Non-Collusion Affidavit Of Contractor Form printable pdf download

Non-Collusion Affidavit Of Contractor Form

NON-COLLUSION AFFIDAVIT OF CONTRACTOR

Attach to HUD-5369-A

does hereby state:

(name)

(1)

S/He is the ______________________________________________ of

(owner, partner, officer, or representative),

, hereinafter referred to as Contractor.

(business name)

(2)

S/He is fully knowledgeable of the preparation and contents of Subcontractor's proposals which

were submitted to (Contractor);

, for specific work required in

connection with a Home Forward project titled

and located at :

(3)

Said Contractor's proposal is genuine and is not a collusive or sham proposal;

(4)

Neither the Contractor nor any of its officers, partners, owners, agents, representatives,

employees, or parties in interest, including myself, has in any way colluded, conspired, connived,

or agreed, directly or indirectly, with any other bidder, firm, or person to submit a collusive or

sham proposal in connection with such contract or to refrain from submitting a proposal in

connection with such contract, or has in any manner, directly or indirectly, sought by unlawful

agreement or connivance with any other bidder, firm, or person to fix the price or prices in said

Contractor's Proposal, or to fix any overhead, profit, or cost element of the price or prices in said

Contractor's Proposal, or to secure through collusion, conspiracy, connivance, or unlawful

agreement any advantage against Home Forward, or any person interested in the proposed

Contract; and

(5)

The price or prices quoted in the Contractor's Proposal are fair and proper and are not tainted by

any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of

its agents, representatives, owners, employees, or parties in interest, including myself.

Signed:

Title:

Date:

Witnessed by:

Home Forward – Non-Collusion Affidavit

Non-Collusion Affidavit Of Contractor Form