Non Collusion Form~56.doc

DOC document 23 KB Posted

Attached to
DFSJW RFR for Digital Energy Management System Services
Solicitation number
BD-26-1021-DFS-DFS01-128163
Issued by
Massachusetts

About this file

This is a Non-Collusion Certificate form required for submission with bids or proposals to the Department of Fire, Safety, and Justice for the Commonwealth of Massachusetts in response to an RFR for Digital Energy Management System Services. The form serves as a certification instrument wherein the bidder attests under penalties of perjury that the bid or proposal has been submitted in good faith and without collusion or fraud with any other person, including natural persons, businesses, partnerships, corporations, unions, committees, clubs, or other organizations and entities. The form requires the signature of the individual submitting the bid or proposal, the name of the business entity, the RFR number, and identification of the bidder.

The Digital Energy Management System services RFR encompasses preventative maintenance, programming, remote access, mechanical repairs, upgrades including parts, consulting services, and training. No specific pricing terms, response dates, due dates, site visits, bidders' meetings, award dates, contract terms, renewal options, set-asides, incumbent information, funding amounts, or other salient contractual details are contained within this non-collusion form, as the document is limited to certification requirements for bid submission.

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Text version

Certificate of Non-Collusion Completion of this form is required

Bidder:

RFR Name/Title:

RFR Number:

The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certificate, the word ""person'' shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.

(Signature of individual submitting bid or proposal)

(Name of business)

File details come from the government source that posted it. Updated .