Non-Collusion Declaration Fillable Form.pdf
PDF 260 KB Posted
- Attached to
- Downtown Enhancements – Phase 1
- Solicitation number
- 147108
- Issued by
- San Diego County, California
About this file
This is a Non-Collusion Declaration form for the Downtown Enhancements – Phase 1 project (Contract No. 27-CO-EN-1206) issued by the State of California. The form serves as a sworn declaration required from bidders participating in this state contract opportunity. Bidders must certify that their bid is genuine, not collusive or sham, and made independently without coordination with other bidders or undisclosed parties. The declaration requires the bidder's principal to attest under penalty of perjury that no agreements have been made to fix bid prices, manipulate overhead or profit elements, or provide false information to achieve a collusive advantage.
The form mandates notarization and requires the bidder to declare full authority to execute the document on behalf of the bidding entity. The undersigned official must provide their name, title, and the bidder's organization name, then execute the declaration before a notary public in California. This document is a standard compliance requirement under California Public Contract Code section 7106 and must be completed and submitted as part of the bid package to ensure the integrity of the procurement process.
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Text version
SD #4821-4737-7394 v1r
NON-COLLUSION DECLARATION
Downtown Enhancements – Phase 1
Contract No. 27-CO-EN-1206
State of California ) ) ss.
County of )
I, ______________________________________________, the undersigned, declare:
(Name of Bidder’s Principal)
I am the _______________________________________ of (Title)
___________________________________________, the party making the foregoing bid.
(Name of Bidder)
I further declare that in compliance with Public Contract Code section 7106, 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, 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; 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 to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; all statements contained in the bid are true; and 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, 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.
I hereby represent and warrant that I have full power to execute, and do 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 was executed at _____________, California on this ___________ day of _____________________, 20____.
(Signature of Bidder)
Subscribed and sworn to before me on the _______ day of __________________, 20____.
(NOTARY SEAL)
(Signature of Notary)
| I: |
| I am the: |
| the party making the foregoing bid: |
| and correct and that this declaration was executed at: |
| California on this: |
| day of 1: |
| 20: |
| Subscribed and sworn to before me on the: |
| day of: |
| 20_2: |
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