1-Non-Collusion Affidavit.pdf
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- Solicitation number
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- Montgomery County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form required for the Oak Drive Roadway and Pedestrian Improvements Project bid submission to Lower Salford Township in Montgomery County, Pennsylvania. The affidavit must be completed and sworn by the bidder's representative prior to bid submission. Sealed proposals are due by 11:00 AM on June 23, 2026, through PennBID. Questions regarding the project must be submitted via PennBID by June 9, 2026, at 5:00 PM. All proposals must include a bid bond or certified check equal to 10% of the total bid amount. Bids will be opened publicly via PennBID at 11:00 AM on June 23, 2026. No bid may be withdrawn within sixty days after opening while the Township reviews qualifications and bids.
The affidavit certifies that the bidder has not engaged in any collusive or sham bidding practices, price-fixing agreements, or unlawful arrangements with competing bidders or other interested parties. All bidders and subcontractors must be pre-qualified by PennDOT in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2020. The successful bidder must comply with the Pennsylvania Prevailing Wage Act. The Township reserves the right to waive minor informalities or reject any or all bids. The affidavit requires notarization and must include the bidder's legal name, representative's name, title, capacity, and the notary's signature with commission expiration date.
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Text version
C-4
2. NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of ) County of ) ) ss:
being duly sworn, deposes and says that:
(Name of Bidder’s Representative)
1) They are (Capacity of Bidder’s Representative – i.e., Owner, partner, officer, agent, etc.)
of (Name of Bidder)
2) They are 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, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted to refrain from bidding in connection with such Contract, 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 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 Owner to which the attached Bid is being submitted or any person interested in the proposed Contract; and
5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, Owners, employees, or parties in interest, including this affiant.
(Name of Bidder)
(Signature of Bidder’s Representative)
(Title of Bidder’s Representative)
Sworn to and subscribed before me this day of , A.D. 20 .
(Signature of Notary)
My Commission Expires: .
(Title) (Date)
| undefined: |
| undefined_2: |
| Name of Bidders Representative: |
| Capacity of Bidders Representative ie Owner partner officer agent etc: |
| Title of Bidders Representative: |
| Sworn to and subscribed before me this 1: |
| AD 20: |
| Title: |
| Date: |
| Name of Bidder 1: |
| Name of Bidder 2: |
| Year: |
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