Non Collusion Affidavit (37).pdf

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Attached to
RIGHT-OF-WAY ACQUISITION LEGAL SERVICES
Solicitation number
PE-64800-NONST-2026-000000073
Issued by
Douglas County, Georgia

About this file

This is a Non-Collusion Affidavit form required for public works bidding. The affidavit requires bidders or their authorized agents to swear under oath that they have not engaged in any collusive practices, price-fixing agreements, or coordination with other bidders. Signatories must certify that the bid was prepared independently without reference to other bids and that no rebates, fees, gifts, commissions, or other compensation has been offered or received in connection with the bid submission.

The affidavit must be completed with the bidder's organization name, the title and signature of the authorized signing officer, and the bid number. The document requires notarization before a Notary Public, who must witness the oath and certify that the statements are true and correct. The form includes blank fields for the date of execution, state and county of notarization, and the notary's commission expiration date. Submission of this signed and notarized affidavit is a standard requirement for bid eligibility in public works contracting.

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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 .