2-Attachment D-1 Non-Collusion Affidavit.pdf
PDF 103 KB Posted
- Attached to
- RFP Fire Capital Improvements
- Solicitation number
- 540926
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a Non-Collusion Affidavit form required by the City of Detroit Office of Contracting and Procurement (OCP) for the RFP Fire Capital Improvements. The affidavit is a mandatory certification that must be completed and notarized by an authorized representative of any firm submitting a proposal for construction services at firehouse locations throughout Detroit over a two-year contract period. The affidavit requires the signatory to confirm that the proposal price has been developed independently without consultation, communication, or agreement with other contractors, vendors, or City of Detroit officials, and that neither the proposed price nor any approximate pricing has been disclosed to competing firms prior to bid opening.
The affidavit further requires certification that no attempts have been made to induce other firms to refrain from bidding, submit inflated bids, or submit complementary proposals, and that the submitted proposal is made in good faith without any agreement to circumvent applicable regulatory or City requirements. The signatory must also represent that the firm, 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 previous five years for any act involving conspiracy or collusion related to public contract submissions. The document must be executed by a notary and failure to provide truthful representations constitutes fraudulent concealment subject to enforcement by the City of Detroit's Office of Contracting and Procurement.
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Text version
Rev. 4/4/2023
NON-COLLUSION AFFIDAVIT
Negotiation No.
Negotiation Title:
State of :
County of : s.s.
I state that I am of , 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 price(s) and the amount of this RFP.
I state that:
The price(s) and amount of this proposal has been arrived at independently and without consultation, influence, communication or agreement with (i) any other contractor, vendor or potential vendor, or (ii) the City of Detroit, including any of its departments, boards, commissions, officers, employee, or agents.
Neither the price(s) nor the amount of this proposal, and neither the approximate price(s) nor approximate amount of this proposal, have been disclosed to any other firm or person who is a vendor or potential vendor, and they will not be disclosed before the bid opening.
No attempt has been made or will be made to induce any firm or person to refrain from responding to this contract, or to submit a proposal higher than this proposal, or to submit any intentionally high or noncompetitive proposal or other form of complementary proposal.
The proposal of my 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 proposal, including, but not limited to, any agreement to circumvent any regulatory or City requirements that may be applicable.
, its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not in the last five 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 submitting a proposal on any public contract, except as follows:
I state that understands and acknowledges that the above representations are material and important, and will be relied on by the City of Detroit in awarding the contract(s)/ purchase order(s) for which this proposal is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the City of Detroit’s Office of Contracting and Procurement of the true facts relating to the submission of this RFP.
Printed Name & Title of Authorized Representative:
Signature of Authorized Representative:
Date:
**This Document MUST be Notarized**
Signature of Notary:
Printed Name of Seal of Notary:
My Commission Expires: / /
File details come from the government source that posted it. Updated .