EXHIBIT_“C”_-_Non_Collusion_Affidavit.pdf

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Attached to
PLANNING CONSULTING SERVICES POOL State and local contract opportunity
Solicitation number
26-020
Issued by
Broward County, Florida

About this file

This is a Non-Collusion Affidavit form associated with a planning consulting services pool solicitation issued by Santa Rosa County, Florida. The affidavit serves as a required certification document for proposers participating in the county's procurement process. The form requires the proposer to declare under oath that they have not divulged, discussed, or compared their response with any other proposer and have not colluded with any other proposer or party to the Request for Proposals. The affidavit must be executed before a notary public and include the proposer's signature, printed name, and title, along with the notary's seal, signature, and printed name. The document is dated for submission in 2024 and must be completed in the State of Florida.

The affidavit is a standard compliance document required as part of Santa Rosa County's procurement solicitation process. It does not address pricing, set-asides, or funding details, as its sole purpose is to certify the integrity and independence of the proposer's bid submission. This form is mandatory for all bidders and must be properly notarized to be accepted as part of a complete proposal package. The county's procurement procedures encourage participation from all segments of the business community, including small businesses, minority and women-owned businesses, and disadvantaged business enterprises, and the county maintains a non-discrimination policy in the administration of its contracts.

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Text version

EXHIBIT “C”

NON-COLLUSION AFFIDAVIT

The undersigned Proposer has not divulged, discussed or compared his/her/its Response with any other Proposer, and has not colluded with any other Proposer or party to this Request for Proposals whatsoever.

Signature of Proposer

PRINT Name of Proposer

Title

, 2024 Date

STATE OF

COUNTY OF ___________________

BEFORE ME, an officer duly authorized by law to administer oaths and take acknowledgments, personally appeared ☐ physical presence or ☐ online notarization, on _________________ as _________________, of ___________________, an organization authorized to do business in the State of Florida, and acknowledged and executed the foregoing statement as the proper official of _______________________ for the use and purposes mentioned in it and affixed the official seal of the entity, and that the instrument is the act and deed of that entity. He/she is personally known to me or has produced __________________________ as identification.

IN WITNESS OF THE FOREGOING, I have set my hand and official seal at in the State and County aforesaid on this _____ day of _________________, 2024.

Notary Seal ___________________________________ Signature of Notary Public

Printed Name of Notary Public

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