Non-Collusion_Affidavit_USDA.pdf
PDF 81 KB Posted
- Attached to
- 25152-ITQ-DST Mobile Refrigerator Cabinets - SNS
- Solicitation number
- 25152-ITQ-DST
- Issued by
- Hillsborough County, Florida
About this file
This document is a Non-Collusion Affidavit for the State of Florida, specifically related to a state and local contract opportunity for Hillsborough County Public Schools (HCPS) Student Nutrition Services (SNS). The affidavit is designed to ensure that the vendor submitting a proposal for three mobile refrigerator cabinets has not engaged in any collusive, fraudulent, or unethical bidding practices.
The affidavit requires the vendor to swear under oath that their proposal is genuine, not a sham or collusive bid, and that neither the vendor nor any of its representatives have conspired with other vendors to manipulate pricing, suppress competition, or gain an unfair advantage in the bidding process. By signing this document, the vendor attests to the fairness and integrity of their proposal, affirming that the quoted prices are legitimate and not the result of any unlawful agreement or conspiracy.
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Text version
Rev. May 2021
NON-COLLUSION AFFIDAVIT
STATE OF FLORIDA
COUNTY OF ______________________
_______________________________________ (VENDOR) being first duly sworn, deposes, and says that:
(FSMC Official)
VENDOR is the ____________________________________ of _____________________________________, (Owner, Partner, Officer, Representative, Agent) (Vendor)
VENDOR is fully informed respecting the preparation and contents of the attached proposal and of all pertinent circumstances respecting such proposal;
Such proposal is genuine and is not a collusive or sham proposal;
Neither the said VENDOR nor any of its officers, partners, owners, agents, representative, employees or parties in interest, including this affidavit, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other VENDOR, firm or person to submit a collusive or sham proposal in connection with the contract for which the attached proposal has been submitted; or to refrain from proposing in connection with such contract; or have in any manner, directly or indirectly, sought by agreement or collusion, or communications, or conference with any VENDOR, firm, or person to fix the price or prices in the attached proposal or any other VENDOR, or to fix any overhead, profit, or cost element of the proposal price or the proposal price of any other VENDOR, or to secure through any collusion conspiracy, connivance, or unlawful agreement any advantage against the SFA, or any person interested in the proposed contract;
The price of items quoted in the attached proposal are fair and proper and are not tainted by collusion, conspiracy, connivance, or unlawful agreement on the part of the VENDOR or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.
By _______________________________
Subscribed and sworn to before me this _____ day of _________________________, 20____.
Notary Public (Signature)
My Commission Expires:
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