EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY PROPOSER.pdf
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- Attached to
- As-Needed Battery Supply and Install
- Solicitation number
- PS139177
- Issued by
- California
About this file
This is a Noncollusion Affidavit form required for submission with proposals to the Los Angeles County Metropolitan Transportation Authority (LACMTA) for an as-needed battery supply and installation contract in California. The affidavit must be executed by an authorized representative of the bidding organization and submitted with the proposal. The document serves as a sworn statement certifying that the proposal is genuine, independent, and made without collusion, and that the proposer has not engaged in any anticompetitive practices such as price-fixing, bid-rigging, or coordination with other proposers.
The affidavit requires the proposer to certify under penalty of perjury that all proposal statements are true and that no undisclosed parties are involved in the proposal submission. Signatories must confirm they have not solicited false proposals from competitors, conspired with other proposers to submit sham bids, attempted to fix proposal prices or cost elements, sought unfair advantages against the public body, or paid any fees to facilitate collusive activity. The executed form must include the date, city, state, proposer name and title, company name, and an authorized official's signature to be valid for submission.
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Text version
BIDDER/PROPOSER: ______________________
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT
TO BE EXECUTED BY PROPOSER AND SUBMITTED WITH PROPOSAL
___________________________(Name) deposes and says that he or she is ___________________________(Title) of __________________________(Company Name) the party making the foregoing proposal that the proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that the proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from proposing; that the proposer has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the proposer or any other proposer, or to fix any overhead, profit, or cost element of the proposal price, or of that of any other proposer, 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 proposal are true; and, further, that the proposer has not, directly or indirectly, submitted his or her proposal 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, proposal depository, or to any member or agent thereof to effectuate a collusive or sham proposal.
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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