1-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Solicitation number
- 48-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit form for the City of Palm Bay, Florida, required as part of the sealed bid submission process for the North Regional Water Treatment Plant (NRWTP) Lime Slurry Feed Pump Replacement project. The affidavit requires the prime bidder to certify under oath that the submitted bid is genuine and prepared without collusion, conspiracy, or sham bidding practices. The signatory must confirm that neither the bidder nor any of its officers, partners, owners, agents, representatives, employees, or interested parties has engaged in any collusive agreements with competing bidders regarding bid prices, overhead, profit elements, or any other aspects designed to gain unfair advantage against the City of Palm Bay or interested parties.
The affidavit must be notarized before a Florida notary public and executed in Brevard County, Florida. The document requires the bidder's signature, title, and company identification, along with the notary's acknowledgment of the signatory's identity and oath administration. This affidavit serves as a mandatory compliance document affirming the integrity and independence of the bid submission for the turnkey replacement of three lime slurry feed pumps at the NRWTP.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 4-HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 3-REFERENCES.pdf | ||
| 6-DRAFT AGREEMENT.docx | DOCX document | |
| 2-DRUG FREE WORKPLACE.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)
File details come from the government source that posted it. Updated .