Non-Collusion_Affidavit.pdf

PDF 92 KB Posted

Attached to
Vending Machine Services for City-Owned Facilities
Solicitation number
26-033
Issued by
Alameda County, California

About this file

This is a Non-Collusion Affidavit form required for the City of Hayward's Request for Quotation #26-033 for Vending Machine Services across five city-owned facilities. The affidavit must be completed, executed, and submitted with the bid form by all prospective bidders. The procurement seeks an experienced contractor to supply, install, and operate vending machines providing snacks, beverages, and healthier options at City Hall, Streets/Water Department, Landscape/Facilities, Utility Building, and Water Treatment Plant, serving approximately 160 combined employees. Bidders must demonstrate a minimum of three years of full-service vending operations experience, particularly with public agencies or multi-site accounts. Electronic bid submissions are required through the OpenGov Procurement portal at https://procurement.opengov.com/portal/hayward-ca, with a deadline for questions on March 18, 2026, and a response deadline of April 1, 2026, at 8:00 a.m.

The affidavit requires the bidder to certify that the bid is genuine and not collusive or sham, that no other bidders have been induced to submit false bids, and that no agreements have been made to fix bid prices or secure unfair advantages. The bidder must affirm that all statements in the bid are true and that no fees have been paid to facilitate a collusive bid. All-inclusive pricing must be provided covering equipment, labor, supervision, overhead, and profit, with separate line items for installation and monthly service fees for each location. Bidders must carry appropriate insurance coverage including Commercial General Liability, Automobile Liability, Workers' Compensation, and Professional Liability, and must provide Labor and Materials Bonds and Performance Bonds equal to no less than 100 percent of the total contract value. The City will provide electrical power at all sites, and the vendor must remove equipment and restore sites upon contract completion. No specific contract award value, budget range, or contract term is identified in the solicitation materials.

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Text version

*THIS DOCUMENT MUST BE COMPLETED, EXECUTED AND SUBMITTED WITH THE BID FORM*

NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED

WITH BID.

State of California )

) ss.

County of )

, being first duly ;sworn, deposes and says that he or she is of

_ the party making the foregoing bid that the bid is not made in the interest of or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder as not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder or t secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and further, that the bidder has not, directly or indirectly, submitted his or her bid price of any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

*NO BID IS VALID UNLESS SIGNED BY THE PERSON MAKING THE BID*

SIGNATURE:__________________________

PRINT NAME: _________________________

DATE: _______________________________

File details come from the government source that posted it. Updated .