00 45 19 Non Collusion Affidavit.pdf
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- Solicitation number
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- Lancaster County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form used by the Borough of Elizabethtown, Pennsylvania for sealed bid procurement processes. The affidavit applies to two contract opportunities: Contract No. 2025-01 for the 2025 Sanitary Sewer Improvements Project and Contract 2026-01 for the Sewer Maintenance & Emergency Contract. For the 2025 project, sealed bids are due Monday, September 15, 2025, at 10:00 AM, with a mandatory pre-bid conference scheduled for Wednesday, September 3, 2025, at 10:00 AM at the Elizabethtown Borough Building, 600 South Hanover Street, Elizabethtown, PA 17022. The project scope includes approximately 409 linear feet of 8-inch sanitary sewer main installation, one spot repair, approximately 152 linear feet of 4-inch and/or 6-inch sanitary sewer laterals, with two alternates encompassing manhole replacement and additional sewer line work. For the 2026 Sewer Maintenance & Emergency Contract, sealed bids are due Tuesday, June 16, 2026, at 10:00 AM via PennBid, with no pre-bid conference scheduled. This contract covers emergency and maintenance work for the Borough's sanitary sewer and storm sewer collection and conveyance systems upon issuance of work orders.
All bidding documents are available exclusively through PennBid at https://pennbid.bonfirehub.com/, with all official notifications and addenda posted only on this platform. For the 2026 contract, bid security must be furnished in the form of a Certified Check or Bid Bond in an amount not less than 10%. The Non-Collusion Affidavit requires the contractor's authorized representative to certify that bid prices were developed independently without consultation or communication with other bidders, that bid amounts have not been disclosed to other potential bidders, that no attempts have been made to induce other firms to refrain from bidding or submit non-competitive bids, and that neither the contractor nor its affiliates, subsidiaries, officers, directors, or employees have been convicted or found liable in the past four years for conspiracy or collusion related to public contract bidding. Prospective bidders are required to register as plan holders on the designated website and must acknowledge that misstatements in the affidavit will be treated as fraudulent concealment.
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Text version
Herbert, Rowland & Grubic, Inc. 00 45 19 - 1 000598.0465
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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