Non-Collusion Affidavit.docx
DOCX document 157 KB Posted
- Attached to
- Temporary Staffing Agencies (Direct Award)
- Solicitation number
- 2139500
- Issued by
- New York
About this file
This is a Non-Collusion Affidavit form for Roswell Park Comprehensive Cancer Center in New York, a public healthcare organization soliciting temporary staffing services through a Request for Proposal (RFP). The affidavit must be signed by bidders seeking to provide temporary staffing across three categories: Locum Tenens/Allied Health (6 FTEs annually), Non-Clinical/Professional Staffing (40 FTEs annually), and Executive & Faculty Interim Placement and Search Services (3 FTEs annually). The procurement will operate under a multi-award model, allowing Roswell Park to select one or more vendors per category, make partial awards, or make no award if responses do not meet organizational needs. Vendors may submit proposals for one or more categories, and submission does not guarantee contract award.
The Non-Collusion Affidavit requires bidders to certify that their pricing and bid response were developed independently without consultation, communication, or agreement with other bidders; that no attempts have been made to induce other bidders to refrain from bidding or submit noncompetitive pricing; and that neither the bidder nor its affiliates, subsidiaries, officers, directors, or employees are currently under investigation or have been convicted in the past four years of any act involving conspiracy or collusion in public contract bidding. The affidavit additionally requires bidders to warrant that no gifts, commissions, or items of value will be provided to Roswell Park or other bidders in connection with the RFP. Roswell Park has identified multiple business enterprises that have received identical or substantially similar contracts within the past five years, including staffing agencies such as AMN Healthcare, Cross Country Locums, GHR Healthcare, and Korn Ferry.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B FINAL.xlsx | XLSX spreadsheet | |
| Disclosure Form.docx | DOCX document | |
| EEO Policy Statement.docx | DOCX document | |
| Appendix A-1 EEO Requirements (v.12.2025-1)-FINAL Clean.docx | DOCX document | |
| RFP 27-08 Scope of Work FINAL.docx | DOCX document | |
| eo-16 certification.pdf | ||
| EEO Staffing Plan.docx | DOCX document | |
| Attachment A FINAL.xlsx | XLSX spreadsheet | |
| Appendix A Roswell Park Required Clauses (v.12.2025-1)-FINAL Clean.docx | DOCX document |
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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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