4-Appendix F Independent Price Determination Certificate (8).pdf

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Attached to
Jefferson Academy- Food Service Management
Solicitation number
RA26-146
Issued by
Davis County, Utah

About this file

This is an Independent Price Determination Certificate for a Food Service Management Company (FSMC) procurement between Jefferson Academy and a food service management company in Kaysville, Utah. The certificate serves as a formal attestation that the offeror has developed pricing independently without collusion, consultation, or coordination with competitors regarding prices or any matters relating to competition restriction. The solicitation process involves submission of proposals to Nicole Jones at Jefferson Academy (1425 S Angel St. Kaysville, UT 84037) by June 29, 2026 at 3:00 PM MDT. Questions regarding the request for proposals must be submitted in writing to njones@jeffersonacademy.org with a cutoff date of June 5, 2026 at 5:00 PM MDT, with answers posted on the Utah Public Procurement Place (U3P) portal.

The certificate requires both the School Food Authority (SFA) representative and the FSMC authorized representative to certify that pricing has been determined independently, that prices have not been disclosed to competitors prior to opening or award, and that no attempts have been made to induce or suppress competing offers. The certifying FSMC officer must either be the person responsible for price decisions or provide written authorization to act as an agent for such persons. Additionally, the FSMC must certify that it and its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not been convicted or found liable in the past three years for acts involving conspiracy or collusion on public contracts. The SFA must also certify that no representative has taken actions that may have compromised the independence of the offer.

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Appendix F

Independent Price Determination Certificate

Both the School Food Authority (SFA) and Food Service Management Company (offeror) shall execute this Certificate of Independent Price Determination.

SFA FSMC

A. By submission of this offer, the offeror certifies, and in the case of a joint offer, each party thereto certifies as to its own organization, that in connection with this procurement:

1) The prices in this offer have been arrived at independently, without consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other offeror or with any competitor;

2) Unless otherwise required by law, the prices which have been quoted in this offer have not been knowingly disclosed by the offeror and will not knowingly be disclosed by the offeror prior to opening in the case of an advertised procurement or prior to award in the case of a negotiated procurement, directly or indirectly to any other offeror or to any competitor; and

3) No attempt has been made or will be made by the offeror to induce any person or firm to submit or not submit an offer for the purpose of restricting competition.

B. Each person signing this offer on behalf of the Food Service Management Company certifies that:

1) He or she is the person in the offeror's organization responsible within the organization for the decision as to the prices being offered herein, and has not participated and will not participate in any action contrary to (A)(1) through (A)(3) above; or

2) He or she is not the person in offeror's organization responsible within the organization for the decision as to the prices being offered herein, but that he or she has been authorized in writing to act as agent for the persons responsible for such decision in certifying that such persons have not participated and will not participate in any action contrary to (A)(1) through (A)(3) above, and as their agent does hereby so certify and he or she has not participated and will not participate in any action contrary to (A)(1) through (A)(3) above.

1 Revised: 04/24/2026

To the best of my knowledge, this Food Service Management Company, its affiliates, subsidiaries, officers, directors and employees are not currently under investigation by any governmental agency and have not in the last three 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.

FSMC Authorized Representative Signature FSMC Authorized Representative Title

In accepting this offer, the SFA certifies that no representative of the SFA has taken any action that may have jeopardized the independence of the offer referred to above.

SFA Authorized Representative Signature SFA Authorized Representative Title

NOTE: ACCEPTING A BIDDER'S OFFER DOES NOT CONSTITUTE AWARD OF THE CONTRACT

2 Revised: 04/24/2026

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SFA: Jefferson Academy
FSMC:
FSMC Authorized Representative Title:
SFA Authorized Representative Title: Director
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:

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