Non-Collusion_Affidavit.pdf
PDF 87 KB Posted
- Attached to
- BID-PW - Folwell Safe Routes to School
- Solicitation number
- 0000004339
- Issued by
- Hennepin County, Minnesota
About this file
This is a Non-Collusion Affidavit required for the South-Folwell Safe Routes to School project in Minnesota. The affidavit is a sworn statement that must be executed by an authorized representative of the bidding entity. The document requires the bidder to certify under penalty of perjury that the organization has not engaged in collusion, anti-competitive agreements, or any actions that restrain free competitive bidding in connection with the proposal submission.
The affidavit contains four primary certifications: (1) that the signatory is an authorized representative with authority to execute the affidavit on behalf of the bidder; (2) that the bidder has not directly or indirectly participated in any collusive agreements or actions restricting competitive bidding; (3) that the proposal contents have not been disclosed to unauthorized parties prior to the official opening and will not be disclosed to such parties before that time; and (4) that the signatory has fully informed themselves regarding the accuracy of all statements made in the affidavit. The document is associated with State Project No. 141-591-016 and Federal Project No. STBG 2726(069).
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Text version
NON-COLLUSION AFFIDAVIT
The following Non-Collusion Affidavit shall be executed by the bidder:
State Project No. __________________________________
Federal Project No. ________________________________
State of Minnesota _______________)
) ss
County of ________________________)
I, _________________________________________, do state under penalty of (name of person signing this affidavit) perjury under 28 U.S.C. 1746 of the laws of the United States:
(1) that I am the authorized representative of ______________________________
(name of person, partnership or corporation submitting this proposal) and that I have the authority to make this affidavit for and on behalf of said bidder;
(2) that, in connection with this proposal, the said bidder has not either directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding;
(3) that, to the best of my knowledge and belief, the contents of this proposal have not been communicated by the bidder or by any of his/her employees or agents to any person who is not an employee or agent of the bidder or of the surety on any bond furnished with the proposal and will not be communicated to any person who is not an employee or agent of the bidder or of said surety prior to the official opening of the proposal, and
(4) that I have fully informed myself regarding the accuracy of the statements made in this affidavit.
Signed: ________________________________ (bidder or his authorized representative)
141-591-016
STBG 2726(069)
File details come from the government source that posted it. Updated .