Non-Collusion_Declaration__Attachment_4_.pdf
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- 0000039997
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This is a Non-Collusion Declaration form required by the State of California for bidders submitting bids on public works contracts. The declaration serves as a certification that the bidder's submission is genuine and made independently without any coordination, agreement, or collusion with other bidders or parties. Bidders must affirm that their bid was not made on behalf of undisclosed parties, that they have not solicited false or sham bids from competitors, and that they have not engaged in any discussions or agreements to fix bid prices, overhead, profit margins, or other cost elements. The declaration requires the bidder to certify that all statements in the bid are truthful and that no bid information has been shared with other entities to facilitate collusive bidding.
The form must be executed by an authorized representative of the bidding entity, whether an individual, corporation, partnership, joint venture, limited liability company, or other business structure. The declaration is submitted under penalty of perjury under California law and must be signed, dated, and include the bidder's printed name, title, business name, and location information. This document is a standard compliance requirement for public works bidding in California and does not contain pricing, award dates, contract terms, or other project-specific details.
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Other files
| File | Type | Posted |
|---|---|---|
| 26-0036_IFB_Public_Works.pdf | ||
| Labor_Code_Certifications__Attachment_3_.pdf | ||
| Attachment_1__Cost_Proposal.pdf | ||
| Exhibit_A_-_Attachment_2.pdf |
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Text version
State Contracting Manual – Volume I 164
CHAPTER 10 – APPENDIX
NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER
AND SUBMITTED WITH BID FOR PUBLIC WORKS
(Rev 04/22)
The undersigned declares:
I am the ________________of _____________________, the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. 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. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on
____________ (date) in____________________ (city), ________ (state).
Signed: __________________________________
Print/Type Name: __________________________
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| Date: |
| City: |
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| Title: |
| Business Name: |
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