Exhibit I - Non-Collusion Affidavit.pdf
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- Solicitation number
- EMLAS-25-001
- Issued by
- Atlantic County, New Jersey
About this file
This document is a Non-Collusion Affidavit form (Exhibit I) required for bidding in the EdgeMarket Cooperative Purchasing System in the State of New Jersey. The affidavit serves as a sworn statement that must be completed by bidders to certify they have not engaged in collusive practices or anticompetitive behavior in connection with their bid proposal. The form requires the affiant to provide personal information including name, residence, county, state, title/position, firm name, and bid proposal title, along with notarization requirements including the notary's signature, commission expiration date, and official seal.
The affidavit specifically requires bidders to warrant that they have not directly or indirectly entered into agreements, participated in collusion, or taken actions that would restrain free competitive bidding for the named project. Additionally, bidders must certify that no person or selling agency has been employed to solicit or secure the contract based on commission, percentage, brokerage, or contingent fee arrangements, except for bona fide employees or established commercial selling agencies maintained by the bidding firm. The document emphasizes that the EdgeMarket Cooperative Purchasing System relies on the truthfulness of all statements contained in both the proposal and the affidavit when making contract award decisions.
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Text version
Exhibit I
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in ___________________________________
(name of affiant) (name of municipality) in the County of _______________________________ and State of _____________________of full age, being duly sworn according to law on my oath depose and say that:
I am _____________________________________ of the firm of _________________________
(title or position) (name of firm)
_____________________________________ the bidder making this Proposal for the bid entitled ______________________________, and that I executed the said proposal with
(title of bid proposal) full authority to do so that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this affidavit are true and correct, and made with full knowledge that the EdgeMarket Cooperative Purchasing System relies upon the truth of the statements contained in said
Proposal and in the statements contained in this affidavit in awarding the contract for the said project.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by
Subscribed and sworn to before me this day _____________________________
Signature
________________, 20____ __________________________________
(Type or print name of affiant under signature)
Notary public of
My Commission expires _______________
(Seal)
File details come from the government source that posted it. Updated .