Non_Collusion_Form-18th_Ave_S_bridge.pdf
PDF 90 KB Posted
- Solicitation number
- 0000004250
- Issued by
- Hennepin County, Minnesota
About this file
This is a Non-Collusion Affidavit form for the City of Minneapolis Public Works Department's 18th Avenue South bridge over Midtown Greenway Bridge Reconstruction project in Minnesota. The affidavit must be executed by authorized representatives of bidding entities and serves as a sworn statement certifying that the bidder has not engaged in collusion, price-fixing, or any other anti-competitive practices in connection with the proposal submission. The form requires the bidder to confirm that proposal contents have not been communicated to unauthorized parties prior to the official opening and that the signatory has thoroughly informed themselves regarding the accuracy of all statements made in the affidavit.
The affidavit is executed under penalty of perjury pursuant to 28 U.S.C. 1746 and requires identification of both State Project Number and Federal Project Number fields. The document obligates bidders to attest that they have maintained the confidentiality of their proposal and have not participated in any agreements or collusion that would restrain free competitive bidding. This form is a standard requirement for public works projects and must be completed and submitted as part of the bidding process for the bridge reconstruction project.
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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)
Draft - For Review Ref.Page 191 of 412 7/16/25
File details come from the government source that posted it. Updated .