3-DOC 00 45 19 NON-COLLUSION AFFIDAVIT.pdf
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- Solicitation number
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- Montgomery County, Pennsylvania
About this file
This is a Non-Collusion Affidavit document required by Montgomery Township, located in Montgomery County, Pennsylvania, for bidders participating in state and local contract opportunities. The affidavit serves as a sworn statement in which the bidder's authorized representative certifies that the bidder has not engaged in any collusive bidding practices, price-fixing agreements, or other anticompetitive conduct related to the procurement. The affidavit must be executed before a notary public and submitted as part of the bid package for any Montgomery Township contract solicitation. The document requires the bidder to warrant that no person or selling agency has been retained to solicit or secure the contract based on a commission, percentage, brokerage, or contingent fee arrangement, except for bona fide employees or established commercial agencies of the contractor.
The affidavit includes a certification that the bidder and its representatives have not been convicted or found liable within the preceding three years for any act involving conspiracy or collusion with respect to bidding on any public contract under state or federal law. While a prior conviction or liability finding does not automatically prohibit a bidder from submitting a bid, it may constitute grounds for administrative suspension, debarment, or a determination of non-responsibility at the discretion of the governmental agency. This document is a standard requirement across Montgomery Township's multiple procurement opportunities, including infrastructure projects, equipment supply and installation contracts, and park rehabilitation work, and must accompany all sealed bid submissions made through the PennBid online platform.
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Text version
DOCUMENT 00 45 19
NON-COLLUSION AFFIDAVIT
COMMONWEALTH OF:
COUNTY OF :
I, , of , (Name) (Name of Contractor) in the County of and the State of , of full age, being duly sworn according to law on my oath depose and say that:
I am of the firm of , the Bidder making the Proposal for the above Project, and that I executed the said Proposal with full authority so to do; that said Bidder has not, directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named Project; and that all statements contained in said Proposal and in this affidavit are true and correct, and made with full knowledge that the Montgomery Township relies upon the truth of the statements contained in said Proposal and in the statements contained in this affidavit in awarding the Contract for the said Project, the undersigned, on behalf of the Bidder, has not 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 within the last three (3) years.
A person's affidavit stating that the person has 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 within the last three (3) years, does not prohibit a governmental agency from accepting a bid from or awarding a contract to that person, but may be a ground for administrative suspension or debarment at the discretion of a governmental agency under the rules and regulations of that agency, or, in the case of a governmental agency with no administrative suspension or debarment regulations or procedures, may be a ground for consideration on the question whether such agency should decline to award a contract to that person on the basis of a lack of responsibility.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by
(Name of Contractor)
(Signature)
(Print or Type Name and Title)
Subscribed and sworn to before me this day of , 20 .
Notary Public of
My commission expires , 20 .
END OF DOCUMENT
NON-COLLUSION AFFIDAVIT
00 45 19-1
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