Fillable Printable Non-Collusion Affidavit Form - Minnesota

Non-Collusion Affidavit Form - Minnesota

NON-COLLUSION AFFIDAVIT

The following Non-Collusion Affidavit shall be executed by the bidder:

State Project No. __________________________________

Federal Project No. ________________________________

State of Minnesota _______________)

) ss

County of ________________________)

I, _________________________________________, do state under penalty of

(name of person signing this affidavit)

perjury under 28 U.S.C. 1746 of the laws of the United States:

(1) that I am the authorized representative of ______________________________

___________________________________________________________________________

(name of person, partnership or corporation submitting this proposal)

and that I have the authority to make this affidavit for and on behalf of said bidder;

(2) that, in connection with this proposal, the said bidder has not either directly or

indirectly entered into any agreement, participated in any collusion or otherwise taken any

action in restraint of free competitive bidding;

(3) that, to the best of my knowledge and belief, the contents of this proposal have

not been communicated by the bidder or by any of his/her employees or agents to any person

who is not an employee or agent of the bidder or of the surety on any bond furnished with the

proposal and will not be communicated to any person who is not an employee or agent of the

bidder or of said surety prior to the official opening of the proposal, and

(4) that I have fully informed myself regarding the accuracy of the statements

made in this affidavit.

Signed: ________________________________

(bidder or his authorized representative)