2-Non-Collusion Affidavit of Prime Bidder.pdf

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Attached to
North Wales Borough Road Improvement Program
Solicitation number
Not on record
Issued by
Montgomery County, Pennsylvania

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This is a Non-Collusion Affidavit form required from prime bidders for the North Wales Borough Road Improvement Program in Montgomery County, Pennsylvania. The affidavit must be completed and submitted by the bidder's authorized representative and notarized. Sealed proposals for the project are due by 1:00 PM on August 6, 2026, via the PennBID online portal. All bidders and subcontractors must be PennDOT pre-qualified contractors and must establish proof of competency and responsibility in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2026. Questions regarding the project must be submitted through PennBID by July 30, 2026, at 5:00 PM. No bid may be withdrawn for sixty days following the opening, during which time North Wales Borough will review bids and investigate bidder qualifications.

The bidder's representative must affirm under oath that the submitted bid is genuine, that no collusion or conspiracy has occurred with other bidders regarding bid prices or conditions, and that all pricing is fair and proper. Each proposal must be accompanied by a bid bond or certified check equal to 10% of the total bid amount. The successful bidder must comply with the Pennsylvania Prevailing Wage Act. North Wales Borough reserves the right to waive minor informalities or reject any or all bids. Plans and specifications are available at no charge through PennBID.

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C-9

2. NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

State of ) County of ) ) ss:

being duly sworn, deposes and says that:

(Name of Bidder’s Representative)

1) They are (Capacity of Bidder’s Representative – i.e., Owner, partner, officer, agent, etc.)

of (Name of Bidder)

2) They are 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, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted to refrain from bidding in connection with such Contract, 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 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 Owner to which the attached Bid is being submitted or any person interested in the proposed Contract; and

5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, Owners, employees, or parties in interest, including this affiant.

(Name of Bidder)

(Signature of Bidder’s Representative)

(Title of Bidder’s Representative)

Sworn to and subscribed before me this day of , A.D. 20 .

(Signature of Notary)

My Commission Expires: .

(Title) (Date)

undefined:
undefined_2:
Name of Bidders Representative:
Capacity of Bidders Representative ie Owner partner officer agent etc:
Name of Bidder:
Title of Bidders Representative:
Sworn to and subscribed before me this 1:
AD 20:
undefined_3:
Title:
Date:
Text1:

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