BID_FORM_8E_Anti-Collusion_Statement.pdf

THIS FORMMUST BE COMPLETED AND RETURNEDWITH YOUR BID.

BID FORM 8E:

Anti-Collusion Statement

By signing this form, the Proposer agrees that this Bid is made without any other understanding, agreement, or connection with any person, corporation, or firm submitting a bid for the same purpose and that the bid is in all respects fair and without collusion or fraud.

SIGN in ink in the space provided below. Unsigned Bids will be considered incomplete, and will be disqualified, and rejected.

IT IS AGREED BY THE UNDERSIGNED VENDOR THAT THE SIGNING AND DELIVERY OF THE BID

REPRESENTS THE VENDORS ACCEPTANCE OF THE TERMS AND CONDITIONS OF THE FOREGOING

SPECIFICATIONS, CONTRACT AND PROVISIONS, AND IF AWARDED, THIS CONTRACT WILL

REPRESENT THE AGREEMENT BETWEEN THE VENDORS AND THE CITY OF SOUTH DAYTONA.

(Signature of person signing form) (Printed name and Title of person signing form)

Name of Bidder: ________________________________________________________________

Address: _______________________________________________________________

City/State/Zip: ________________________________________________________________

Phone Number: (_______) ________________________ FAX Number: (________) _________________________

FEIN Number: ________________________________________________________

NO Bid may be withdrawn for a period of ninety (90) days subsequent to the submittal of the Bids, without the consent of the City of South Daytona.

NO BID (REASON): _________________________________________________________________________________________