5-5. REQUIRED -RM Non Collusion Affidavit of Respondent.docx
DOCX document 31 KB Posted
- Attached to
- Delivery Of Aluminum Sulfate
- Solicitation number
- IFB-045-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Non-Collusion Affidavit of Respondent required for submission to the City of Tallahassee in response to a Request for Quote for the delivery of bulk liquid aluminum sulfate. The affidavit must be completed and submitted by all respondents as a mandatory component of a complete and acceptable bid response. The contract involves the furnishing, delivery, and pumping of liquid aluminum sulfate (Aluminum Sulfate Solution AL2(SO4)3 equivalent to AL2O3, 8.3%) on a requirements basis, with estimated quantities provided as guidelines only. The City reserves the right to increase or decrease the volume of items purchased. Respondents are required to familiarize themselves with product specifications and inspect relevant equipment and locations prior to bid submission to ensure full awareness of scope requirements.
The affidavit certifies that the respondent's bid is genuine and free from collusion, conspiracy, or sham elements. The signatory affirms that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees have engaged in any collusive agreements with other bidders regarding bid pricing, cost elements, overhead, or profit margins. Additionally, the affiant certifies that the quoted price is fair, proper, and untainted by unlawful agreements or communications intended to secure unfair advantage against the City of Tallahassee. Pricing shall be quoted on a per dry ton basis and shall represent complete costs including delivery. The affidavit must be notarized and submitted with all bid responses 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.
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