Non-Collusion_Affidavit_.pdf

This is a Non-Collusion Affidavit form required by the City of Bloomington, Indiana's Board of Public Works for the Parking Lot Rehabilitation project involving three distinct parking lots (4th & Dunn, 4th & Washington, and 6th & Lincoln). The affidavit must be completed and submitted by all bidders as part of their sealed bid documentation. The form requires the undersigned offer or agent to attest under oath that neither they nor any member, representative, or agent of their firm has entered into any combination, collusion, or agreement regarding pricing or bid suppression. Sealed bids must be electronically submitted through the OpenGov e-Procurement Portal by December 15, 2025 at 12:00 p.m., with a public bid opening on the same date. The project commences June 1, 2026, with a 45 calendar day completion timeline, weather permitting.

The Non-Collusion Affidavit must be notarized and signed by an authorized representative of the bidding organization. The form requires identification of the organization name, signatory name and title, notary public information including commission expiration date, and county residency. Bidders must affirm under penalties of perjury that all information provided is true and correct to their knowledge and belief. This document serves as a compliance requirement to ensure fair competition and prevent anticompetitive practices in the bidding process for the parking lot rehabilitation work encompassing approximately 63,650 square feet across three locations, with comprehensive services including milling, resurfacing, ADA modifications, and site improvements.