00 45 19 Non Collusion Affidavit.pdf
PDF 497 KB Posted
- Attached to
- West Pump Station Replacement Project
- Solicitation number
- Not on record
- Issued by
- Chester County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form required for the West Pump Station Replacement Project administered by Northwestern Chester County Municipal Authority in Pennsylvania. The affidavit must be completed and sworn by an authorized representative of any contractor submitting a bid for one or more of the three separate contracts: WPS-1 (General Construction), WPS-2 (Electrical Construction), or WPS-3 (Mechanical Construction). The project involves construction of a new suction lift style pump station with building and site improvements to replace the existing West Pump Station, including demolition of the existing below-grade package pump station, construction of sanitary sewer piping and associated infrastructure, installation of new pumps, construction of force main piping, and general site improvements. Online bids for all contracts on a lump sum basis are due by Wednesday, May 20, 2026 at 10:00 AM local time, at which point bids will be publicly opened and read. Bidding documents are available through the PennBid website at https://pennbid.bonfirehub.com/.
The Non-Collusion Affidavit requires the bidder to certify under oath that bid prices have been arrived at independently without consultation or agreement with other contractors, that prices have not been disclosed to competitors, that no attempts have been made to induce other firms to refrain from bidding or submit noncompetitive bids, and that the bid is submitted in good faith without any agreement to submit a complementary bid. The affidavit further requires disclosure of any conviction or liability in the preceding four years for acts involving conspiracy or collusion with respect to bidding on public contracts. The form must be notarized and is material to contract award, with any misstatement treated as fraudulent concealment of facts relating to bid submission.
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Text version
Herbert, Rowland & Grubic, Inc. 00 45 19 - 1 000483.0450
NON-COLLUSION AFFIDAVIT
STATE OF :
S.S.
COUNTY OF : CONTRACT NO.
I state that I am [Title] of [Contractor] 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) _________________________________ (Contractor), its affiliates, subsidiaries, officers, directors and employees and have not, in the last four 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:
I state that (Contractor) understands and acknowledges that the above representations are material and important, and will be relied on by the ______________________ (Owner) in awarding the contract(s) for which this bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the (Owner) of the true facts relating to the submission of bids for this contract.
SWORN TO AND SUBSCRIBED BEFORE ME
THIS DAY OF Name and Company Position
Notary Public Signature Date
(SEAL)
My Commission Expires:
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