Non Collusion Affidavit (8).pdf
PDF 73 KB Posted
- Attached to
- Boundary Waters Aquatic Center Renovations
- Solicitation number
- PE-64800-NONST-2025-000000044
- Issued by
- Douglas County, Georgia
About this file
This is a Non-Collusion Affidavit form that must be signed by bidders participating in public works projects. The document requires bidders to certify under oath that they have not entered into any combinations, collusions, or agreements with other parties regarding bid prices, preventing others from bidding, or inducing others to refrain from bidding. The form also requires affirmation that no rebates, fees, gifts, commissions, or items of value will be given or received in connection with the sale.
The document requires several pieces of information to be completed, including the date, organization name, title and signature of the authorized representative, and bid number. The form must be notarized, requiring the bidder to swear to the truthfulness of the statements before a Notary Public, who must then complete the acknowledgment section with their signature, commission expiration date, and the state and county where the document is executed.
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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 .