3-Required Document 2 - Non-Collusion Affidavit.pdf
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- Montgomery County, Polk Borough, Pennsylvania
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This is a Non-Collusion Affidavit form required by the Montgomery County Housing Authority for bidders on multiple construction projects in Pennsylvania. The affidavit applies to sealed bid submissions for the Golden Age Manor First Floor Improvements and Accessible Front Entrance project, with bids due at 1:00 P.M. on Thursday, November 19, 2026, and a non-mandatory pre-bid meeting scheduled for Thursday, November 5, 2026, at 10:00 A.M. at Golden Age Manor, located at 400 Walnut Street, Royersford, PA 19468. The project involves general, electrical, mechanical, and plumbing construction work. Bidders must submit a bid bond equal to five percent of their total bid amount, and the successful bidder will be required to furnish Performance and Payment Bonds. All bids are submitted electronically via the PennBid Program, with bidding documents available starting Thursday, October 29, 2026.
The Non-Collusion Affidavit requires bidders to certify that bid prices were developed independently without consultation or communication with other contractors or potential bidders, that bid amounts have not been disclosed to competitors, and that no attempts have been made to induce other firms to refrain from bidding or submit higher bids. Bidders must also affirm that neither they nor their affiliates, subsidiaries, officers, directors, or employees are currently under investigation or have been convicted or found liable in the last four years for acts involving conspiracy or collusion on public contracts. The affidavit must be sworn before a notary public and represents a material condition of bid submission. The contract is subject to Section 3 of the Housing and Urban Development Act of 1968, requiring that training and employment opportunities be directed to low- and very low-income persons, and bidders must comply with prevailing wage requirements and non-discrimination in employment practices.
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Text version
{00189593}
NON-COLLUSION AFFIDAVIT
State of ___________________________: Contract/Bid No: ___________ County of _________________________:
I state that I am _________________ (TITLE) of ________________________________(COMPANY) and that I am authorized to make this affidavit on behalf of my firm, and its owners, directors, and officers. I am the person responsible in my firm for the price(s) and the amount of this bid and being duly sworn, I hereby state the following:
(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, have 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 make to induce any firm or person to refrain from bidding on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.
(4) The bid of my form 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 other noncompetitive bid.
(5) ______________________________, (COMPANY) its affiliates, subsidiaries, officers, directors and employees are not currently under any 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: _________________________________________; and
(6) Neither I nor anyone on behalf of this firm have agreed with another firm or representative or agent of another firm to sell items or services at the same price, to submit identical bids, to rotate bids, to share profits with a contractor who does not submit the low bid, to submit prearranged bids, agreed upon higher or lower bids or other complementary bids, to set up territories to restrict competition or not to submit bids.
I state that _______________________________ (COMPANY) understands and acknowledges that the above representations are material and important, and will be relied on the Montgomery County Housing Authority 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 Montgomery County Housing Authority of the true facts relating to the submission of bids for this contract.
(Name and Company Position)
SWORN TO AND SUBSCRIBED BEFORE ME
THIS _________DAY OF ___________, 20__
______________________________ My Commission Expires (Notary Public)
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