15-File H- NON COLLUSION STATEMENT.pdf
PDF 67 KB Posted
- Attached to
- BID #2026-049A-W/S OCEAN ACRES BOOSTER PUMP REPLACEMENT PHASE 2 AND WELL NO. 5 REDEVELOPMENT
- Solicitation number
- BID #2026-049A-W/S
- Issued by
- Ocean County, New Jersey
About this file
This is a Non-Collusion Statement form required by the Township of Stafford, New Jersey, for bid submission on BID #2026-049A-W/S Ocean Acres Booster Pump Replacement Phase 2 and Well No. 5 Redevelopment. The project involves furnishing all labor, materials, equipment, tools, and supervision for the rehabilitation of existing Well No. 5 and replacement of two existing high service booster pumps and associated motor rehabilitation. The high service pumps are located at 327 Golfview Drive, Manahawkin, New Jersey, 08050, and Well No. 5 is located at 181 Stafford Avenue, Manahawkin, New Jersey, 08050. All well rehabilitation work must be performed under the direct supervision of a New Jersey Licensed Master Well Driller in accordance with New Jersey Department of Environmental Protection requirements.
The Non-Collusion Statement requires bidders to certify that their bid is genuine and not the result of collusion with any other bidder or person. Bidders must affirm they have not conspired to submit false bids, fix overhead or profit elements, or gain unfair advantage against the Township. Additionally, bidders must confirm that no Township official or employee has a direct or indirect interest in the bid or resulting contract. The statement must be signed by an authorized individual, partner, or officer, with printed name, title, and date provided on the form.
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Text version
TOWNSHIP OF STAFFORD
NON-COLLUSION STATEMENT
Upon request, the bidder will be expected to amplify the foregoing statements as necessary to satisfy the Township concerning his ability to successfully perform the work in a satisfactory manner.
The undersigned bidder submitting this proposal or bid certifies and affirms that such bid is genuine and is not the result of collusion. Said bidder has not colluded, conspired, connived. or agreed, directly or indirectly, with any bidder or person, to put in a false bid, or that such other persons shall refrain from bidding. Said bidder has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person, to fix overhead, profit or cost element of said bid price, or that of any other bidder, or to secure any advantage against the Township or any person interested in the proposed contract. Further, such bidder has not, directly or indirectly, submitted this bid, or the contents thereof, or divulged information or data relative thereto to any association or to any member or agent thereof; and, that no Township official or employee is interested directly or indirectly in the bid or in any portion of the bid, nor in the contract or in any part of the contract which may be awarded the undersigned on the basis of such bid.
Signed this ________ day of______________________________, __________.
(Bidder)
By________________________________________ Signature of Authorized Individual, Partner or
Officer Signing the Proposal
Print Name: ________________________________
Title: ________________________________
Date: ________________________________
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| Bidder: |
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