EXHIBIT_“C”_-_Non_Collusion_Affidavit.pdf
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- Solicitation number
- 26-003
- Issued by
- Broward County, Florida
About this file
This is a Non-Collusion Affidavit exhibit required for the City of Hayward's Design, Construction, and Installation of Shaded Structure project (Rebid 26-003), the Charles County Commissioners' Pinefield Fire & Emergency Medical Services (EMS) Station construction in Waldorf, Maryland, the Santa Rosa County Board of County Commissioners' Abatement of Properties project, and architectural services for the historic restoration of the M.C. Frost House in Florida. The affidavit serves as a sworn statement in which proposers certify that they have not divulged, discussed, or compared their responses with any other proposer and have not colluded with any other proposer or party to the respective Requests for Proposals. The document requires the signature of the proposer with printed name and title, along with the date of execution.
The affidavit must be notarized before a duly authorized officer empowered to administer oaths and take acknowledgments. The notarization section requires the notary public to confirm the physical presence or online notarization of the proposer, document the date of appearance, identify the proposer as an organization authorized to do business in the State of Florida, verify the execution of the statement, and affix the official seal of the entity. The notary must confirm personal knowledge of the proposer or acceptance of valid identification and provide their signature, printed name, and official seal, dated in 2024. This affidavit is a standard anti-competitive practice safeguard required across multiple state and local procurement opportunities to ensure fair bidding processes and maintain the integrity of competitive solicitations.
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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 .