1-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Solicitation number
- 47-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit for a prime bidder submitted to the City of Palm Bay, Florida, in connection with a Mechanical Integrity Testing project for the North Regional Wastewater Treatment Plant (NRWWTP) Class I Deep Injection Well (IW-1). The affidavit requires the bidder's authorized representative to certify under oath that the submitted bid is genuine and prepared without collusion or fraudulent intent. The document establishes the bidder's responsibility to confirm that neither they nor their officers, partners, owners, agents, representatives, employees, or parties in interest have engaged in any collusive agreements with competing bidders regarding bid prices, overhead costs, profit margins, or other pricing elements.
The affidavit mandates that the bidder attest to the fairness and propriety of all quoted prices and certify that no unlawful agreements have influenced the bid submission. The document requires notarization before a Florida notary public in Brevard County and serves as a standard compliance requirement for bid submission. This affidavit is a mandatory contractual obligation that binds the bidder to truthful representation and protects the City of Palm Bay from anticompetitive bidding practices in the procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-DIW IW-1 MIT Specifications Draft rev2 with Figures.pdf | ||
| 6-DRAFT AGREEMENT.docx | DOCX document | |
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 2-DRUG FREE WORKPLACE.pdf | ||
| 3-REFERENCES.pdf | ||
| 4-HUMAN TRAFFICKING AFFIDAVIT.pdf |
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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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