26-ITB-26_Canal_Clearing_-_Non_Collusion_Affidavit.pdf
PDF 245 KB Posted
- 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 by the City of Palm Bay, Florida for the Canal Clearing project (26-ITB-26). The affidavit must be completed and notarized by the prime bidder or authorized representative and submitted with the sealed bid. The document certifies that the bidder has prepared the bid independently, that the bid is genuine and not collusive, and that neither the bidder nor its officers, partners, owners, agents, representatives, or employees have engaged in any collusion, conspiracy, or unlawful agreement with other bidders to fix prices, overhead, profit elements, or secure any unfair advantage against the City of Palm Bay. The affidavit requires the affiant to confirm that the quoted prices are fair, proper, and untainted by any collusion or unlawful agreement. Questions regarding the bid solicitation are due by March 10, 2026 at 5:00 PM, with bids due electronically through the City of Palm Bay's Bonfire platform on March 31, 2026.
The affidavit must be notarized in Brevard County, Florida, and the notary public must complete all required fields including the date, method of identification verification, and confirmation of oath administration. The document serves as a mandatory compliance requirement for all bidders participating in the canal clearing solicitation and is part of the City's standard procurement procedures to prevent anti-competitive bidding practices and ensure fair competition among contractors.
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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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