8-FORM 5 - NON COLLUSION AFFIDAVIT OF RESPONDENT.pdf
PDF 1 MB Posted
- Attached to
- Re-Bid Claim Field Investigative Services
- Solicitation number
- RFP-066-26-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 Re-Bid Claim Field Investigative Services contract opportunity. The affidavit must be completed and submitted by respondents bidding on field investigative and adjusting services, including reporting and processing capabilities, to be conducted from a local office or by resident adjusters. The services will primarily occur during normal City business hours, Monday through Friday from 7 a.m. to 7 p.m., with the resulting contract offering a five-year base period. Firms must demonstrate sufficient resources and qualified staff to investigate liability claims for the City, with detailed claims services requirements outlined in section 3.3 of the solicitation document. Submission of this completed affidavit is mandatory for a response to be considered complete and acceptable.
The affidavit requires the respondent's authorized representative to swear under oath that the submitted proposal is genuine, that no collusion or conspiracy exists with other bidders regarding pricing or bid suppression, and that all quoted prices are fair and proper without any unlawful agreements. The affiant must certify on behalf of the respondent organization, including all its officers, partners, owners, agents, representatives, and employees, that no parties have engaged in any coordinated activity to fix prices, overhead, profit elements, or gain unfair advantage against the City of Tallahassee or other interested parties. The form must be notarized and dated, with the notary public's signature and commission expiration date included.
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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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