EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY PROPOSER.pdf
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- Solicitation number
- FS135771
- Issued by
- California
About this file
This is a Noncollusion Affidavit form required to be executed and submitted by bidders and proposers with their proposals to the State of California. The affidavit serves as a sworn statement in which proposers certify that their submitted proposal is genuine, independently developed, and made without collusion or coordination with other bidders or interested parties.
The affidavit requires proposers to attest under penalty of perjury that they have not engaged in any collusive practices, including but not limited to: soliciting false or sham proposals from competitors, conspiring or agreeing with other proposers regarding proposal submission, fixing proposal prices or cost elements, seeking advantages against the public body awarding the contract, or divulging proposal contents or pricing information to unauthorized parties. Proposers must further certify that all statements contained in their proposal are truthful and accurate. The form requires the proposer's authorized official to provide their typewritten or printed name, signature, title, company name, and the date and location of execution.
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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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