7g- Non-Collusion Affidavit.pdf
PDF 94 KB Posted
- Attached to
- Marine Turtle Conservation Program Services
- Solicitation number
- RFP2025-054
- Issued by
- Palm Beach County, Florida
About this file
This document is a Non-Collusion Affidavit, a standard legal form used to certify that a bidder or proposer is submitting a genuine bid without engaging in any collusive or fraudulent practices. The form is a blank template designed to be completed by a bidder/proposer for a specific solicitation, with spaces to fill in details such as the state, county, solicitation number, and title of the procurement.
The affidavit requires the bidder to swear under oath that their bid proposal is authentic and that neither they nor any of their representatives have colluded with other bidders to manipulate bid prices, suppress competition, or gain an unfair advantage. By signing this document, the bidder affirms the fairness and integrity of their bid, acknowledging that any form of price-fixing, conspiracy, or unlawful agreement is prohibited. The document includes spaces for the bidder's signature and notarization, emphasizing the legal weight of the declarations made.
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Text version
NON-COLLUSION AFFIDAVIT
STATE OF ______________
COUNTY OF ____________
Before me, the undersigned authority, personally appeared ____________________________, who, after being by me first duly sworn, deposes and says of authority’s personal knowledge that:
a. ____________ is __________________________ of ______________________________, the
Bidder/Proposer that has submitted a Bid/Proposal to perform work for the following:
Solicitation No.: _____-______ Title:
b. ______________ is fully informed respecting the preparation and contents of the attached solicitation, and of all pertinent circumstances respecting such solicitation.
Such Bid/Proposal is genuine and is not a collusive or sham Bid/Proposal.
c. Neither the said Bidder/Proposer 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/Proposer, firm, or person to submit a collusive or sham Bid/Proposal in connection with the solicitation and contract for which the attached Bid/Proposal has been submitted or to refrain from proposing in connection with such solicitation and contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder/Proposer, firm, or person to fix the price or prices in the attached Bid/Proposal or any other Bidder/Proposer, or to fix any overhead, profit, or cost element of the Bid/Proposal price or the Bid/Proposal price of any other Bidder/Proposer, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City or any person interested in the proposed contract.
d. The price or prices quoted in the attached Bid/Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder/Proposer or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
Signature
STATE OF ______________
COUNTY OF ____________
The foregoing instrument was subscribed to and sworn before me by means of ☐ physical presence or ☐ online notarization, this ___ day of _______________, 20__, by _____________________________________ (name of person), as _____________ (type of authority) for ___________________ (name of party on behalf of whom instrument was executed).
Personally known ___ OR Produced Identification ___ Type of Identification Produced __________________
Notary Public – State of
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