2-NON-COLLUSION AFFIDAVIT.pdf
PDF 245 KB Posted
- Attached to
- Building E Third Floor Buildout
- Solicitation number
- 53-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit form required for prime bidders submitting proposals to the City of Palm Bay, Florida for the Building E Third Floor Buildout project. The affidavit serves as a sworn statement in which the bidder certifies that the submitted bid is genuine and has not been developed through any collusive or sham bidding practices. The document requires the bidder's authorized representative to confirm they are fully informed regarding the bid's preparation and contents, and that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusion or conspiracy with other bidders to manipulate pricing, overhead, profit elements, or other bid components.
The affidavit must be notarized before a Notary Public in the State of Florida, Brevard County, with the notary certifying the bidder's identity through either physical presence or online notarization. The form requires the bidder to affirm that all quoted prices are fair, proper, and free from any taint of collusion, conspiracy, or unlawful agreement. This standard procurement document is a compliance requirement designed to ensure fair competition and protect the City of Palm Bay's interests in the solicitation process.
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Text version
SECTION 00301
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
STATE OF
COUNTY OF
, being duly sworn, deposes and says that:
(1) He/she is of , the (Title) (Firm/Company) Bidder that has submitted the attached Bid.
(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid.
(3) Such Bid is genuine and is not a collusive or sham Bid.
(4) Neither the said Bidder nor any of its officers, partners, owners, agent representatives, employees or parties in interest including this affiant, has in any way, colluded, conspired, or agreed, directly or indirectly, with any other Bidder, firm or person, to submit a collusive or sham Bid in connection with the Agreement for which the attached Bid has been submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by Agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful Agreement any advantage against the City of Palm Bay, Florida, or any person interested in the proposed Agreement.
(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, or unlawful Agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties of interest, including affiant.
(Signed)
(Title)
STATE OF FLORIDA
COUNTY OF BREVARD
The foregoing instrument was acknowledged before me, by means of ___ physical presence or ___ online notarization, this _______ day of _______________, _______ (year) by
_____________________________, who is personally known to me or who has produced
_______________________________ as identification and who did (did not) take an oath.
(Signature of Notary Public)
(Name of Notary – Typed, printed or stamped)
(Notary Seal / Serial Number)
(Date)
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