Non Collusion Affidavit (29).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000065
- Issued by
- Georgia
About this file
This is a Non-Collusion Affidavit required by Douglas County, Georgia for bidders responding to the Transportation Special Purpose Local Option Sales Tax (T-SPLOST) Request for Qualifications. The affidavit must be completed and sworn by the bidder or authorized agent of the responding firm, corporation, or partnership. The document requires the bidder to certify under penalty of perjury that no collusion, combination, or agreement exists regarding bid pricing, bid prevention, or bid inducement with any other party. The affidavit must be notarized and include the organization name, signatory title, signature, bid number, and the date of execution. All documentation must be submitted with the bid proposal.
The affidavit serves as a compliance and integrity mechanism for the procurement process, requiring bidders to confirm that no rebates, fees, gifts, commissions, or things of value have been or will be exchanged in connection with the bid submission. The notarized acknowledgement section requires a Notary Public to verify the sworn statements and confirm the signatory's identity and the truthfulness of the affidavit contents. This document is a standard requirement in public works and government contracting to ensure fair competition and prevent fraudulent or corrupt bidding practices.
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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 .