CERTIFICATE OF NON-COLLUSION. I/We certify that this is a bona fide Standing Quotation, and that I/we have not fixed or adjusted the amount of the Standing Quotation by or under or in accordance with any agreement or arrangements with any other person. I/We also certify that I/we have not done and I/we undertake that I/we will not do at any time before the date of notification of acceptance of this Standing Quotation any of the following acts:
(a) Communicate to any person other than the person calling for those Standing Quotations the amount or approximate amount of the proposed Standing Quotation, except where the disclosure, in confidence, of the approximate amount of the Standing Quotation was necessary to obtain insurance premium quotations required for the preparation of the Standing Quotation;
(b) Enter into agreement or arrangements with any other person that he shall refrain from tendering or as to the amount of any Standing Quotation to be submitted;
(c) Offer or pay or give or agree to pay or give any sum of money or valuable consideration directly or indirectly to any person for doing or having done in relation to any other Standing Quotation or proposed Standing Quotation any act or thing of the sort described above. In this certificate, the word “person” includes any person and any body or association, corporation or unincorporated, and “any agreement or arrangement” includes any such transaction, formal or informal, and whether legally binding or not. I/We expressly acknowledge and agree that, without prejudice to any other rights of the Authority, if this certification is in anyway incorrect, or becomes incorrect prior to the award of this Standing Quotation, the Authority may:
(i) disqualify my/our Standing Quotation from consideration;
(ii) withdraw any confirmation of award of Standing Quotation already made, without penalty or liability;
(iii) disqualify me/us, our holding company and subsidiaries from participation in any future Standing Quotations issued by the Authority for such period as the Authority may in its entire discretion consider appropriate;
(iv) take such other actions, including reporting me/us to the government or regulatory authorities in Hong Kong or elsewhere, as the Authority considers appropriate. Name of Seller : Name : Authorized Signature : Seller’s Chop : Position Held : E-mail Address : Date : Tel. No: Fax No.:
CERTIFICATE OF NON-COLLUSION. By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief:
CERTIFICATE OF NON-COLLUSION. The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word "person" shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals. Pursuant to M.G.L. c. 62C, §49A, I certify under the penalties of perjury that, to the best of my knowledge and belief, I am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting child support.
CERTIFICATE OF NON-COLLUSION. The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person’ shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals. Signature of individual submitting bid or proposal Pursuant to M.G.L. Ch. 62C, Sec. 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, am in compliance with all laws of the Commonwealth of Massachusetts relating to taxes, reporting of employees and contractors, and withholding and remitting child support. Signature of individual submitting bid or proposal Any person or corporation that fails to date, sign with original signature, and submit the following statement shall not be awarded this contract. DEBARMENT (Chapter 550, Acts of 1991) The undersigned certifies under penalties of perjury that the said undersigned is not presently debarred from doing public construction work in the Commonwealth of Massachusetts under the provisions of Section 29F of Chapter 29 of the General Laws, or any other applicable debarment provisions of any other Chapter of the General Laws, or any Rule or Regulation promulgated thereunder. DATE: Typed or Printed Name of Person Signing Authorized Official's Signature Company or Corporation
CERTIFICATE OF NON-COLLUSION. [Note: This form must be completed and signed by an authorized representative of each bidder.] Be it known that (name), being first duly sworn, deposes and testifies that he/she is the
CERTIFICATE OF NON-COLLUSION. The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean natural person, business, partnership, corporation, committee, union, club or other organization, entity, or group of individuals. Signature Date Print Name & Title Company Name
CERTIFICATE OF NON-COLLUSION. The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person’ shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals. Signature of individual submitting bid or proposal Pursuant to M.G.L. Ch. 62C, Sec. 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, am in compliance with all laws of the Commonwealth of Massachusetts relating to taxes, reporting of employees and contractors, and withholding and remitting child support. Signature of individual submitting bid or proposal The Contractor agrees to comply with all applicable Federal and State statutes, rules and regulations prohibiting discrimination in employment, including but not limited to, the American with Disabilities Act 42 USC 12101, 28 CFR Part 356, or as amended; 29 USC S.791 et. seq.; Executive Orders 227, 237, 246; MGL C 151B; and MGL C.272 S. 92A, S98 et. seq., or any amendments to these provisions. Pursuant to Executive Orders 227 and 246, the Contractor is required to take affirmative actions designed to eliminate the patterns and practices of discrimination including providing written notice of its commitment to non-discrimination to any labor association with which it has an employment agreement, and to certified minority and women-owned businesses and organizations or businesses owned by individuals with disabilities. The City of Greenfield shall not be liable for any costs associated with the Contractor’s defense of claims of discrimination. Contractor By: (Signature of Authorized Representative) Title Date AFFIDAVIT OF COMPLIANCE FORM AF – 4A 1/78 The Commonwealth of Massachusetts I, , President Clerk of whose principal office is located do hereby certify that the above named Corporation has filed with the State Secretary all certificates and annual reports required by Chapter 156B, Section 109 (Business Corporation), by Chapter 181, Section 4 (Foreign Corporation), or by Chapter 180, Section 26A (non-profit Corporation) of the Massachusetts General Laws. SIGNED UNDER THE PENALTIES OF PERJURY THIS day of . Signature of responsible Corporate Officer: This certification is required pursuant to Executive Order 11246 (30 F.R. 12319-25). The implementing rules and regulations provide that any bidder or ...
CERTIFICATE OF NON-COLLUSION. The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity or group of individuals. The undersigned certifies that no representations made by any City officials, employees, entity, or group of individuals other than the Purchasing Agent of the City of Xxxxxxx was relied upon in the making of this bid (Signature of person signing bid or proposal) Date Pursuant to M.G.L. c. 62C, & 49A,I certify under the penalties of perjury that, to the best of my knowledge and belief, I am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting child support. Signature of person submitting bid or proposal Date Name of business NOTE Failure to submit any of the required documents, in this or in other sections, with your bid response package may cause the disqualification of your proposal.
CERTIFICATE OF NON-COLLUSION. Supplier certifies under penalties of perjury that this Agreement has been made in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity of group of individuals.
