Non Influence Affidavit.pdf

PDF 83 KB Posted

Attached to
Building B Meeting Room Carpet Replacement Phase III
Solicitation number
PE-92200-RFP-2026-000000073
Issued by
Fulton County, Georgia

About this file

This is a Non-Influence Affidavit form used by the Georgia World Congress Center Authority in connection with state and local contracts. The affidavit serves as a sworn statement in which a general contractor or firm representative certifies that no improper influence has been exerted or attempted regarding the procurement of materials, equipment, labor, or other items involved in construction, manufacture, or employment under a specified contract. The affidavit requires the signatory to declare under oath that neither employees, officers, agents of the Georgia World Congress Center Authority nor any persons connected with the State Government of Georgia have attempted to influence the firm in any manner related to the contract execution.

The affidavit must be executed before a notary public and includes certification by the notary that the affiant is known to be an official of the named general contractor firm, has been duly sworn, and has confirmed the truthfulness of the statement. The document requires completion of contract dates, contractor names, affiant names and titles, and notary commission expiration dates. This form is a standard compliance requirement intended to ensure procurement integrity and prevent conflicts of interest in state contracting processes.

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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

COUNTY OF
(L.S.)
COUNTY OF

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