4-Form 2. Non Collusion Affidavit of Respondent.pdf
PDF 2 MB Posted
- Attached to
- Senior Center Roof Project
- Solicitation number
- IFB-032-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Non-Collusion Affidavit form required by the City of Tallahassee for the Senior Center Roof Project, a roof replacement initiative at the Senior Center located at 1400 N Monroe Street, Tallahassee, Florida 32303. The project scope encompasses cleaning and patching of the existing mineral surface low slope roofing system, removing parapet wall base flashing, and installing a high solar reflectance index (SRI) compliant 80 mil polyvinyl chloride (PVC) fleece-backed cap sheet roofing system with a 60 mil PVC flashing membrane system in accordance with roofing manufacturer specifications. This affidavit must be completed and submitted by all respondents as a mandatory requirement for bid consideration and acceptance.
The affidavit certifies that the respondent submitting the bid has not engaged in collusion, conspiracy, or unlawful agreement with any other bidder, integrator, or interested party regarding bid pricing, overhead, profit elements, or any other terms that would constitute anti-competitive conduct. The respondent and all associated officers, partners, owners, agents, representatives, and employees must affirm that the submitted bid price is fair, proper, and untainted by any collusive practices. The document must be notarized and signed by an authorized representative of the responding organization, with the affidavit explicitly stated as a mandatory submission component for any response to be deemed complete and acceptable by the City of Tallahassee.
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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 IFB: 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 IFB is genuine and is not a collusive or sham IFB.
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 IFB in connection with the Contract for which the attached IFB 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 IFB or of any other Respondent, or to fix any overhead, profit or cost element of the IFB price or the IFB 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 , 2024
Notary Public (Signature)
My Commission Expires:
THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.
NON-COLLUSION AFFIDAVIT OF RESPONDENT
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