Non Collusion Affidavit (41).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000077
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form required for public works bidding. The document serves as a sworn statement in which the bidder certifies that they have not engaged in any collusive practices, price-fixing arrangements, or agreements with other parties regarding bid submission. The affidavit requires the bidder or authorized agent to affirm under penalties of perjury that the bid is made independently, without coordination with competitors, and that no rebates, fees, gifts, commissions, or other things of value have been or will be exchanged in connection with the bid.
The affidavit must be completed with the bidder's organization name, signatory title, signature, and bid number, then notarized before a Notary Public who verifies the signatory's identity and the truthfulness of the statements. The notary must document the date of notarization and provide their signature and commission expiration date. This certification is a standard procurement requirement designed to ensure fair and competitive bidding practices for public works contracts.
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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 .