11-11. REQUIRED Non Collusion Affidavit of Respondent.docx

DOCX document 31 KB Posted

Attached to
Re-Bid Pump Station 182 Redundant Power
Solicitation number
IFB-043-26-RM
Issued by
Leon County, Florida

About this file

This is a Non-Collusion Affidavit required for submission to the City of Tallahassee in connection with the Re-Bid Pump Station 182 Redundant Power project in Florida. The affidavit must be completed and sworn by an authorized representative of the responding contractor or integrator and notarized. The document certifies that the respondent has prepared an honest and genuine bid without any collusive or fraudulent intent and confirms that no parties involved in the bid have engaged in any collusion, conspiracy, or unlawful agreement with other respondents to manipulate pricing, fix costs, or gain improper advantage. The affidavit covers all officers, partners, owners, agents, representatives, and employees of the responding entity and must be submitted as a required component for the response to be considered complete and acceptable.

The affidavit affirms that the prices quoted in the bid are fair, proper, and free from any collusion, conspiracy, or unlawful agreement. Submission of this notarized affidavit is mandatory for bid consideration, and it must be completed with the state and county information, the respondent's signature, title, notary signature, and notary commission expiration date. This document serves as a statutory declaration of good faith and honest competition in the bidding process for the pump station electrical infrastructure project.

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Text version

NON-COLLUSION AFFIDAVIT OF RESPONDENT

State of , County of _, being first duly sworn, deposes and says that:

1) He/She is Respondent Integrator) that has submitted the attached RFQ: of (Title) (Name of Corporation)

2) He/She is fully informed respecting the preparation and contents of the attached submittal and of all pertinent circumstances respecting such submittal.

3) Said RFQ is genuine and is not a collusive or sham RFQ.

4) Further, the said Respondent 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 Respondent, integrator or person to submit a collusive or sham RFQ in connection with the Contract for which the attached RFQ has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other Respondent, integrator or person to fix the price or prices in the attached RFQ or of any other Respondent, or to fix any overhead, profit or cost element of the RFQ price or the RFQ price of any other Respondent, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Tallahassee 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 Respondent or any ·of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Signed)

(Title)

Subscribed and sworn to before me This day of , 2022

Notary Public (Signature) My Commission Expires:

THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.

File details come from the government source that posted it. Updated .