5-Request for Goods Senior Center Vehicles 2026-09-ITB-017 - Non-Collusion Affidavit.pdf
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- Solicitation number
- 2026-09--IFB-017
- Issued by
- Tolland County, Connecticut
About this file
This is a Non-Collusion Affidavit form required by the Town of Ellington, Connecticut for Request for Goods Senior Center Vehicles #2026-09-ITB-017. The affidavit must be completed and sworn before a notary public by the bidder submitting a proposal for the purchase of two new vehicles for the Ellington Senior Center Transportation Program: one ADA-accessible wheelchair vehicle and one gasoline-powered crossover SUV. Bidders may submit pricing for either or both vehicles, with each vehicle evaluated and awarded separately according to specifications and contract documents. The affidavit is dated in 2026 and serves as a certification document required as part of the competitive bidding process.
The Non-Collusion Affidavit certifies that the bid is genuine, developed independently without collusion or agreement with other bidders, and that bid contents have not been communicated to unauthorized parties prior to the official bid opening. The affidavit further confirms that no elected or appointed officials or employees of the Town of Ellington have a direct or indirect interest in the bid or any resulting supplies, materials, equipment, or profits. The bidder's authorized representative must sign the document and have it notarized before submission to the Town of Ellington Finance Office as a condition of bid consideration and award eligibility.
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Text version
NON-COLLUSION AFFIDAVIT
To the Town of Ellington:
RE: Request for Goods Senior Center Vehicles #2026-09-ITB-017
To the Town of Ellington:
DATED: ___________________, 2026.
The undersigned, having fully informed himself/herself/itself regarding the accuracy of the statements made herein, certifies that:
(a) The bid is genuine; it is not a collusive or sham bid or proposal;
(b) The bidder developed the bid independently and submitted it without collusion with, and without any agreement, understanding, communication or planned common course of action with any other person or entity designed to limit independent competition;
(c) The bidder, its employee and agents have not communicated the contents of the bid to any person not an employee or agent of the bidder and will not communicate the bid to any such person prior to the official opening of the bid;
and
(d) No elected or appointed official or other officer or employee of the Town of Ellington is directly or indirectly interested in the bidder’s bid, or in the supplies, materials, equipment, work or labor to which it relates, or in any of the profits thereof.
The undersigned bidder further certifies that this affidavit is executed for the purpose of inducing the Town of Ellington to consider its bid and make an award in accordance therewith.
BIDDER:
By______________________________
SUBSCRIBED and sworn to before me this _____ day of ________________, 2026
Notary Public
File details come from the government source that posted it. Updated .