EXHIBIT_“C”_-_Non_Collusion_Affidavit.pdf

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Attached to
Resiliency Plan (Re-Issue)
Solicitation number
25-004
Issued by
Santa Rosa County, Florida

About this file

Exhibit "C" is a Non-Collusion Affidavit form designed for use in a state and local contract opportunity, specifically applicable to Florida. The document is a standard legal form that requires a proposer to affirm they have not engaged in collusive practices with other proposers or parties in the Request for Proposals process. The form includes spaces for the proposer's signature, printed name, title, and date, along with a notarization section to be completed by a licensed notary public in the state. The form is structured to be executed in 2024 and requires the proposer to declare that they have not divulged, discussed, or compared their proposal with any other proposers.

While the document itself does not contain specific contract details, it is part of a broader procurement process related to the City of Hayward's RFP #25-004 for Non-ADA Paratransit and Mobility-Related Services. The form serves as a critical legal document ensuring fair and competitive bidding practices, requiring proposers to certify their independence and prevent potential collusion in the proposal submission process. The notarization section provides an additional layer of legal verification, with the notary public confirming the proposer's identity and voluntary execution of the affidavit.

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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 .