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
RFP-034-26-KM
Issued by
Leon County, Florida

About this file

This is a Non-Collusion Affidavit form submitted by respondents to the City of Tallahassee, Florida in connection with a Pension and Non-Pension Investment Consultant Services solicitation for Fiduciary 3(21) services. The affidavit is a mandatory document that must be completed and submitted as part of the response package for the opportunity to be considered complete and acceptable. The form requires the respondent's authorized representative to certify under oath that the submitted response is genuine and has not been prepared in collusion with any other respondent or interested party.

The affidavit requires the signatory to attest that neither the respondent nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusive activity, conspiracy, or unlawful agreement regarding bid pricing, overhead, profit margins, or other cost elements. The respondent must also affirm that the quoted prices are fair, proper, and untainted by any form of collusion or improper communications with competing bidders. The affidavit must be notarized and executed before a notary public, with the affiant's title, signature, and the notary's commission expiration date clearly documented on the completed form.

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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

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