5-Non-Collusion Affidavit.pdf
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- Attached to
- Pavement Marking Improvements Project
- Solicitation number
- Not on record
- Issued by
- Bucks County, Pennsylvania
About this file
This is a Non-Collusion Affidavit form required for the Pedestrian Crossing Improvement Project bid submission to Northampton Township in Bucks County, Pennsylvania. The affidavit must be completed and sworn by a representative of the prime bidder and submitted with the sealed proposal. Bids are due online via PennBid by 1:00 PM on January 19, 2026, with bid opening occurring at the same time and date. All bidders and any listed subcontractors must be PennDOT pre-qualified in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2020. No bid may be withdrawn within sixty days after opening while the Township reviews qualifications and investigates bidder competency and responsibility.
The affidavit requires the bidder's representative to certify under oath that the submitted bid is genuine and free from collusion, conspiracy, or sham bidding practices. The bidder must confirm that no collusive agreements exist regarding bid pricing, overhead, profit margins, or cost elements with any other bidders or interested parties. All proposals must be accompanied by a bid bond or certified check equal to ten percent of the total bid amount. Successful bidders must comply with the Pennsylvania Prevailing Wage Act. The Township reserves the right to waive minor informalities or reject any or all bids. Questions regarding the project must be submitted via PennBid by 1:00 PM on January 12, 2026.
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Text version
C-4
2. NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of ) County of ) ) ss:
being duly sworn, deposes and says that:
(Name of Bidder’s Representative)
1) They are (Capacity of Bidder’s Representative – i.e., Owner, partner, officer, agent, etc.)
of (Name of Bidder)
2) They are fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;
3) Such Bid is genuine and is not a collusive or sham bid;
4) Neither the said Bidder 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 Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost element of the bid price or the bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Owner to which the attached Bid is being submitted 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 Bidder or any of its agents, representatives, Owners, employees, or parties in interest, including this affiant.
(Name of Bidder)
(Signature of Bidder’s Representative)
(Title of Bidder’s Representative)
Sworn to and subscribed before me this day of , A.D. 20 .
(Signature of Notary)
My Commission Expires: .
(Title) (Date)
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