Non Collusion Affidavit (21).pdf

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Attached to
3rd Party Transportation Operator
Solicitation number
PE-64800-NONST-2025-000000058
Issued by
Douglas County, Georgia

About this file

This is a Non-Collusion Affidavit required by Douglas County, Georgia for the 3rd Party Transportation Operator contract opportunity. The affidavit serves as a sworn statement in which the bidder certifies that neither they nor any representative of their firm has engaged in any collusion, combination, or agreement regarding bid pricing, bid suppression, or bid solicitation with any other party. The bidder further attests that no rebates, fees, gifts, commissions, or other things of value have been or will be provided to any person or entity in connection with the bid submission.

The affidavit must be notarized and signed by an authorized representative of the bidding organization, with the signatory's title, organization name, and bid number clearly documented. The document requires completion of specific dates and identification information, and submission to Douglas County as part of the formal bid process for providing third-party operation of the Connect Douglas public transportation system.

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Text version

NON-COLLUSION AFFIDAVIT

The undersigned bidder or agent, being duly sworn on oath, says that he/she has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding.

He/She further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee gift, commission or thing of value on account of such sale.

OATH AND AFFIRMATION

I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED

IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT.

Dated this ______________day of, ____, ____

(Name of Organization)

(Title of Person Signing)

(Signature)

(Bid Number)

ACKNOWLEDGEMENT

STATE OF_________________________ )

COUNTY OF_______________________ )

Before me, a Notary Public, personally appeared the above named and swore that the statements contained in the foregoing document are true and correct.

Subscribed and sworn to me this_______ day of ________________,_________.

Notary Public Signature My Commission Expires:___________________________________________________

File details come from the government source that posted it. Updated .