Non Collusion Affidavit (43).pdf
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- Solicitation number
- PE-64800-NONST-2027-000000080
- Issued by
- Georgia
About this file
This is a Non-Collusion Affidavit form required for bidding on a Douglas County, Georgia janitorial services contract. The affidavit must be completed and sworn by the bidder or authorized agent to certify that no collusive agreements, price-fixing arrangements, or undisclosed rebates exist between the bidder and any other parties involved in the procurement process. The form requires the bidder to affirm under penalties of perjury that all information in the bid for public works is true and accurate. Bidders must provide their organization name, the signing official's title, their signature, and the bid number. The affidavit must be notarized by a public notary who confirms the date of the sworn statement and provides their signature and commission expiration date.
This document serves as a standard compliance requirement for the Douglas County Board of Commissioners' request for proposals for janitorial services at various county-owned locations. The contract term is one year with the option to extend for up to four additional one-year terms. Submission of the completed and notarized Non-Collusion Affidavit is mandatory for bid consideration and reflects the county's commitment to fair and ethical procurement practices free from anti-competitive behavior.
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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 .