Non-Collusion_Affidavit.pdf

PDF 92 KB Posted

Attached to
High Injury Network Safety Plan (Phase 2)
Solicitation number
26-021
Issued by
Alameda County, California

About this file

This is a Non-Collusion Affidavit form required for submission with bid proposals to the City of Hayward, California, for RFP 26-021, the High Injury Network Safety Plan (Phase 2). The affidavit must be completed, executed, and submitted with the bid form as a mandatory requirement for proposal validity. The document requires the bidder to certify under oath that the bid is genuine and not collusive, that no undisclosed parties are involved in the bid, and that the bidder has not induced, solicited, or colluded with any other bidder regarding bid pricing, cost elements, or bid submission strategy. The affidavit further requires the bidder to affirm that all statements in the bid are true and that no fees have been paid or will be paid to facilitate a collusive or sham bid. All proposals must be submitted through the City's eProcurement Portal by 4:00 pm on Thursday, November 13, 2025.

The affidavit must be signed by the person making the bid with printed name and date provided, rendering the bid invalid if unsigned. The form applies to all prospective contractors bidding on the High Injury Network Safety Plan project, which involves safety analysis and improvements for 15 high-injury intersections across three primary road segments in Alameda County. No bid will be accepted without this executed affidavit, and any bidder found to have violated the non-collusion provisions may face disqualification from future bidding with the City of Hayward and potential monetary penalties.

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Text version

*THIS DOCUMENT MUST BE COMPLETED, EXECUTED AND SUBMITTED WITH THE BID FORM*

NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED

WITH BID.

State of California )

) ss.

County of )

, being first duly ;sworn, deposes and says that he or she is of

_ the party making the foregoing bid that the bid is not made in the interest of or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder as not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder or t secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and further, that the bidder has not, directly or indirectly, submitted his or her bid price of any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

*NO BID IS VALID UNLESS SIGNED BY THE PERSON MAKING THE BID*

SIGNATURE:__________________________

PRINT NAME: _________________________

DATE: _______________________________

File details come from the government source that posted it. Updated .