Non-Collusion_Affidavit_USDA.pdf

PDF 81 KB Posted

Attached to
Hood Cleaning Services - Student Nutrition Services
Solicitation number
25406-ITB-DST
Issued by
Florida

About this file

This document is a Non-Collusion Affidavit for the State of Florida, designed to prevent fraudulent bidding practices in government contracts. The affidavit requires a vendor to swear that their proposal is genuine and has not been developed through any collusive or deceptive means with other vendors, firms, or persons. The vendor affirms they have not engaged in any activities intended to manipulate pricing, restrict competition, or gain unfair advantages in the bidding process.

The affidavit serves as a legal declaration that the vendor's proposal pricing is fair and proper, without any taint of conspiracy or unlawful agreement. It requires the vendor to disclose their role in the company (owner, partner, officer, representative, or agent) and be fully informed about the proposal's contents. The document must be signed by an authorized representative, sworn before a notary public, and includes space to record the date and the notary's commission expiration.

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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:

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