IFB_2024-18_A17_Non-Collusion_Affidavit.docx
DOCX document 26 KB Posted
- Solicitation number
- 0000036678
- Issued by
- Nevada County, Torrance City, Nevada City, California
About this file
This document is a Non-Collusion Affidavit for Invitation for Bid (IFB) Number 2024-18, issued by the California State Lands Commission for the Prosser Dam Road Fuel Reduction Project. The affidavit is a required attachment for bidders participating in the public works project, requiring prospective bidders to certify the integrity and legitimacy of their bid submission.
The affidavit requires bidders to declare that their bid is genuine, not collusive, and not made on behalf of any undisclosed parties. Bidders must affirm they have not induced other bidders to submit false bids, have not conspired to manipulate bid prices, and have not shared bid information with other entities. The document must be signed, dated, and notarized, with the bidder providing their company name, title, and executing the declaration under penalty of perjury under California law.
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Text version
IFB Number 2024-18 Page 1 of 1 State Lands Commission | [Bidder] Prosser Dam Road Fuel Reduction Project
ATTACHMENT 17
NON-COLLUSION AFFIDAVIT
(TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID FOR PUBLIC WORKS)
The undersigned declares:
I am the INSERT TITLE of INSERT NAME OF COMPANY, the party making the foregoing bid. Comment by Beard, Kevin@SLC: Bidder to insert Title of individual using Track Changes (enabled). Comment by Beard, Kevin@SLC: Bidder to insert Name of Company using Track Changes (enabled).
This bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. This bid is genuine and not collusive or sham. The Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid. The Bidder has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or to refrain from bidding. The Bidder has not, in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder. All statements contained in the bid are true. The Bidder has not, directly or indirectly, submitted their bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a Bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that they have full power to execute, and does execute, this declaration on behalf of the Bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on DATE, at CITY, STATE. Comment by Beard, Kevin@SLC: Bidder to insert DATE using Track Changes (enabled). Comment by Beard, Kevin@SLC: Bidder to insert CITY and STATE using Track Changes (enabled).
Signature Name Date
** MUST BE NOTARIZED **
www.slc.ca.gov
File details come from the government source that posted it. Updated .