6-FORM 4 - NON COLLUSION AFFIDAVIT OF RESPONDENT.pdf

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Attached to
PENSION AND NON-PENSION INVESTMENT CONSULTANT SERVICES - Fiduciary 3(21)
Solicitation number
RFSQ-034-26-KM
Issued by
Leon County, Florida

About this file

This is a Non-Collusion Affidavit form required by the City of Tallahassee, Florida for the Pension and Non-Pension Investment Consultant Services solicitation. The affidavit must be completed and submitted by the respondent organization to certify that the bid submission is genuine and prepared independently without collusion. The document requires the respondent's authorized representative to swear under oath that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusive activities, conspiracy, or unlawful agreements with competing bidders. The affidavit must be notarized and is mandatory for a response to be considered complete and acceptable.

The affidavit specifically requires the respondent to attest that the quoted prices are fair, proper, and free from any collusion regarding price fixing, overhead, profit margins, or cost elements. The document must be signed by an authorized officer or representative of the respondent organization, notarized before a notary public, and submitted with the bid response. Failure to submit this completed and sworn affidavit will result in the bid being deemed incomplete and rejected from consideration.

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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 RFP: 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 IFB is genuine and is not a collusive or sham RFP.

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 RFP in connection with the Contract for which the attached RFP 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 RFP or of any other Respondent, or to fix any overhead, profit or cost element of the RFP price or the RFP 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 , 2025

Notary Public (Signature)

My Commission Expires:

THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.

NON-COLLUSION AFFIDAVIT OF RESPONDENT

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