EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY PROPOSER.pdf
PDF 1009 KB Posted
- Solicitation number
- PS143950
- Issued by
- California
About this file
This is a Noncollusion Affidavit document for a Third Party Administrator (TPA) Conflict Claims contract opportunity with Metro in California. The affidavit serves as a required certification to be executed by proposers participating in the bidding process for this contract, which involves delivering administrative, operational, and compliance-related services for conflict claims management. The document establishes the formal declaration that proposers must submit as part of their bid submission, confirming their understanding of and compliance with noncollusion requirements throughout the procurement process.
The affidavit requires proposers to attest that their bid is genuine, made without fraud or collusion, and that they have not engaged in any agreements or communications with other bidders or interested parties that would constitute collusion or price-fixing. Proposers must also affirm that they have not attempted to induce any other person to submit or refrain from submitting a bid, and that all information provided is truthful and accurate. This certification is a standard requirement in competitive procurement processes to ensure fair competition and the integrity of the selection process for awarding the TPA contract to provide conflict claims services on behalf of Metro.
View the file
Other files
Show all 27
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
| Date: |
| 20: |
| City: |
| State: |
| Typewritten or Printed Name: |
| Name: |
| Company Name: |
| Title: |
| Bidder/Proposer: |
File details come from the government source that posted it. Updated .