Non-Collusion Affidavit Form printable pdf download

NON-COLLUSION AFFIDAVIT

I state that I am

(Title)

(Name of Firm)

and that I am authorized to make this AFFIDAVIT on behalf of my firm, and its owners,

directors, and officers. I am the person responsible in my firm for the price(s) and the amount of

this proposal.

I state that:

(1) The budgets shown in this proposal have been arrived at independently and without

consultation, communication or agreement with any other contractor, responder, or potential

responder to this Request for Proposal (RFP).

(2) Neither the price(s) nor the amount of the proposal, and neither the approximate budgets nor

approximate amounts in this proposal, have been disclosed to any other firm or person who is a

responder or potential responder to this RFP, and they will not be disclosed before the proposal

opening.

(3) No attempt has been made or will be made to induce any firm or person to refrain from

responding to this RFP, or to induce them to submit a budget that is higher than the budget in this

proposal, or to submit any intentionally high or noncompetitive proposal or other form of non-

responsive proposal.

(4) The proposal and budget prepared by my firm is made in good faith and not pursuant to any

agreement or discussion with, or inducement from, any firm or person to submit a complementary

or other noncompetitive proposal.

(5)

, its affiliated, subsidiaries, officers, directors, and

(Name of Firm)

employees are not currently under investigation by any governmental agency and have not in the

last four years been convicted or found liable for any act prohibited by State or Federal law in any

jurisdiction, involving conspiracy or collusion with respect to bidding or proposing on any public

contract, except as follows:

I state that

understands and acknowledges that the

(Name of Firm)

above representations are material and important, and will be relied on by the California

Agricultural Commissioners and Sealers Association (CACASA) in awarding the contract(s) for

which this proposal is submitted. I understand and my firm understands that any misstatement in

this affidavit is and shall be treated as fraudulent concealment from CACASA of the true facts

relating to the submission of proposals for this contract.

Signature

(Print Name and Title)

SWORN TO AND SUBSCRIBED

BEFORE ME THIS

DAY

, 20

(Notary Public)

My Commission Expires

Non-Collusion Affidavit Form

Related Articles

Related forms

Related Categories