26-ITB-26_Canal_Clearing_-_Non_Collusion_Affidavit.pdf
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- Attached to
- Canal Clearing
- Solicitation number
- 26-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Non-Collusion Affidavit form required for the Canal Clearing project (26-ITB-26) solicitation issued by the City of Palm Bay, Florida. The affidavit must be completed by the prime bidder and certifies that the bidder has prepared an honest and genuine bid without any collusion, conspiracy, or sham agreement with other bidders. The project involves removing vegetation from the flats and slopes of designated canals to maintain stabilized and accessible embankments, with all tree stumps to be treated with herbicide to prevent regrowth. The contractor must furnish all labor, equipment, materials, and supervision necessary to complete the canal clearing and maintenance work. Bids are to be submitted electronically through the City of Palm Bay's Bonfire platform and must be accompanied by an electronic bid bond in the amount of five percent (5%) of the total bid amount, or alternatively, a certified or cashier's check made payable to the City of Palm Bay and hand-delivered to City Hall. Questions regarding the solicitation must be submitted through the Bonfire platform by March 10, 2026, at 5:00 PM.
The affidavit requires the bidder's authorized representative to attest under oath that the bid price is fair and proper and has not been influenced by any collusion or unlawful agreement. The affidavit must be notarized before a notary public in the State of Florida, County of Brevard, with the notary certifying the affiant's identity and whether an oath was administered. This form serves as a standard compliance document to ensure competitive integrity and protect the City of Palm Bay's procurement process against fraudulent or anticompetitive bidding practices.
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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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