EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf
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- Attached to
- ADAS Calibration and Wheel Alignment System
- Solicitation number
- OP143228
- Issued by
- California
About this file
This is a Noncollusion Affidavit form required for bidder submission in a State of California contract opportunity. The affidavit serves as a certification document that must be executed by an authorized official of the bidding company and submitted with the bid proposal. The form requires completion of bidder information including the bidder's name, title, and company name, along with the date, city, and state of execution.
The affidavit certifies under penalty of perjury that the bid is genuine and not collusive or sham, that the bidder has not induced or solicited other bidders to submit false bids, and that no agreement or coordination exists between the bidder and any other party regarding bid pricing, cost elements, or bid contents. The bidder also attests that all statements contained in the bid are true and that no fees have been paid or will be paid to any entity to effectuate a collusive or sham bid. The document requires the typewritten or printed name and signature of an authorized official to authenticate the affidavit's validity.
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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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