2-non-collusion affadavit.pdf
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This is a Non-Collusion Affidavit form required by the Neshaminy School District in Pennsylvania for the procurement of choral risers for two middle schools under contract opportunity #27-04. The affidavit must be completed and sworn before a notary public by an authorized representative of any bidding firm. The document establishes the bidding timeline, with proposals due by August 7, 2025, approximately three weeks after the July 16, 2025 posting date. Bidders are required to certify compliance with competitive bidding standards and acknowledge that the representations made are material to the district's award decision.
The affidavit requires bidders to attest that bid prices were developed independently without consultation or agreement with other potential bidders, that pricing information has not been disclosed to competitors, and that no attempts have been made to induce non-competitive or complementary bids. Bidders must also declare that neither they nor their affiliates, subsidiaries, officers, directors, and employees are currently under investigation or have been convicted or found liable in the past four years for any conspiracy or collusion related to public contract bidding. Any misstatement in the affidavit is treated as fraudulent concealment and grounds for disqualification. The affidavit does not specify a contract value, budget range, or set-asides, but serves as a mandatory compliance document for all interested vendors.
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Text version
NON-COLLUSION AFFIDAVIT
State of _____________________________ Contract/Bid No ___________________
County of ___________________________:
I state that I am ___________________________ of__________________________ (Title) (Name of my 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 price(s) and the amount of this bid.
I state that:
(1) The price(s) 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(s) nor the amount of this bid, and neither the approximate price(s) nor the approximate amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder, and they will not be disclosed before the 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 an intentionally high or noncompetitive bid or other form of complementary bid.
(4) The bid 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 bid.
(5) _______________________, its affiliates, subsidiaries, officers, directors and employees are (Name of my firm) not currently under investigation by any governmental agency and have not in the last four 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:_______________________________________(Indicate “none” if applicable.)
I state that __________________________________ understands and acknowledges (Name of my firm) that the above representations are material and important, and will be relied on by the Neshaminy School District Board of Directors when awarding the items 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 Neshaminy School District Board of Directors, of the true facts relating to the submission of bids for this contract.
(Print Name of Authorized Person and Company Position)
Signature of Authorized Person
Sworn to and subscribed before me this ____________ day of___________________, 20_____
_______________________________ My commission Expires_____________ Notary Public
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