Non-Collusion Affidavit.docx
DOCX document 157 KB Posted
- Attached to
- Secondary Pharmacy Distribution Services
- Solicitation number
- 2136923
- Issued by
- New York
About this file
This is a Non-Collusion Affidavit document associated with Roswell Park Comprehensive Cancer Center's Request for Proposal for Secondary Pharmacy Distribution Services in New York. The affidavit requires bidders to certify that their pricing and bid responses have been developed independently without consultation, communication, collusion, or agreement with other bidders or potential bidders. Bidders must confirm that they have not attempted to induce other companies to refrain from bidding, have not encouraged competitors to submit noncompetitive pricing, and that their bid response is made in good faith without any agreements or discussions with other parties.
The affidavit further requires bidders to certify that neither they nor their affiliates, subsidiaries, officers, directors, and employees are currently under investigation by any governmental agency for acts involving conspiracy or collusion in public contract bidding, and that they have not been convicted of or found liable for such acts within the past four years. Bidders must also confirm that neither Roswell Park nor any other party will receive gifts, commissions, or items of value in connection with the RFP. The document emphasizes that misstatements in the affidavit will be treated as fraudulent concealment and that the representations are material to Roswell Park's contract award decision. BluPax Pharmaceuticals, LLC is noted as a business enterprise that was previously awarded an identical or substantially similar procurement contract within the past five years.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP 26-173 Secondary Pharmacy Distribution Services References Questionnaire.xlsx | XLSX spreadsheet | |
| Appendix A-1 EEO Requirements.docx | DOCX document | |
| EEO Policy and Staffing Plan.pdf | ||
| Appendix C (Information & System Security Reqs).docx | DOCX document | |
| RFP 26-173 Secondary Pharmacy Distribution Services Supplier Information and Experience Questionnaire.xlsx | XLSX spreadsheet | |
| Disclosure Form.docx | DOCX document | |
| Appendix A Roswell Park Required Clauses.docx | DOCX document | |
| Appendix B - Roswell Park Terms and Conditions.docx | DOCX document | |
| RFP 26-173 Secondary RX Distribution Scoping Doc.docx | DOCX document | |
| eo-16 certification.pdf | ||
| RFP 26-173 Secondary Pharmacy Distribution Requirements Questionnaire.xlsx | XLSX spreadsheet |
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Text version
NON-COLLUSION AFFIDAVIT
| Request for Proposal Number: |
| Click here to enter text. |
| Request for Proposal Title: |
| Title of RFP |
| Request for Proposal Date: |
| Click here to enter a date. |
Pursuant to the above referenced Roswell Park Comprehensive Cancer Center (“Roswell Park”) Request for Proposal (the “RFP”), the bidder identified on the last page of this Non-Collusion Affidavit (the “Bidder”) certifies that:
1. The pricing and Bid Response submitted by the Bidder has been arrived at independently and without consultation, communication, collusion, and/or agreement with any other company and/or person who is a bidder and/or potential bidder on the RFP, and has not been disclosed to any other company and/or person who is a bidder and/or potential bidder on the RFP, and will not be disclosed to any company and/or person who is a bidder and/or potential bidder on the RFP before the opening of the Bid Responses by Roswell Park;
2. No attempt has been made and/or will be made by the Bidder to induce any company and/or person to refrain from bidding on the RFP;
3. No attempt has been made and/or will be made by the Bidder to induce any other company and/or person who is a bidder and/or potential bidder on the RFP to submit any intentionally high and/or noncompetitive pricing and/or Bid Response;
4. The Bidder’s Bid Response is made in good faith and not pursuant to any agreement and/or discussion with any other company and/or person and/or inducement from any company and/or person to submit a complementary offer;
5. The Bidder, including its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency for any act prohibited by State and/or Federal law in any jurisdiction involving conspiracy and/or collusion with respect to bidding on any public contract, and have not, in the last four (4) years, been convicted of and/or found liable for any act prohibited by State and/or Federal law in any jurisdiction involving conspiracy and/or collusion with respect to bidding on any public contract; and
6. Neither Roswell Park nor any other company and/or person (including any company and/or person who is a bidder and/or potential bidder on this RFP) has, have, and/or will receive from the Bidder, either directly or indirectly, any gifts, commissions, and/or similar items of value in connection with this RFP.
Any defined terms in the RFP shall have the same respective meanings in this Non-Collusion Affidavit. The Bidder hereby warrants that by signing this Non-Collusion Affidavit, it is certifying that the above statements are true and accurate as they relate to the Bidder as of the date in which this Non-Collusion Affidavit is signed by the Bidder as indicated below. The Bidder understands and acknowledges that the above representations are material and important, and will be relied on by Roswell Park in awarding a Resultant Agreement. The Bidder understands and acknowledges that any misstatement in this Non-Collusion Affidavit is and shall be treated as fraudulent concealment from Roswell Park of the true facts relating to the submission of the Bidder’s Bid Response.
(Bidder)
Signature
Printed Name
Title
Date
| Rev. August 2015 |
| Page 1 of 2 |
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