ITB202605_Directional_Boring_Services__Exhibit_G.pdf
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- Attached to
- Directional Boring Services
- Solicitation number
- ITB-2026-05
- Issued by
- Santa Rosa County, Mount Carmel CDP, Florida
About this file
This is a Non-Collusion Affidavit associated with an Invitation to Bid (ITB 2026.05) issued by the City of Milton, Florida, for Directional Boring Services. The affidavit is a required document that bidders must complete and have notarized as part of their bid submission for horizontal directional drilling (HDD) services. The services involve installation, extension, maintenance, and repair of City-owned underground utility infrastructure, including water, sewer, and natural gas systems, on an as-needed, work-order basis within the City of Milton and, as authorized, within Santa Rosa County. All work must comply with applicable federal, state, and local laws, regulations, and codes. The contract is designated as PW-DB-2026-01, and bidders must hold all required licenses under Florida Chapter 489 at the time of bid submission and maintain such licensure throughout the contract term.
The Non-Collusion Affidavit requires the authorized bidder representative to swear under penalty of perjury that the bid was prepared independently without collusion with competitors, that prices were independently determined, that no anti-competitive conduct occurred, and that no improper inducements were offered to City officials or employees. The affidavit must be signed by an authorized representative of the bidding entity and notarized before a notary public. False statements in the affidavit may result in bid rejection, contract termination, and other remedies available under applicable law. Award will be made to the lowest responsive and responsible bidder in accordance with applicable Florida law and the City's Purchasing Policy, with the City retaining the right to reject any or all bids.
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Text version
EXHIBIT G – NON-COLLUSION AFFIDAVIT
Directional Boring Services Contract
Contract No. PW-DB-2026-01
Before me, the undersigned authority, personally appeared ___________________, who, being duly sworn, states:
1. Authority
The undersigned is authorized to execute this affidavit on behalf of
__________________ (“Bidder”).
2. Independent Preparation of Bid
The Bidder has prepared and submitted its bid independently and without collusion, agreement, or understanding with any other bidder, competitor, or person that would restrict or eliminate competition.
3. No Anti-Competitive Conduct
The Bidder has not agreed, directly or indirectly, to:
• Fix prices;
• Allocate markets or customers;
• Rotate bids;
• Suppress or refrain from bidding; or
• Otherwise restrain competition in connection with this solicitation.
4. Independent Pricing
The prices and terms contained in the bid have been independently arrived at and have not been disclosed to any competitor prior to bid opening, except as required by law.
5. No Improper Influence
The Bidder has not offered or given anything of value to any City official or employee in connection with this solicitation.
6. Reliance by City
The Bidder acknowledges that this affidavit is a material representation of fact upon which the City will rely in evaluating the Bid.
7. Acknowledgement of Consequences
The undersigned understands that a false sworn statement may result in rejection of the
Bid, termination of any resulting contract, and any other remedies available under applicable law.
[Signature and Notary on following page]
EXHIBIT G – NON-COLLUSION AFFIDAVIT
Directional Boring Services Contract
Contract No. PW-DB-2026-01
Bidder/Contractor: ___________________________________________
Authorized Signature: ______________________________________________
Printed Name: _____________________________________________________
Title: _____________________________________________
Date: ____________________________________________
STATE OF FLORIDA | COUNTY OF __________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization this ____ day of ________________, 20, by
_______________________________________, who is ☐ personally known to me OR ☐ produced _______________________________ as identification.
Signature of Notary: ___________________________
Print Name: __________________________________
Commission No.: _______________________________
My Commission Expires: ________________________
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