2-A-2 Non-Collusion Affidavit (Upload with Bid).pdf
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- Attached to
- Valley Road Storm Sewer
- Solicitation number
- Not on record
- Issued by
- Lancaster County, Milroy CDP, Pennsylvania
About this file
This is a Non-Collusion Affidavit (Form C-410B) required for bid submission to Millersville Borough in Pennsylvania for the Valley Road Storm Sewer project. The affidavit must be completed and submitted with all bids for this storm sewer construction project, which includes installation of 65 square yards of pavement restoration, 4 inlets, 88 linear feet of storm sewer, 1 endwall, and associated items. Sealed bids are due online via the PennBid Program by 10:00 A.M. on February 27, 2026, at which time bids will be opened and made publicly available. A prebid conference is scheduled for February 17, 2026, at 10:00 A.M. at the Millersville Borough Building located at 100 Municipal Drive, Millersville, PA 17551. Bids may be held for up to 60 days following opening for review and investigation of bidder qualifications prior to contract award.
The affidavit requires the authorized company representative to certify that bid prices were developed independently without consultation, communication, or agreement with other contractors or potential bidders, and that no bid information will be disclosed prior to opening. Bidders must also attest that no attempts have been made to induce other firms to refrain from bidding or submit noncompetitive bids. Additionally, the firm must declare that it and its affiliates have not been convicted or found liable in the past four years for any act involving conspiracy or collusion related to public contract bidding. Each bid submission must be accompanied by a certified check or bid bond equal to 10 percent of the total bid amount, and a performance bond equal to 100 percent of the contract price will be required upon award. The project is subject to Pennsylvania Department of Labor and Industry prevailing wage requirements.
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Text version
C-410B
NON-COLLUSION AFFIDAVIT
I state that I am ________________________________ of __________________________________ (title) (name of firm) and that I am authorized to make this affidavit on behalf of my firm and its owners, directors, and officers. I am the person responsible in my firm for the prices and the amount of this Bid.
I state that:
1. The prices and amount of this Bid have been arrived at independently and without consultation, communication or agreement with any other contractor, bidder, or potential bidder.
2. Neither the price nor the amount of this Bid, and neither the approximate price nor approximate amount of this Bid, have been disclosed to any other firm or person who is a bidder or a potential bidder, and they will not be disclosed before Bid opening.
3. No attempt has been made or will be made to induce any firm or person to refrain from bidding on this contract, or to submit a bid higher than this Bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.
4. The Bid of my firm is 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 bid.
5. ____________________________________ its affiliates, subsidiaries, officers, directors and employees (name of firm) are not currently under investigation by any governmental agency and have not in the last four (4) 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 bidding on any public contract except as follows:
I state that ______________________________________ understands and acknowledges the above (name of firm) representations are material and important and will be relied upon by __________________________________ (Owner) in awarding the contract(s) for which this Bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the Owner of the true facts relating to the submission of bids for this Contract.
(name of firm)
By: ____________________________________________
Title: ___________________________________________
Sworn to before me this ______ Day of _________________, 20___
My commission expires: ________________________________________
Signature of Notary Public: ______________________________________
Type or print name below each signature.
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