Non Collusion Affidavit (46).pdf
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- Attached to
- Financial Advisor Services
- Solicitation number
- PE-64800-NONST-2026-000000084
- Issued by
- Georgia
About this file
This is a Non-Collusion Affidavit template required for bidding on a Financial Advisor Services contract with the Douglas County Board of Commissioners in Georgia. The affidavit serves as a sworn statement in which bidders confirm they have not engaged in collusion, price-fixing, or anti-competitive agreements with other bidders or parties. Bidders must affirm under penalties of perjury that their proposal is submitted independently without any coordination regarding pricing, bid suppression, or the exchange of rebates, fees, gifts, commissions, or other things of value. The document requires the bidder's organization name, the title and signature of the authorized representative, the bid number, and the date of submission.
The affidavit must be notarized before a Notary Public, who verifies the signer's identity and confirms that the statements are sworn to be true and correct. The Notary Public's signature, the date of notarization, and commission expiration date must be included on the document. This requirement ensures the integrity of the competitive bidding process for Douglas County's selection of a Municipal Advisor or Financial Advisor to assist with financial policy development, maintenance and replacement fund planning, and bond or debt issuance structuring for capital projects.
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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 .