4-NON COLLUSION AFFIDAVIT.pdf
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- Pueblito Del Carmen Comunidad, Pennsylvania
About this file
This is a Non-Collusion Affidavit form required by Ridley Township, Pennsylvania, for contractors submitting sealed bids on municipal construction projects, including the Balignac Avenue Sidewalk Replacement project (due August 27, 2025) and the Rodney Road & Stockton Circle Drainage Improvements project (due October 21, 2026). The affidavit must be executed by the firm member, officer, or employee responsible for final pricing decisions and submitted with bid documents. The form requires the authorized representative to certify that bid prices were developed independently without consultation, communication, or agreement with other bidders; that bid amounts have not been disclosed to competing firms; and that no attempts have been made to induce other bidders to refrain from bidding or submit noncompetitive bids. Additionally, the affidavit requires certification that the firm and its affiliates, subsidiaries, officers, directors, and employees have not been convicted or found liable for bid-rigging or collusion-related violations under state or federal law within the past four years.
The affidavit must be notarized and is material to contract award decisions under Pennsylvania's Anti-Rigging Act (73 P.S. § 1611 et seq.). For joint venture bids, each party must submit a separate affidavit. False statements in the affidavit constitute fraudulent concealment and may result in criminal prosecution. Failure to submit a compliant affidavit may result in bid disqualification. The instructions specify that "complementary bid" includes knowingly submitting bids higher than competitors' bids, intentionally high or noncompetitive bids, or any other bid submitted to create a false appearance of competition. Bidders are responsible for examining the affidavit carefully before signing and making diligent inquiry of all personnel involved in bid preparation and approval.
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Text version
SECTION 00320
NON-COLLUSION AFFIDAVIT
State of :
County of :
I, the undersigned, state that I am authorized to make this Affidavit on behalf of my firm, and its Owners, Directors and Officers. I am the person responsible in my firm for the price(s) and the amount of this Bid.
I state that:
The price(s) and amount(s) of this Bid have been arrived at independently and without consultation, communication or agreement with any other Contractor, Bidder or potential Bidder.
Neither the price(s) nor the amount(s) of this Bid, and neither the approximate price(s) nor approximate amount(s) of this Bid have been disclosed to any other firm or person who is a Bidder or potential Bidder, and they will not be disclosed before Bid opening.
No attempt has been made or will be made to induce any firm or person to refrain from bidding on this Contract, or to submit any intentionally high or competitive Bid or other form of Complementary Bid.
The Bid of my firm is made in good faith and not pursuant to any Agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive Bid.
This firm, its affiliates, subsidiaries, officers, directors and employees are not currently under investigation by any governmental agency and have not in the last 4 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, except as follows:
I state that this firm understands and acknowledges that the above representations are material and important and will be relied on by the Owner in awarding the Contract(s) for which this Bid is submitted. I understand, and my firm understands, that any misstatement in this Affidavit is and shall be treated as fraudulent concealment from the Owner of the true facts relating to the submission of Bids for this Contract.
FIRM
NAME
TITLE
SWORN TO AND SUBSCRIBED BEFORE ME
THIS DAY 20 .
NOTARY PUBLIC
MY COMMISSION EXPIRES .
INSTRUCTIONS FOR NON-COLLUSION AFFIDAVIT
1. This Non-Collusion Affidavit is material to any contract awarded pursuant to this Bid. According to the Pennsylvania Anti-Rigging Act, 73 P.S. §§
1611 eq seq., governmental agencies may require Non-Collusion Affidavits to be submitted together with Bids.
2. This Non-Collusion Affidavit must be executed by the member, officer or employee of the Bidder who makes the final decision on prices and the amount quoted in the Bid.
3. Bid rigging and other efforts to restrain competition, and the making of false sworn statements in connection with the submission of bids are unlawfully and may be subject to criminal prosecution. The person who signs the Affidavit should examine it carefully before signing and assure himself or herself that each statement is true and accurate, making diligent inquiry, as necessary, of all other persons employed by or associated with the Bidder with responsibilities for the preparation, approval or submission of the Bid.
4. In the case of a Bid submitted by a joint venture, each party to the venture must be identified in the Bid Documents, and an Affidavit must be submitted separately on behalf of each party.
5. The term "Complementary Bid" as used in the Affidavit has the meaning commonly associated with that term in the bidding process, and includes the knowing submission of Bids higher than the Bid of another firm, any intentionally high or noncompetitive Bid, and any other form of Bid submitted for the purpose of giving a false appearance of competition.
6. Failure to file an affidavit in compliance with these instructions may result in disqualification of the Bid.
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