Non Collusion Affidavit (6).pdf
PDF 73 KB Posted
- Attached to
- Mowing & Litter Removal
- Solicitation number
- PE-64800-NONST-2025-000000043
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form that appears to be a required document for a public works bid submission. The form requires bidders to legally attest that they have not engaged in any collusion, combination, or agreement with other parties regarding bid pricing or preventing others from bidding. It must be signed by an authorized representative of the bidding organization and notarized.
The document requires specific details including the organization name, title of person signing, signature, and bid number. The affidavit must be sworn before a notary public, requiring state and county information, notary signature, and commission expiration date. The form includes a sworn statement that no rebates, fees, gifts, commissions or items of value will be given in connection with the sale, and the signer affirms under penalty of perjury that all bid information is true and correct.
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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 .