Non-Collusion Affidavit Form printable pdf download

Non-Collusion Affidavit Form

This Affidavit to be Fully Executed

NON-COLLUSION AFFIDAVIT

STATE OF

)_____________________

)ss.

COUNTY OF

)_____________________

__________________________________________________, affiant,

the ________________________________________________________

(President, Secretary, Manager, Owner, or Representative of)

____________________________________________________________

Name of Company or Corporation or Owner

the person, corporation, or company who makes the accompanying Bid, having first been duly

sworn, deposes and says:

That such Bid is genuine, and not sham or collusive, nor made in the interest or behalf of any

person not herein named, and that the Bidder has not directly or indirectly induced or solicited

any other Bidder to put in a sham bid, or any other person, firm, or corporation to refrain from

bidding, and that the Bidder has not in any manner sought by collusion to secure for itself an

advantage over any other Bidder.

_________________________________

Signature of: President, Secretary

Manager, Owner, or Representative

Subscribed and sworn to before me

this _____day of _________, 2013.

_________________________________

Signature of Notary Public in and

for the County of___________________

State of __________________________

Non-collusion Affidavit

Non-Collusion Affidavit Form