Non Collusion Affidavit (42).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000079
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form required for the Douglas County Fleet Maintenance Generator Project in Georgia. The affidavit serves as a sworn statement in which bidders certify that they have not engaged in any collusion, combination, or agreement with other parties regarding bid pricing, bid prevention, or inducement to refrain from bidding. Bidders must affirm under penalties of perjury that the information contained in their public works bid is true and correct. The document requires completion by an authorized representative of the bidding organization, including the organization name, signer's title, signature, and bid number. The affidavit must be notarized, with the notary public providing their signature and commission expiration date.
This form is a standard compliance document required as part of the bidding process for the 100kW Diesel Standby Generator turnkey installation project. All bidders submitting proposals for this FEMA Hazard Mitigation Grant Program-funded project must complete and submit the executed affidavit with notarization. The affidavit ensures adherence to ethical bidding practices and federal requirements under 2 C.F.R. Part 200, protecting the integrity of the procurement process for Douglas County's Fleet Maintenance Building facility.
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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 .