3-GunClubRdPav-NCA.pdf
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- Attached to
- GUN CLUB ROAD PAVING PROJECT
- Solicitation number
- Not on record
- Issued by
- Northampton County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form required for the Gun Club Road Paving Project bid submission to Upper Nazareth Township in Northampton County, Pennsylvania. The affidavit must be executed by an authorized member, officer, or employee of the bidding firm who is responsible for pricing decisions and must be submitted with the bid as a material requirement. The affidavit affirms that bid prices have been determined independently without consultation or communication with other contractors or potential bidders, that pricing information has not been disclosed to competitors, and that no attempts have been made to induce other firms to submit higher or non-competitive bids. Bids are due online through PennBid by 11:00 AM on July 9, 2026, and each submission must include a bid bond equal to 10% of the total bid price.
All bidders must be PennDOT prequalified as Prime Contractors in specific work class codes constituting at least 50% of the project scope, which includes pavement management and treatment, cold-in-place recycling, paving, and line striping performed in accordance with PennDOT Publication 408 specifications. The project constitutes Public Works under the Pennsylvania Prevailing Wage Act, requiring workers to be paid prevailing minimum wage rates set by the Pennsylvania Secretary of Labor. Bids cannot be withdrawn within 60 days of the opening date, and Upper Nazareth Township reserves the right to reject any or all bids and waive bidding informalities. The Non-Collusion Affidavit must include acknowledgment that misstatements constitute fraudulent concealment, and for joint ventures, each party must submit separate affidavits.
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Text version
(6/2026) 26-7248 (GunClubRdPav-NCA.docx) NCA-1
INSTRUCTIONS FOR NON-COLLUSION AFFIDAVIT
1. This Non-Collusion Affidavit is material to any contract awarded pursuant to this bid. According to the Pennsylvania Anti-Bid-Rigging Act, 73 P.S. 1611 et seq., governmental agencies may require Non-Collusion Affidavits to be submitted together with bids.
2. This Non-Collusion Affidavit must be executed by the bidder’s member, officer, or employee, who makes the final decision on prices and the amount quoted in the bid.
3. Bid rigging and other efforts to restrain competition and making false sworn statements in connection with the submission of bids are unlawful and may be subject to criminal prosecution. The person who signs the Affidavit should examine it carefully before signing and assure himself or herself that each statement is true and accurate, making diligent inquiry, as necessary, of all other persons employed by or associated with the bidder with responsibilities for the preparation, approval, or submission of the bid.
4. In the case of a bid submitted by a joint venture, each party to the venture must be identified in the bid documents, and an Affidavit must be submitted separately on behalf of each party.
5. The term "complementary bid", as used in the Affidavit, has the meaning commonly associated with that term in the bidding process and includes the knowing submission of bids higher than the bid of another firm, any intentionally high or noncompetitive bid, and any other form of the bid submitted for the purpose of giving a false appearance of competition.
6. Failure to file an Affidavit in compliance with these instructions will disqualify the bid.
(6/2026) 26-7248 (GunClubRdPav-NCA.docx) NCA-2
NON-COLLUSION AFFIDAVIT
GUN CLUB ROAD PAVING PROJECT
UPPER NAZARETH TOWNSHIP, NORTHAMPTON COUNTY, PA
State of :
:s.s.
County of :
I state I am __________________ of ______________________________________, and I am authorized (Title) (Name of My Firm) to make this affidavit for my firm and its owners, directors, and officers. I am the person in my firm responsible for the price(s) and the amount of this bid.
I state:
1. The price(s) and amount of this bid have been arrived at independently and without consultation, communication, or agreement with any other contractor, bidder, or potential bidder.
2. Neither the price(s) nor the amount of this bid, and neither the approximate price(s) nor approximate amount of this bid has been disclosed to any other firm or person who is a bidder or potential bidder, and they will not be disclosed before bid opening.
3. No attempt has been made or will be made to induce any firm or person to refrain from bidding on this contract, to submit a bid higher than this bid, or to submit any intentionally high or non-competitive bid or another form of complementary bid.
4. The bid for my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or another non-competitive bid.
5. _____________________________, its affiliates, subsidiaries, officers, directors, and employees are (Name of My Firm) not currently under investigation by any governmental agency and have not in the last four years 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, except as follows:
I state ____________________________________________________ understands and acknowledges the (Name of My Firm) above representations are material and important and will be relied on by Upper Nazareth Township in awarding the contract(s) for which this bid is submitted. I understand, and my firm understands, that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the Township of the true facts relating to the submission of bids for this contract.
(Name and Company Position)
Subscribed and sworn to me this ___ day of ____________, 20__.
Notary Public:
My Commission Expires:
| GUN CLUB ROAD PAVING PROJECT |
| UPPER NAZARETH TOWNSHIP, NORTHAMPTON COUNTY, PA |
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