with the bid proposal. The document certifies that the bidder's submission is genuine and made independently, without collusion, conspiracy, or agreement with any other party to manipulate bid pricing, withhold bids, or otherwise coordinate bidding activities in a manner that would disadvantage the public body or other interested parties.
The affidavit requires the bidder to affirm under penalty of perjury under California law that all statements contained in the bid are true and that no undisclosed agreements, communications, or payments have been made to fix bid prices, overhead, profit, or cost elements. The bidder must also confirm that no fee has been paid or will be paid to any corporation, partnership, association, bid depository, or member or agent thereof to effectuate a collusive or sham bid. The form includes fields for the bidder's name, title, company name, execution date, city, and state, along with signature and typewritten name requirements of an authorized official.
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Text version
BIDDER/PROPOSER: ______________________
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
___________________________(Name) deposes and says that he or she is ___________________________(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 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 that anyone shall 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 his or her 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.
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on , 20 , at , (Date) (City) (State)
Typewritten or Printed Name Signature of Authorized Official
Title
NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER
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File details come from the government source that posted it. Updated .