Non Influence Affidavit.doc

DOC document 83 KB Posted

Attached to
Building C Meeting Room Carpet Replacement Phase IV
Solicitation number
PE-92200-RFP-2027-000000085
Issued by
Fulton County, Georgia

About this file

This is a Non-Influence Affidavit required by the Georgia World Congress Center Authority for the Building C Meeting Room Carpet Replacement Phase IV project. The affidavit is executed by an official of the general contractor and notarized, wherein the signatory swears under oath that neither the contractor nor any of its representatives have knowledge of any influence or attempted influence exerted by employees, officers, agents, or representatives of the Georgia World Congress Center Authority or the State Government of Georgia regarding the purchase of materials, equipment, or other items involved in the construction, manufacture, or employment of labor under the contract.

The affidavit serves as a compliance document ensuring procurement integrity and the absence of improper influence in the contractor selection and contract execution process. The document requires completion with specific contract dates, contractor names, signatory information, and notarization by a qualified notary public. This document must be submitted as part of the contractor's response to the solicitation for carpet replacement services at the Georgia World Congress Center Authority facility.

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Text version

NON-INFLUENCE AFFIDAVIT

COUNTY OF

STATE OF

I do solemnly swear on my oath that as to the contract dated , 20 , between and the GEORGIA WORLD CONGRESS CENTER

(NAME OF GENERAL CONTRACTOR)

AUTHORITY, I have no knowledge of the exertion of any influence or the attempted exertion of any influence on the firm on behalf of which this affidavit is made in any way, manner, or form in the purchase of materials, equipment, or other items involved in construction, manufacture, or employment of labor under the aforesaid contract by any employee, officer, or agent of Georgia World Congress Center Authority, or any person connected with the State Government of Georgia in any way whatsoever.

This day of , 20 .

(L.S.)

Signature

Title

Firm

COUNTY OF

STATE OF

Personally before me, the undersigned authority, appeared ( ), (NAME OF PERSON SIGNING AFFIDAVIT) who is known to me to be an official of the firm of ( ) who, (NAME OF GENERAL CONTRACTOR) after being duly sworn, stated on his oath that he had read the above statement and that the same is true and correct.

Notary Public

My Commission expires:

This day of , 20

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