Non-Collusion Affidavit Form - Montgomery County Community College
NON-COLLUSION AFFIDAVIT
State of :
SS
County of :
I state that I am of
(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 Bid.
I state that:
1. The price(s) and amount of this Bid have been arrived at
independently and without consultation, communication or
agreement with any other contractor, bidder or potential bidder.
2. Neither the price(s) nor the amount of this Bid, and neither the
approximate price(s) nor approximate amount of this Bid, have
been disclosed to any other firm or person who is a bidder or
potential bidder, and they will not be disclosed before Bid opening.
3. No attempt has been made or will be made to induce any firm or
person to refrain from bidding on this contract, or to submit a bid
higher than this Bid, or to submit any intentionally high or
noncompetitive bid or other form of complementary bid.
4. The Bid of 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 bid.
5. , its affiliates,
(Name of My Firm)
subsidiaries, officers, directors and employees are not currently
under investigation by any governmental agency and have not in
the last three 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 on any public
contract except as follows:
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