2-File I- NON COLLUSION STATEMENT.pdf

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: ________________________________