ITB202608_CDBG_Infrastructure_Improvement_Project__Exhibit_H.pdf
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- Attached to
- Infrastructure Improvement Project
- Solicitation number
- ITB-2026-08 CDBG
- Issued by
- Santa Rosa County, Florida
About this file
This is a Non-Collusion Affidavit document for the City of Milton, Florida's CDBG Infrastructure Improvement Project (Contract No. CDBG-CON-01), submitted as part of ITB-2026-08. The affidavit is a mandatory submission requirement for bidders participating in this sealed bid solicitation. A mandatory Pre-Bid Conference and Site Visit will be held on July 21, 2026, at 11:00 A.M. at the City of Milton Council Chambers, located at 6738 Dixon Street, Milton, FL 32570. The site visit will follow the pre-bid meeting. Bidders must execute and have notarized this affidavit as part of their bid submission.
The Non-Collusion Affidavit requires the authorized representative of the bidding entity to certify under oath that the bid has been prepared independently without collusion, agreement, or understanding with any other bidder or competitor. The affidavit mandates representations that prices and terms were independently developed and not disclosed to competitors prior to bid opening, that no anti-competitive conduct occurred (including price fixing, market allocation, bid rotation, or suppression of bidding), and that no improper inducements have been offered to City officials or employees. The document specifies that false statements may result in bid rejection, contract termination, and remedies under applicable law. The affidavit must be notarized and include the bidder's legal name, authorized signature, printed name, title, and date, along with notary certification including the notary's signature, printed name, commission number, and expiration date.
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Text version
EXHIBIT H – NON-COLLUSION AFFIDAVIT
CDGB Infrastructure Improvement Project
Contract No. CDBG-CON-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 H – NON-COLLUSION AFFIDAVIT
CDGB Infrastructure Improvement Project
Contract No. CDBG-CON-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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