6-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 template required for the Northampton Township 2026 Milling Project in Bucks County, Pennsylvania. The affidavit must be completed and submitted by the prime bidder's authorized representative as part of the sealed proposal submission process. The form requires the bidder's representative to swear under oath that the bid is genuine and has not been prepared through collusion, conspiracy, or unlawful agreement with any other bidders or interested parties. Proposals must be submitted electronically via PennBid by 1:00 PM on April 27, 2026, and must be accompanied by a bid bond or certified check equal to 10% of the total bid amount. The affidavit certifies that neither the bidder nor any of its officers, partners, owners, agents, representatives, or employees has engaged in any collusive practices regarding bid pricing, overhead, profit margins, or other bid elements.
The affidavit form includes blank fields for the bidder's representative name, capacity, title, and the bidder's legal name, along with notarization requirements including the notary's signature, commission expiration date, and the date of execution. All bidders and subcontractors must be PennDOT pre-qualified and must comply with the Pennsylvania Prevailing Wage Act. The Township reserves the right to reject any or all bids and waive minor informalities. No bid may be withdrawn within sixty days after the opening, during which time the Township will review bids and investigate bidder qualifications.
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Text version
C-3
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)
| undefined: |
| undefined_2: |
| Name of Bidders Representative: |
| Capacity of Bidders Representative ie Owner partner officer agent etc: |
| Title of Bidders Representative: |
| Sworn to and subscribed before me this 1: |
| AD 20: |
| Title: |
| Date: |
| Name of Bidder 1: |
| Name of Bidder 2: |
| Year: |
File details come from the government source that posted it. Updated .