00 45 19 Non Collusion Affidavit.pdf
PDF 229 KB Posted
- Attached to
- WCTA Meter Replacement Project
- Solicitation number
- US.257570
- Issued by
- Lancaster County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form for the WCTA Meter Replacement Project, a construction initiative by West Cocalico Township Authority (Owner) in Pennsylvania. The project involves the replacement of approximately 790 water meters with new AMI (Advanced Metering Infrastructure) meters across West Cocalico Township. Bids for this project, identified by contract number 011364.0448, were to be received online via PennBid until Thursday, November 5, 2026 at 10:00 AM local time, with results posted publicly following the bid opening. Bid security in the form of a Certified Check or Bid Bond is required in an amount not less than 10% of the bid amount. All bidder questions must be submitted through PennBid in accordance with the Instructions to Bidders; telephone inquiries are not acceptable. Prospective bidders were urged to register with the PennBid website as plan holders and monitor the designated website for periodic updates, addenda, registered plan holder lists, and other relevant bidding information.
The Non-Collusion Affidavit requires the contractor's authorized representative to attest under oath that the bid price was determined independently without consultation or communication with other bidders, that pricing information has not been disclosed to competitors, that no attempts have been made to induce non-competitive bidding, and that the bid is submitted in good faith. The affidavit also requires the contractor to disclose any convictions or findings of liability within the past four years related to bidding conspiracy or collusion on public contracts. The affidavit must be sworn before a Notary Public and is material to the Owner's contract award decision; any misstatement is treated as fraudulent concealment of facts. Bidding documents are available exclusively through the PennBid website, and neither the Owner nor Engineer assumes responsibility for documents obtained from alternative sources.
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Text version
Herbert, Rowland & Grubic, Inc. 00 45 19 - 1 011364.0448
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:
File details come from the government source that posted it. Updated .