1-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Attached to
- Ball Field Lighting
- Solicitation number
- 44-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit form required by the City of Palm Bay, Florida for the Ball Field Lighting invitation to bid (ITB XX-ITB-26), with proposals due July 21, 2026. The affidavit serves as a mandatory compliance document that bidders must execute and have notarized to certify that their bid submission is genuine and has not been developed through collusion, conspiracy, or unlawful agreement with any other bidder, firm, or person. The contract term is one year from award with four optional one-year extensions available through mutual agreement. Bidders must affirm that their quoted prices are fair and proper and that no collusive practices or price-fixing arrangements have influenced the bid submission.
The affidavit requires the prime bidder to swear under oath that neither they nor any of their officers, partners, owners, agents, representatives, employees, or parties in interest have engaged in any collusive conduct regarding pricing, overhead, profit elements, or other bid components, and that they have not sought any unlawful advantage against the City of Palm Bay or other interested parties. The notarized affidavit must be signed before a Florida notary public in Brevard County and becomes part of the formal bid package. This document is a standard legal requirement that protects the competitive bidding process and ensures procurement integrity for the city's ball field lighting project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 2-DRUG FREE WORKPLACE.pdf | ||
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 3-REFERENCES.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)
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