EXHIBIT B - NON-COLLUSION AFFIDAVIT (1).pdf
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- Attached to
- 1411-26-R-RFQF-00001
- Solicitation number
- 3140004602
- Issued by
- Simpson County, Mississippi
About this file
This is a Non-Collusion Affidavit form required by the State of Mississippi for the Community Development Block Grant Disaster Recovery (CDBG-DR) Residential Reconstruction and Rehabilitation Services in Support of the Mississippi Housing Recovery Programs (Contract Number 1411-26-R-RFQF-00001). The affidavit must be completed and sworn before a notary public by an authorized signatory of the bidding firm, corporation, partnership, or institution. The document requires the signatory to certify their name, title, company name, and date of execution.
By signing this affidavit, the bidder certifies under oath that neither they nor anyone acting on behalf of their firm has violated state or federal antitrust laws, communicated their bid directly or indirectly to competitors or other firms in the same line of business, or engaged in any other collusive acts related to the development and submission of the bid proposal. The notary public must also complete their portion of the document, including their commission expiration date, to validate the sworn statement.
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EXHIBIT B: NON-COLLUSION AFFIDAVIT
NON-COLLUSION AFFIDAVIT
STATE OF MISSISSIPPI §
COUNTY OF §
By the signature below, the signatory for the bidder certifies that neither he nor the firm, corporation, partnership or institution represented by the signatory or anyone acting for the firm bidding this project has violated the antitrust laws of this state, or the Federal antitrust laws, nor communicated directly or indirectly the bid made, to any competitor or any other person engaged in the same line of business, nor has the signatory or anyone acting for the firm, corporation or institution submitting the bid committed any other act of collusion related to the development and submission of this bid proposal.
Printed:
Name:
Title:
Company:
Date:
SUBSCRIBED and sworn to before me the undersigned authority by the of on behalf of said bidder.
Notary Public in and for the State of Mississippi
My commission expires:
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