Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25134-RFP-DST
- Issued by
- Hillsborough County, Florida
About this file
The document is a Non-Collusion Affidavit form for the State of Florida, designed to be completed by a vendor participating in a state or local contract opportunity. The affidavit requires the vendor to swear and attest that their proposal is genuine, not collusive or sham, and that neither the vendor nor any of its representatives have engaged in any improper agreements or conspiracies with other vendors to manipulate pricing, proposal submissions, or gain unfair advantages in the contract bidding process.
The form is a standard legal document that serves as a sworn statement ensuring fair and ethical bidding practices, requiring signature and notarization. It is specifically structured to prevent bid rigging, price fixing, and other anti-competitive behaviors by compelling vendors to declare the integrity of their proposal under penalty of perjury. The affidavit is part of the comprehensive documentation required for government procurement processes, particularly for contracts involving public funds or services.
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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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