Noncollusion_Declaration.pdf
PDF 240 KB Posted
- Attached to
- Internal Audit Services
- Solicitation number
- 2025-RFP-071
- Issued by
- San Bernardino County, California
About this file
This is a Noncollusion Declaration form issued by the City of Napa Public Works for use with contract bid submissions. The document requires bidders to certify under penalty of perjury that their bid is genuine, independent, and made without collusion, conspiracy, or coordination with other bidders or parties. Bidders must declare that they have not solicited false or sham bids from competitors, fixed pricing or cost elements with other bidders, or divulged bid information to facilitate collusive bidding. The declaration must be executed by an authorized representative of the bidding entity and submitted with the bid proposal. Any person signing on behalf of a corporation, partnership, joint venture, limited liability company, or other entity must represent that they possess full authority to execute the declaration on the organization's behalf.
The form is designed to comply with California Public Contract Code Section 7106 and Title 23 U.S.C. Section 112. Execution requires the signatory to identify their title and the bidding entity's business name, date the declaration, specify the city and state where execution occurs, print their name, and provide a signature. The declaration applies to the City of Napa's Trucking Services contract opportunity, which seeks qualified vendors to transport approximately 60,000 tons of asphalt, sand, aggregate, and related materials over a three-year term. The City anticipates awarding up to two multi-year agreements with a combined not-to-exceed amount of $3,000,000, with proposals due by February 13, 2026, at 4:00 p.m. through the procurement portal.
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Text version
City of Napa Public Works Contract Documents Form 4.4 (2024-2-13)
Noncollusion Declaration
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
The undersigned declares:
I am the __________________________ [title] of _____________________________________ [business name], the party making the foregoing bid.
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. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to 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. All statements contained in the bid are true. 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, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
This declaration is intended to comply with California Public Contract Code § 7106 and Title 23 U.S.C § 112.
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 is executed on _______________ [date], at __________________________________ [city], _______ [state].
s/________________________________________
Name [print]
END OF NONCOLLUSION DECLARATION
File details come from the government source that posted it. Updated .