4-ATTACHMENT C – NON-COLLUSION AFFIDAVIT.pdf

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Attached to
On-Call Electrical Services_2026-NOR-RFP-002
Solicitation number
Not on record
Issued by
Montgomery County, Northern Cambria Borough, Pennsylvania

About this file

This is a Non-Collusion Affidavit form required by the Municipality of Norristown, Pennsylvania for submission with proposals related to multiple procurement opportunities, including on-call electrical services, parks master planning, environmental consulting, and wayfinding signage projects. The affidavit must be executed under oath by an authorized representative of the proposing firm or individual and notarized before submission. All proposals are due electronically through PennBid no later than April 24, 2026, for the on-call electrical services contract, with other projects having varying submission deadlines in September and October 2025.

The affidavit requires the proposer to certify that the proposal is genuine and not collusive, that no agreements or collusion exist with other proposers, that no price-fixing or improper communications have occurred, and that no unlawful fees or considerations have been paid or agreed upon to secure the contract. The signatory must provide their name, title, organization, and date of execution, and the document must be subscribed and sworn before a notary public. This standard procurement integrity document protects the Municipality's competitive bidding process and ensures fair and open competition among qualified vendors across all solicited service categories.

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ATTACHMENT C – NON-COLLUSION AFFIDAVIT

COMMONWEALTH OF PENNSYLVANIA

COUNTY OF ____________________

I, ______________________________________, being duly sworn according to law, depose and say that:

1. I am the ____________________________________ of ____________________________________ (“Proposer”).

2. The proposal submitted is genuine and is not a collusive or sham proposal.

3. The proposer has not colluded, conspired, connived, or agreed, directly or indirectly, with any other proposer or person to submit a sham proposal or to refrain from proposing.

4. The proposer has not, directly or indirectly, sought by agreement, collusion, communication, or conference with any person to fix the proposal price or any other term of the proposal.

5. The proposer has not paid or agreed to pay any person or entity any fee, commission, or other consideration for the unlawful securing of this contract.

I certify under penalty of perjury that the foregoing is true and correct.

Signature: __________________________________________ Printed Name: _______________________________________ Title: ______________________________________________ Date: ______________________________________________

Subscribed and sworn to before me this _____ day of ______________, 20.

Notary Public: _______________________________________ My Commission Expires: ________________________________

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