Non_Collusion_Affidavit.pdf
PDF 74 KB Posted
- Attached to
- 123 N. H Street EV Charger Parking Lot Project
- Solicitation number
- 2026-ITB-002DW
- Issued by
- Santa Barbara County, Los Angeles City, California
About this file
This is a Non-Collusion Affidavit form issued by the City of Lompoc, California, Purchasing Department for the 123 N. H Street EV Charger Parking Lot Project. The affidavit must be completed and submitted by bidders as part of their proposal package. Bids are due by 2:00 pm on Thursday, January 29, 2026, and all proposals must remain valid for 90 calendar days following the bid opening date. The project involves the development of a new electric vehicle charging facility in downtown Lompoc, including grading, paving, concrete walkways, curbing, ADA-compliant parking upgrades, EV charging station installation, protective bollards, landscaping, signage, pavement markings, and electrical coordination for conduit placement and power connections.
The Non-Collusion Affidavit requires the authorized representative of each bidding company to attest under penalty of perjury that the submitted bid is genuine and not collusive, that no collusion or conspiracy to restrain competition has occurred among bidders, that no consideration has been exchanged for collusion or restraint of competition, and that bid pricing and terms have not been disclosed to other bidders prior to the official bid opening. A notary public signature is required if specified. Interested bidders should contact the City of Lompoc Purchasing Department at 100 Civic Center Plaza, Lompoc, CA 93436, (805) 875-8000, or purchasing@ci.lompoc.ca.us for additional solicitation documents and specifications.
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Text version
Non-Collusion Affidavit
City of Lompoc, Purchasing Department, 100 Civic Center Plaza, Lompoc, CA 93436 (805)875-8000 fax (805)875-8633 purchasing@ci.lompoc.ca.us
To: City of Lompoc – Purchasing Department
From:
Project Name: __________________________________________
Solicitation Number: _____________________________________
Bidder/Company Name: ___________________________________
Business Address: _______________________________________
City, State, ZIP: _________________________________________
AFFIDAVIT
I, ______________________________________, (Name of authorized representative) being duly sworn, depose and say that:
1. I am the ____________________________ of the above-named company, (Title or Position) and am authorized to make this affidavit on its behalf.
2. The bid submitted for the above-referenced project is genuine and not a sham or collusive.
3. Neither the bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest has colluded, conspired, or agreed—directly or indirectly—with any other bidder, firm, or person to submit a sham bid or to refrain from bidding.
4. No person or entity has received or will receive any fee, commission, gift, or other consideration in exchange for collusion or restraint of competition.
5. The bidder has not disclosed its bid price or terms to any other bidder or potential bidder prior to the official bid opening.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature: __________________________________________
Printed Name: _______________________________________
Title: _______________________________________________
Date: _______________________________________________
Notary Public Signature (if required): ______________________
Commission Number: _________________________________
Expiration Date: _______________________________________ mailto:purchasing@ci.lompoc.ca.us
File details come from the government source that posted it. Updated .