Non Collusion Affidavit (35).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000070
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit document required for public works bidding. The affidavit establishes that the bidding organization and its representatives have not engaged in any collusive practices, price-fixing agreements, or coordinated bidding strategies with other potential bidders. The undersigned bidder attests under oath that the bid has been submitted independently without any arrangements, understandings, or agreements with other parties regarding pricing or bidding behavior. Additionally, the affidavit confirms that no rebates, fees, gifts, commissions, or other things of value will be provided to any person or entity in connection with the bid submission.
The document requires notarization by a Notary Public to validate the sworn statements contained within. The affidavit must be completed with the organization name, title of the signatory, signature, bid number, and relevant dates. The signatory affirms the truthfulness of all information under the penalties for perjury, establishing legal accountability for the statements made. This form is a standard compliance requirement for public works contracts and serves to ensure fair and ethical bidding practices by prohibiting collusion and maintaining the integrity of the procurement process.
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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 .