Non-Collusion_Declaration.pdf
PDF 78 KB Posted
- Solicitation number
- PW2026-12
- Issued by
- Los Angeles County, California
About this file
This is a Non-Collusion Declaration form required for bidders participating in the City of California's Safe Streets For All (SS4A) Action Plan and Demonstration Projects contract opportunity. The declaration must be executed by the bidder and submitted with the bid to confirm that the bid is genuine, independent, and made without collusion with other parties. The form requires the signatory to declare that no inducements, solicitations, or agreements have been made with other bidders to submit false bids, refrain from bidding, or fix bid prices, overhead, profit, or cost elements. The signatory must also certify that all statements in the bid are true and that no bid information has been divulged to third parties for collusive purposes.
The declaration must be signed under penalty of perjury under California state law and must include the date, city, and state of execution. Any person executing the declaration on behalf of a corporation, partnership, joint venture, limited liability company, or other entity represents that they have full authority to do so. The form serves as a standard anti-collusion safeguard commonly required in government contracting to ensure fair competition and bid integrity.
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Text version
324225.3 V2
NON-COLLUSION DECLARATION
TO BE EXECUTED BY
BIDDER AND SUBMITTED WITH BID
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], at ____________________________[city], __________________[state].”
Signature
Printed Name of Signatory
NON-COLLUSION DECLARATION
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