EXHIBIT_“C”_-_Non_Collusion_Affidavit.pdf
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- Solicitation number
- 26-016
- Issued by
- Santa Rosa County, Florida
About this file
This is a Non-Collusion Affidavit form required by Santa Rosa County, Florida for the Sale and Master Planning of County-Owned Property on Berryhill Road (RFP 26-016). The affidavit serves as a sworn statement in which the proposer certifies 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 document requires the proposer's signature, printed name, and title, along with notarization before a notary public authorized to administer oaths in Florida. Questions regarding the RFP must be submitted through the Santa Rosa County Procurement Portal by 12:00 p.m. on April 16, 2026, and all proposals are due by 10:00 a.m. on April 30, 2026, with public opening conducted via Microsoft Teams.
The Non-Collusion Affidavit is a standard compliance document with no associated pricing, set-asides, or financial requirements specific to the form itself, though it is a mandatory submission component of the overall RFP. The affidavit must be executed before a notary public with proper identification and official seal, and the notary must complete all required fields including the date, county of notarization, and their signature and seal. Santa Rosa County requires this certification from all respondents as part of its standard procurement compliance requirements, along with other mandatory documents including the Sworn Statement regarding Public Entity Crimes, Vendor Compliance Certification, Conflict of Interest Form, and proof of Florida Division of Corporations registration.
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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
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