Non Collusion Affidavit (45).pdf
PDF 73 KB Posted
- Attached to
- Public Health Building Renovation
- Solicitation number
- PE-64800-NONST-2026-000000083
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form required for the Public Health Building Renovation project issued by Douglas County, Georgia. The affidavit serves as a sworn declaration from bidders certifying that they have not engaged in any collusive practices, price-fixing, bid-rigging, or other anticompetitive conduct related to the solicitation. Bidders must affirm under penalty of perjury that their proposal was prepared independently without coordination with other bidders and that no rebates, fees, gifts, or commissions have been offered or received in connection with the bid. The document requires completion with the bidder's organization name, title of the signing officer, signature, and bid number, along with notarization by a public notary who must verify the truthfulness of the statements and document their commission expiration date.
The affidavit is a standard compliance document applicable to the Douglas County Public Health Center design-build project located in Douglasville, Georgia. All respondents to the Request for Proposal must submit this executed form as part of their bid package to demonstrate good faith participation in the competitive procurement process. The form protects the integrity of the solicitation by establishing legal liability for any misrepresentations regarding collusive conduct, thereby ensuring fair competition among all qualified bidders for this publicly-funded project.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .