1-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Attached to
- Liquid Polymer
- Solicitation number
- 36-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit of Prime Bidder form required by the City of Palm Bay, Florida for a liquid polymer supply and delivery contract for sludge dewatering operations at the City's wastewater treatment facilities. The affidavit must be completed and sworn before a notary public by an authorized representative of the bidding firm. The document certifies that the bidder has not engaged in any collusive or sham bidding practices and that the bid price is fair and proper.
The affiant must declare under oath that the bidder and all its officers, partners, owners, agents, representatives, and employees have not colluded with any other bidder or party to fix prices, manipulate bid costs, or gain unlawful advantage against the City of Palm Bay or any interested parties. The sworn statement confirms that the bid is genuine and submitted in good faith without any conspiracy or unlawful agreement affecting the quoted price or any cost elements. The form requires notarization with either physical presence or online notarization, along with identification verification, and must be signed by both the bidder's authorized representative and the notary public with appropriate seal and serial number documentation.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 2-DRUG FREE WORKPLACE.pdf | ||
| 3-REFERENCES.pdf | ||
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 6-DRAFT AGREEMENT.docx | DOCX document |
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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 .