Pawtucket, RI · Providence County
Affidavit of Non-Collusion and Non-Conviction
This affidavit lets a bidder certify that its proposed bid was prepared independently and that the bidder and specified associated individuals have not been convicted of state or federal crimes.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The affidavit asks the bidder to certify that its proposed bid price was reached independently, was not improperly discussed or disclosed, and was made fairly and without collusion or fraud. It also includes a certification about criminal convictions and a statement signed under the pains and penalties of perjury. The form is for use in connection with a bid; the text does not specify when Pawtucket requires it or how it must be submitted.
Who needs it
A bidder completing the non-collusion and non-conviction certifications for a bid, with the named individual signing the affidavit before a notary.
Why it needs a notary
The form contains an acknowledgment block; the above-named individual personally appears before the notary and acknowledges executing the instrument for its stated purposes.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit of Non-Collusion and Non-Conviction from the Pawtucket form source.
- 2
Fill In the Bidder Details
Enter the signer’s name and title, bidder and address, and the requested signature and date information.
- 3
Book an Online Notary
Schedule a remote appointment with a commissioned online notary.
- 4
Sign on Video
Appear for the notarial acknowledgment and acknowledge signing the affidavit for its stated purposes.
- 5
Submit the Affidavit
Submit the completed affidavit with your bid as instructed by the bid contact.
Preview the form
The blank PDF straight from Pawtucket. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete this affidavit?
- Fill in the bidder, business, and signer details, review the certifications, then sign the affidavit before a notary. The form includes a notarial acknowledgment.
- Do I need to sign in front of a notary?
- Yes. The form’s acknowledgment says the above-named individual personally appeared before a notary and acknowledged executing the instrument.
- Can I use an online notary for this form?
- Rhode Island permanently authorized remote online notarization for its own notaries in 2022. A commissioned online notary can notarize remotely located individuals under R.I. Gen. Laws §42-30.1-12.1, with certificate requirements in §42-30.1-12.2.
- How do I submit the completed affidavit?
- The form text does not state how or when to submit it. Ask the bid contact or confirm with the city or town clerk if unsure.