4-03 - Anti-Collusion Affidavit.pdf

PDF 533 KB Posted

Attached to
2026 Heidelberg Township Seal Coating Project
Solicitation number
Not on record
Issued by
Lawrence County, Pennsylvania

About this file

This is an Anti-Collusion Affidavit form required for the 2026 Heidelberg Township Seal Coating Project in Lebanon County, Pennsylvania. The affidavit serves as a compliance document for competitive bidding purposes and applies to contractors submitting proposals for the seal coating project. The project consists of approximately 25,344 square yards of single seal coat work. Sealed proposals must be submitted online via the PennBid Program by 11:00 a.m. prevailing time on April 27, 2026, with bid tabulation summaries posted after 3:00 p.m. the same day. Final questions are due by 12:00 p.m. on April 24, 2026, with any necessary addenda issued by 3:00 p.m. on that date. No pre-bid conference will be held. Bids will remain effective for 60 calendar days from the opening date and may not be withdrawn during this period.

The affidavit requires the authorized company representative to attest under oath that the company has not entered into any agreement, participated in collusion, or taken any action in restraint of free competitive bidding. This certification must be made in compliance with Section 102.06(e) of Pennsylvania Department Specifications, Publication 408, as amended. Each proposal must be accompanied by a bid bond, certified check, bank cashier's check, or other acceptable security equal to 10% of the total base bid. All bidders and subcontractors are required to be PennDOT pre-qualified in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2011, Section 102. Bidders must submit bids on all items listed on the bid form.

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Text version

D-7126 ( 7-09 )

County

Municipality

Project Number

State of Fed. Project No.

( If Applicable )

The undersigned deponent deposes and says that he is the of the

BY

Sworn to and subscribed before me the undersigned notary public this day of , .

County of

ANTI-COLLUSION AFFIDAVIT

Lancaster

Drumore Township competitive bidding in connection with such contract.

into any agreement, participated in any collusion, or otherwise taken any action in restraint of free

Company; that he is authorized to make this

Publication 408, as amended and that the said company has not, either directly or indirectly, entered affidavit on behalf of said company in compliance with section 102.06 (e) of Department Specifications, Notary Public

My Commission expires

(Contractor) dkaldas Text Box Heidelberg Township dkaldas Text Box Lebanon dkaldas Text Box 26-109.18

File details come from the government source that posted it. Updated .