FORM_13_-_NON-COLLUSION_AFFIDAVIT.pdf
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- Solicitation number
- 2026-072-MC
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This is a Non-Collusion Affidavit form (Form 13) required for RFQ 2026-072-MC issued by the Lee County Port Authority in Florida for a Progressive Design-Build project involving a parking garage, Quick Turnaround Area (QTA), and demolition/remediation of existing facilities at Southwest Florida International Airport. The affidavit must be completed and sworn by an authorized representative of the responding firm, confirming that the submitted proposal is genuine and prepared without collusion. The document certifies that neither the respondent nor any person acting on their behalf has engaged in any collusive agreements, conspiracy, or communication with other respondents regarding proposal preparation, pricing, overhead, profit margins, or other cost elements.
The affidavit requires the respondent to attest under oath that no unlawful agreements or arrangements have been made to fix prices, secure competitive advantages against the Lee County Port Authority, or otherwise manipulate the bidding process. The form must be notarized and includes signature blocks for the affiant, their title, and the notary public, along with the date of execution. This document serves as a certification of fair competition and compliance with procurement regulations governing the project.
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Text version
RFQ 2026-072-MC: PROGRESSIVE DESIGN-BUILD FOR PARKING GARAGE, QUICK TURNAROUND AREA (QTA), AND DEMOLITION/REMEDIATION OF EXISTING FACILITIES
FORM 13: NON-COLLUSION AFFIDAVIT
STATE OF )
COUNTY OF )
__________________________________________, being first duly sworn, deposes and says that:
o (S)He is _______________________ of ____________________________, the Respondent that has submitted the attached Proposal;
o (S)He is fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal;
o Such Proposal is genuine and is not a collusive or sham Proposal;
o Neither the Respondent nor anyone acting on behalf of the Respondent, including this affiant, has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Respondent, firm or person to submit a collusive or sham Proposal in connection with the Agreement for which the attached proposal has be submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Respondent, firm or person to fix the price or prices in the attached Proposal or of any other Respondent, or to fix any overhead, profit or cost element of the proposal price or the Proposal price of any other Respondent, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Lee County Port Authority or any person interested in the proposed Agreement; and, (Signature)
(Title)
Subscribed and Sworn to before me of this _____ day of ___________, 20___.
(Notary Stamp) ____________________________________________ (Notary's Signature)
Rev: 6.29.2026 Page 55 of 58
| COUNTY OF: |
| undefined: |
| SHe is: |
| submitted the attached Proposal: |
| the Respondent that has: |
| Title: |
| Subscribed and Sworn to before me of this: |
| 20: |
| undefined_2: |
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