14-06 - Non-collusion Affidavit - x.pdf
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- Solicitation number
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- Lawrence County, Pennsylvania
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This is a Non-Collusion Affidavit document related to a Request for Bids issued by the Lawrence-Mercer Recycling/Solid Waste Department in Pennsylvania for the Collection and Transportation of Recyclables from Countywide Drop-off Depots in Lawrence and Mercer Counties. The affidavit must be completed and submitted by all bidders as part of their sealed proposal packages. Sealed bids are due online through PennBid no later than 3:00 PM on Monday, October 20, 2026, with bids to be opened on Tuesday, October 20, 2026 during the 10:00 AM regularly scheduled meeting of the Lawrence County Board of County Commissioners. A mandatory pre-bid conference is scheduled for Tuesday, September 22, 2026 at 10:00 a.m. at the Lawrence-Mercer Recycling/Solid Waste Department Public Safety Building, 1451 Countyline Road, New Castle. Bidders must submit bids for both Options A and Options B, and all required documentation must be included in the proposal package or the bid will be automatically rejected.
The Non-Collusion Affidavit requires the authorized representative of the bidding firm to certify under oath that prices have been arrived at independently without consultation or communication with other contractors, that prices have not been disclosed to other potential respondents, and that no attempts have been made to induce other firms to refrain from bidding or to submit noncompetitive responses. The affidavit also requires certification that the firm and its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not been convicted or found liable in the past five years for any act involving conspiracy or collusion with respect to public contracts. The document must be notarized and submitted as part of the complete proposal package to be considered eligible for award.
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Lawrence Mercer Counties Drop-off Collection, Processing, Marketing Recyclables Page 1
NON-COLLUSION AFFIDAVIT
STATE OF: __________________________ COUNTY OF: _______________________________
I state that I am _______________________________ of _______________________________ (Name of firm) and that I am authorized to make this affidavit on behalf of said firm, and its owners, directors, and officers. I am the person responsible in said firm for the price(s) and the amount of this Response.
I state that:
1. The price(s) and amount of this Response have been arrived at independently and without consultation, communication or agreement with any other contractor, Respondent or potential Respondent.
2. Neither the price(s) nor the amount of the Response, and neither the approximate price(s) nor approximate amount of this response, have been disclosed to any other firm or person who is a Respondent or potential Respondent, and they will not be disclosed before opening.
3. No attempt has been made or will be made to induce any firm or person to refrain from responding on this agreement, or to submit a Response higher than this Response, or to submit any intentionally high or noncompetitive Response or other form of complementary Response.
4. The Response of said firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive Response.
5. _________________________________ (name of firm), its affiliates, subsidiaries, officers, directors and employees are not currently under investigation by any governmental agency and have not in the last five (5) years been convicted or found liable for any act prohibited by state or federal law in any jurisdiction, involving conspiracy or collusion with respect to proposing on any public contract, except as follows:
(If none, so state)
I state that ________________________________________ (Name of firm) understands and acknowledges that the above representations are material and important, and will be relied on by the County in awarding the agreements for which this Response is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from Lawrence County of the true facts relating to the submission of Responses for this agreement. I understand and said firm understands that any fraudulent concealment will allow the County to pursue all applicable remedies at law or equity included, but not limited to, the right to reject this Response.
______________________________________ Sworn to and Subscribed before me Signature
This _____ day of _________________, 20______
Name
________________________________ (Notary Public)
Company Position My Commission Expires:
| 6 - Non-collusion Affidavit |
| NON-COLLUSION AFFIDAVIT |
| STATE OF: __________________________ COUNTY OF: _______________________________ |
| ______________________________________ Sworn to and Subscribed before me |
| This _____ day of _________________, 20______ |
| _____________________________________ |
| STATE OF: |
| COUNTY OF: |
| I state that I am: |
| of: |
| I state that: |
| This: |
| day of: |
| 20: |
| Name: |
| Notary Public: |
| Company Position: |
| 5: |
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