13-EXHIBIT K Non Collusion.pdf
PDF 96 KB Posted
- Solicitation number
- 2026-11
- Issued by
- Beaufort County, South Carolina
About this file
This is a Non-Collusion Statement and Professional Liability/Performance Statement certification form submitted by the Town of Hilton Head Island in response to Invitation for Bid (IFB) 2026-11 for the Historic Mitchelville Freedom Park project. The project involves removing and replacing the existing parking lot with new paved drive isles, pervious paver parking stalls, and stormwater management infrastructure. The document certifies that the proposer's cost and pricing data are complete, current, and accurate as of the execution date, and that the proposer possesses adequate financial management capability to account for all financial transactions under the project. The proposer must confirm authorization to submit the proposal on behalf of the offeror and acknowledge that no prior understanding, agreement, or connection exists with any other bidder for the same materials, supplies, or equipment.
The certification requires the proposer to disclose any litigation involving professional liability or performance within the past five years, with explanation if applicable. Additionally, proposers must indicate whether any federal agency or federally certified state or local agency has conducted a review of their accounts, records, or contracts in connection with any grant or contract within the past twelve months, and provide contact information for the reviewing office if applicable. The form requires the proposer's signature, title, company name, address, city/state/zip, telephone number, and execution date to validate the submission.
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Text version
EXHIBIT K
NON-COLLUSION STATEMENT
AND
PROFESSIONAL LIABILITY/PERFORMANCE STATEMENT
This proposal is submitted for use in connection with and in response to the Town of Hilton Head Island’s Invitation for Bid (IFB) 2026-11 to construct planned improvements for the Historic Mitchelville Freedom Park. This includes removing and replacing the existing parking lot with new paved drive isles, pervious paver parking stalls and stormwater management infrastructure. This is to certify to the best of my knowledge and belief that the cost and pricing data summarized herein are complete, current and accurate as of ___________________, and that a financial management capability exists to fully and accurately account for the financial transactions under this project. I further certify that this proposal is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a bid for the same materials, supplies or equipment and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this proposal and certify that I am authorized to sign this proposal for the Offeror.
I certify that our company has/has not been involved in any litigation within the past five (5) years regarding professional liability or performance. (If there has been litigation, attach an explanation).
Has a federal agency or a federally certified state or local agency performed any review of your accounts, records, or contracts in connection with any grant or contract within any grant or contract within the past twelve months? Yes No
If "yes," give name, address, and telephone number of reviewing office on an attached statement.
Date of Execution
Signature of Proposer
Title of Proposer
Company Name
Address
City/State/Zip
Telephone Number
File details come from the government source that posted it. Updated .