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

Noncollusion Declaration Form

This is a Noncollusion Declaration form required by the City of Napa Public Works for submission with bid proposals. The form serves as a sworn statement in which bidders certify that their bid is genuine, independent, and made without collusion or coordination with other bidders. Bidders must declare that they have not engaged in any agreements, communications, or conferences to fix bid prices, overhead, profit, or cost elements; have not solicited false or sham bids from other parties; and have not divulged bid information to any third party for collusive purposes. The declaration must be executed by an authorized representative of the bidding entity, whether an individual, corporation, partnership, joint venture, limited liability company, or other business structure. The form is designed to comply with California Public Contract Code Section 7106 and Title 23 U.S.C. Section 112 and requires the signatory to declare under penalty of perjury that all statements are true and correct.

The executed declaration must be submitted with the bid proposal by the stated deadline. For the City of Napa's Trucking Services contract, proposals are due electronically by February 13, 2026, at 4:00 p.m. The declaration serves as a standard compliance requirement in public procurement processes to ensure fair and competitive bidding and to protect the integrity of the contracting process. No specific exemptions or alternative compliance methods are provided in the form.

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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

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