12-5. Non Collusion Affidavit of Respondent.pdf
PDF 2 MB Posted
- Solicitation number
- IFB-070-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Non-Collusion Affidavit form required by the City of Tallahassee for the Generator Installation at Tallahassee Animal Service Center contract opportunity. The affidavit must be executed by the respondent (integrator) submitting an Invitation for Bid (IFB) for licensed electrical contractor services related to the installation and electrical connection of a power generator at the City of Tallahassee Animal Service Center located at 1125 Easterwood Drive, Tallahassee, Florida 32311. The project scope includes installation of a subgrade irrigation system, with all labor, materials, and equipment necessary to complete the work as specified. Submission of this completed affidavit is mandatory for a response to be considered complete and acceptable.
The affidavit requires the respondent to affirm under oath that the submitted IFB is genuine and not collusive or sham, and that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusion, conspiracy, or unlawful agreement with other respondents to fix prices, overhead, profit, or other cost elements. The respondent must further certify that the quoted prices are fair, proper, and untainted by any collusion or unlawful agreement. The affidavit must be notarized and signed by an authorized representative of the respondent, with the notary public's signature and commission expiration date required for validity.
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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 IFB: 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 IFB is genuine and is not a collusive or sham IFB.
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 IFB in connection with the Contract for which the attached IFB 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 IFB or of any other Respondent, or to fix any overhead, profit or cost element of the IFB price or the IFB 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 , 2024
Notary Public (Signature)
My Commission Expires:
THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.
NON-COLLUSION AFFIDAVIT OF RESPONDENT
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