5-MS944 Anti-Collusion Aff.pdf

PDF 33 KB Posted

Attached to
10th Street Retaining Wall Rehabilitation Project
Solicitation number
Not on record
Issued by
Cumberland County, Pennsylvania

About this file

This is an anti-collusion affidavit required by Lemoyne Borough in Cumberland County, Pennsylvania for the 2026 Storm Sewer Lining Project. The affidavit, form D-7126 (7-09), must be executed by an authorized representative of bidding contractors in compliance with Section 102.06(e) of Department Specifications, Publication 408. The document serves as a sworn statement certifying that the contractor has not engaged in any collusive practices, agreements, or actions that would restrain free competitive bidding for the contract. The affidavit requires notarization and must be submitted as part of the bidding process for the storm sewer lining project, which involves approximately 2,093 linear feet of storm sewer pipe lining on multiple streets within the borough. Bids are due online by 2:00 p.m. on Thursday, April 30, 2026, with questions accepted only through 12:00 p.m. on Monday, April 27, 2026.

All bidders must submit a certified check or bid bond equal to 10 percent of the total bid amount, with surety companies required to be licensed to conduct business in Pennsylvania. The contract is subject to Pennsylvania Prevailing Wage Act conditions, federal OSHA requirements, Pennsylvania Act 229 of 2002, the Pennsylvania One Call Act (Act 287 of 1974), the Pennsylvania Human Relations Act, non-discrimination in employment and contract compliance regulations, and the Public Works Employment Verification Act. The anti-collusion affidavit requirement is a mandatory compliance element, and Lemoyne Borough Council reserves the right to accept or reject any or all bids submitted.

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Text version

D-7126 (7-09)

ANTI-COLLUSION AFFIDAVIT

County: Cumberland

Municipality: Lemoyne Borough

Project Number: 0886806028

State of: Fed. Project No.:

(if Applicable)

County of:

The undersigned deponent deposes and says that he is the of the

Company; that he is authorized to make this affidavit on behalf of said company in compliance with Section 102.06(e) of Department Specifications, Publication 408, as amended and that the said company has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with such contract.

(CONTRACTOR)

BY:

Sworn to and subscribed before me the undersigned Notary Public this day of , 20 .

NOTARY PUBLIC

My commission expires:

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