14-EXHIBIT L Non Collusion.pdf
PDF 97 KB Posted
- Attached to
- Northpoint/USPS Access Improvements
- Solicitation number
- 2026-07
- Issued by
- Beaufort County, South Carolina
About this file
Summary
This is a Non-Collusion Statement and Professional Liability/Performance Statement form submitted by the Town of Hilton Head Island, South Carolina in connection with Request for Proposal (RFP) 2026-07 for planned improvements to the asphalt parking lot located at and adjacent to 213 William Hilton Parkway, Hilton Head Island, SC 29926. The document serves as a certification that the proposer's cost and pricing data are complete, current, and accurate as of the execution date, and that the proposer possesses the financial management capability to account for all financial transactions under the project. The form requires proposers to certify that the proposal was submitted without prior understanding, agreement, or connection with any other corporation, firm, or person submitting a competing bid, and that the proposal is fair and free from collusion or fraud.
The statement requires proposers to disclose whether their company has been involved in any litigation within the past five years regarding professional liability or performance, with instructions to attach an explanation if litigation has occurred. Proposers must also indicate whether a federal agency or federally certified state or local agency has performed any review of their accounts, records, or contracts in connection with any grant or contract within the past twelve months, and if so, provide the reviewing office's name, address, and telephone number on an attached statement. The form requires the proposer's authorized representative to sign and date the certification, along with providing the company name, address, contact information, and title of the signatory.
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Text version
EXHIBIT L
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 Request for Proposal (RFP) 2026-07 to complete planned improvements for the asphalt parking lot located at and adjacent to 213 William Hilton Parkway, Hilton Head Island, SC 29926. 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 .