Form_7.6_-_Anti-Collusion.pdf
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- Solicitation number
- ITB-26-18-CW
- Issued by
- Volusia County, Florida
About this file
This is an Anti-Collusion Declaration form required by the City of Port Orange, Florida for a Mitigation Reconstruction of a Flood Prone Home Project involving the installation of a new elevated manufactured home. The form must be completed and submitted with all bids, with signatures in ink from a company officer or authorized agent. Bids submitted without a signed anti-collusion form will be considered incomplete and disqualified. By signing the form, bidders certify that their bid is made independently without any understanding, agreement, or connection with other bidders, and that the bid is fair and free from collusion or fraud.
Submission of the signed anti-collusion form constitutes the bidder's acceptance of all terms, conditions, specifications, and provisions outlined in the contract documents. Once awarded, the contract will represent the binding agreement between the successful bidder and the City of Port Orange. Bidders are required to provide their firm name, authorized signature, printed name, title, address, telephone number, and Federal Employer Identification Number (F.E.I.N.) on the form. Additionally, no bid may be withdrawn for a period of one hundred twenty (120) days following bid submittal without written consent from the City of Port Orange.
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Text version
FORM 7.6 – ANTI-COLLUSION
By signing this form, the Bidder agrees that this bid is made without any other understanding, agreement or connection with any person, corporation or firm submitting a bid for the same purpose and that the bid is in all respects fair and without collusion or fraud.
SIGN in ink in the space provided below. Unsigned bids will be considered incomplete and will be disqualified and rejected.
IT IS AGREED BY THE UNDERSIGNED BIDDER THAT THE SIGNING AND DELIVERY OF THE BID REPRESENTS THE BIDDER’S ACCEPTANCE OF THE TERMS AND CONDITIONS OF THE FOREGOING SPECIFICATIONS, CONTRACT AND PROVISION, AND IF AWARDED, THIS CONTRACT WILL REPRESENT THE AGREEMENT
BETWEEN THE BIDDERS AND THE CITY OF PORT ORANGE.
NAME OF FIRM: ______________________________________________________________________________________________________________
SIGNED BY: ___________________________________________________________________________________________________________________
(MUST BE SIGNED BY A COMPANY OFFICER OR AUTHORIZED AGENT)
PRINTED SIGNATURE: ______________________________________________________________________________________________________
TITLE: ________________________________________________________________________________________________________________________
ADDRESS: ____________________________________________________________________________________________________________________
CITY, STATE AND ZIP CODE: ________________________________________________________________________________________________
TELEPHONE: __________________________________________________________
F.E.I.N.: _________________________________________________________________
NO bid may be withdrawn for a period of one-hundred-twenty (120) days subsequent to the submittal of the bids without the consent of the City of Port Orange.
This document must be completed and returned with your Submittal
File details come from the government source that posted it. Updated .