Non Collusion Affidavit (23).pdf
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- Attached to
- 2026 Mowing and Litter Bid
- Solicitation number
- PE-64800-NONST-2026-000000060
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form used for public works bidding. The affidavit requires the undersigned bidder or authorized agent to swear under oath that neither they nor any member, representative, or agent of their organization has engaged in collusion, combination, or agreement with any other party regarding bid pricing, bid prevention, or bid encouragement. The bidder must affirm that the bid is submitted independently without reference to other bids and without any agreements or understandings with other parties. The form requires the bidder to declare that no person or entity will receive any rebate, fee, gift, commission, or thing of value related to the sale, and that all facts and information contained in the public works bid are true and correct under penalties of perjury.
The affidavit must be completed with the date, name of organization, title of the person signing, signature, and bid number. The document requires notarization by a Notary Public who must verify that the statements in the affidavit are true and correct and record the date of subscription and oath, their signature, and the expiration date of their notarial commission. This form serves as a compliance document to ensure competitive bidding integrity and prevent fraudulent or collusive bidding practices in public works procurement.
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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 .