4-5-12. REQUIRED IFB 023-26-RM Non Collusion Affidavit of Respondent.docx

DOCX document 31 KB Posted

Attached to
PUMP STATION 43 IMPROVEMENTS
Solicitation number
IFB-023-26-RM
Issued by
Leon County, Florida

About this file

This is a Non-Collusion Affidavit form required by the City of Tallahassee, Florida for the Pump Station 43 Improvements project. The affidavit must be completed and submitted by all respondents to ensure bid compliance and acceptability. The project involves comprehensive infrastructure replacement work including removal and installation of force mains, surge tank installation, kingpin manhole installation, bypass pumping components, chemical tank relocation, asphalt patching and resurfacing, arboricultural mitigation, traffic maintenance, and site restoration. A mandatory pre-bid meeting is scheduled for March 18, 2026 at 2:00 PM EST via Microsoft Teams. The affidavit certifies that the respondent's submission is genuine and not collusive, that no collusion or price-fixing arrangements exist with other bidders, and that quoted prices are fair and proper.

The affidavit requires the respondent or authorized representative to be sworn before a notary public and submitted as part of the complete bid response. The document serves as a legal certification that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees have engaged in any unlawful agreements regarding bid prices, overhead, profit elements, or other competitive terms. This project contains no federal funding and therefore federal provisions do not apply. Submission of this executed affidavit is mandatory for a response to be considered complete and acceptable.

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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 .