Non Collusion Affidavit (47).pdf

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Attached to
Basketball Court Flooring Restoration
Solicitation number
PE-64800-NONST-2027-000000085
Issued by
Georgia

About this file

This is a Non-Collusion Affidavit form required for a Basketball Court Flooring Restoration project in Georgia. The affidavit serves as a sworn statement in which bidders certify that they have not engaged in any collusive practices, price-fixing arrangements, or agreements with other bidders regarding the bid submission. Bidders must affirm under penalty of perjury that the bid is submitted independently without coordination with competitors, and that no rebates, fees, gifts, commissions, or other consideration will be provided to any party related to the bid. The form requires the bidder to provide their organization name, title of the signing authority, signature, and bid number, along with notarization by a public notary who must verify the truthfulness of the statements and document the date of execution and commission expiration.

This document contains no pricing information, set-asides, or contract terms as it is solely a compliance and certification form. The affidavit is a standard requirement in public works procurement to ensure competitive integrity and prevent anticompetitive behavior among bidders. No specific response dates, award information, or funding details are included in this particular document.

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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 .