Exhibit O Non-Collusion Declaration.pdf
PDF 219 KB Posted
- Solicitation number
- S-R33123-00018104
- Issued by
- Wasco County, Oregon
About this file
This is a Non-Collusion Declaration form required for RFP No. 2026004, issued by the Northern Wasco County People's Utility District in Oregon for Fiber to the Premises (FTTP) Fiber Optic Construction Services. The declaration serves as a sworn certification document that must be completed and submitted by proposers as part of their bid response. The form requires the signatory to certify their name, title, and company name, along with execution details including date, city, county, and state of execution.
The Non-Collusion Declaration requires proposers to make six key certifications: that the proposal is not made on behalf of any undisclosed party; that the proposal is genuine and not collusive or sham; that the proposer has not induced or solicited other proposers to submit false bids or colluded with competitors; that the proposer has not sought to fix bid prices or secure unfair advantages against the public body; that all statements in the proposal are true and accurate; and that no fees have been paid to third parties to effectuate collusion. The declaration is executed under penalty of perjury under California law and must be signed with the proposer's printed name and address, along with area code and phone number.
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Text version
Fiber to the Premises (FTTP) - Fiber Optic Construction Services RFP No.: 2026004
EXHIBIT O
NON-COLLUSION DECLARATION
RFP No: 2026004
FIBER TO THE PREMISES (FTTP) - FIBER OPTIC CONSTRUCTION SERVICES
STATE OF______________________________ COUNTY OF _________________________________
I, _______________________________, being first duly sworn, depose and say that I am
(Typed or Printed Name) the ________________________ of ______________________________, the party submitting
(Title) (Company Name) the foregoing Proposal ("the Proposer"). In connection with the foregoing Proposal, the undersigned declares, states and certifies that:
1. The Proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization or corporation.
2. The Proposal is genuine and not collusive or sham.
3. The proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any other proposer or anyone else to put in sham bid, or to refrain from bidding.
4. The proposer has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other proposer, or to fix any overhead, profit or cost element of the bid price or that of any other proposer, or to secure any advantage against the public body awarding the contract or of anyone interested in the proposed contract.
5. All statements contained in the Proposal and related documents are true.
6. The proposer has not, directly or indirectly, submitted the 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 person, corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
Executed this day of __________ _, 2026 at ________________ __________________ (City, County and State)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature ________________________________ Printed Name _________________________________
Address ______________________________________________________________________________
Area Code & Phone Number ______________________________________________________________
File details come from the government source that posted it. Updated .