4-4. REQUIRED Non Collusion Affidavit of Respondent.docx
DOCX document 31 KB Posted
- Attached to
- Pavement Preservation Services
- Solicitation number
- IFB-028-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Non-Collusion Affidavit required for submission in response to a Request for Quotation (RFQ) for Pavement Preservation Services issued by the City of Tallahassee, Florida. The affidavit must be completed and submitted by the respondent or integrator bidding on chip seal pavement surface treatment services, which involve applying bituminous surface treatment to paved roadways or prepared road bases according to specifications established by the County. The affidavit serves as a binding document confirming the respondent's understanding of the RFQ contents and circumstances surrounding the submittal. This page must be submitted with the response for it to be considered complete and acceptable.
The affidavit requires the respondent to certify under oath that the submitted RFQ is genuine and not collusive or sham, and that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees has engaged in collusion, conspiracy, or unlawful agreement with other respondents or integrators to fix prices, manipulate bid elements, or gain unfair advantage. The respondent must also affirm that all quoted prices are fair, proper, and free from any taint of collusion. The affidavit must be notarized and signed before a Notary Public, with the notary's commission expiration date noted. No specific pricing information, set asides, funding sources, or contract term details are provided in this document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 7-7. REQUIRED Local Vendor Affidavit.docx | DOCX document | |
| 3-3. REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 8-8 REQUIRED Responsible Vendor Review Form.docx | DOCX document | |
| 5-5. DRAFT CONTRACT CONSTRUCTION .doc | DOC document | |
| 2-2. REQUIRED BID SUMMARY.xlsx | XLSX spreadsheet | |
| 6-6. REQUIRED Representations Certifications.docx | DOCX document | |
| 1-1-1. REQUIRED IFB 028-26-RM REQUIRED IFB SECTIONS 123.docx | DOCX document | |
| 9-9. REQUIRED Vendor Conflict of Interest.docx | DOCX document |
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Text version
NON-COLLUSION AFFIDAVIT OF RESPONDENT
State of , County of _, being first duly sworn, deposes and says that:
1) He/She is Respondent Integrator) that has submitted the attached RFQ: of (Title) (Name of Corporation)
2) He/She is fully informed respecting the preparation and contents of the attached submittal and of all pertinent circumstances respecting such submittal.
3) Said RFQ is genuine and is not a collusive or sham RFQ.
4) Further, the said Respondent nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Respondent, integrator or person to submit a collusive or sham RFQ in connection with the Contract for which the attached RFQ has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other Respondent, integrator or person to fix the price or prices in the attached RFQ or of any other Respondent, or to fix any overhead, profit or cost element of the RFQ price or the RFQ price of any other Respondent, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Tallahassee or any person interested in the proposed Contract; and
5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Respondent or any ·of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Signed)
(Title)
Subscribed and sworn to before me This day of , 2022
Notary Public (Signature) My Commission Expires:
THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.
File details come from the government source that posted it. Updated .