Non-Collusion_Affidavit.pdf
PDF 92 KB Posted
- Attached to
- Supply/Delivery of Unleaded Gas, Renewable Diesel, Neste-MY Renewable Diesel, and Fuel Card Usage
- Solicitation number
- 26-046
- Issued by
- Alameda County, California
About this file
This is a Non-Collusion Affidavit document required by the City of Hayward, California for a Request for Quote (RFQ) solicitation regarding the supply and delivery of unleaded gas, renewable diesel, Neste-MY renewable diesel, and fuel card usage services. The affidavit must be completed, executed, and submitted with the bid form by the person making the bid. The document requires the bidder to attest under oath that the bid is genuine and not collusive or sham, that no inducements or solicitations have been made to other bidders to submit false bids, and that no agreements exist with other bidders regarding bid pricing, overhead, profit, or cost elements.
The affidavit further requires the bidder to certify that all statements contained in the bid are true and that the bidder has not submitted bid pricing information, breakdown details, or related data to any third party, nor paid any fee to any entity to effectuate a collusive or sham bid. The document must be signed by the person making the bid, with printed name and date required. The City of Hayward is accepting electronic bid submissions through the OpenGov Procurement platform at https://procurement.opengov.com/portal/hayward-ca, where prospective bidders must create a free account to submit their responses.
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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 .