1-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Solicitation number
- 52-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit form required for the City of Palm Bay, Florida's Automatic Gate and Power-Assisted Door Repair Services contract opportunity. The affidavit must be completed and signed by the prime bidder or an authorized representative, certifying that the bidder has prepared the bid independently and that all information contained within it is accurate and genuine. The affidavit confirms that the bidder and all associated parties have not engaged in any collusive or anticompetitive practices with other bidders, including price-fixing, bid-rigging, or any agreements to refrain from competing. The document requires notarization in the State of Florida, Brevard County, with the notary public acknowledging the affiant's identity through either physical presence or online notarization.
The affidavit must be signed under oath and include the bidder's title and firm or company name. The notary section requires completion with the date, method of identification verification, and the notary's signature, printed name, and seal or serial number. This form is a standard compliance requirement intended to ensure fair competition and protect the City of Palm Bay from fraudulent or collusive bidding practices.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-REFERENCES.pdf | ||
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 6-DRAFT AGREEMENT.docx | DOCX document | |
| 2-DRUG FREE WORKPLACE.pdf | ||
| 7-52-ITB-26 Bid Form.xlsx | XLSX spreadsheet | |
| 4-HUMAN TRAFFICKING AFFIDAVIT.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SECTION 00301
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
STATE OF
COUNTY OF
, being duly sworn, deposes and says that:
(1) He/she is of , the (Title) (Firm/Company) Bidder that has submitted the attached Bid.
(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid.
(3) Such Bid is genuine and is not a collusive or sham Bid.
(4) Neither the said Bidder nor any of its officers, partners, owners, agent representatives, employees or parties in interest including this affiant, has in any way, colluded, conspired, or agreed, directly or indirectly, with any other Bidder, firm or person, to submit a collusive or sham Bid in connection with the Agreement for which the attached Bid has been submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by Agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful Agreement any advantage against the City of Palm Bay, Florida, or any person interested in the proposed Agreement.
(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, or unlawful Agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties of interest, including affiant.
(Signed)
(Title)
STATE OF FLORIDA
COUNTY OF BREVARD
The foregoing instrument was acknowledged before me, by means of ___ physical presence or ___ online notarization, this _______ day of _______________, _______ (year) by
_____________________________, who is personally known to me or who has produced
_______________________________ as identification and who did (did not) take an oath.
(Signature of Notary Public)
(Name of Notary – Typed, printed or stamped)
(Notary Seal / Serial Number)
(Date)
File details come from the government source that posted it. Updated .