Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25658-ITQ-DST
- Issued by
- Hillsborough County, Florida
About this file
This is a Non-Collusion Affidavit form used by the State of Florida in conjunction with Hillsborough County Public Schools' Invitation to Quote for Desktop AiO Point of Sales Computers for Student Nutrition Services. The affidavit requires the vendor to swear under oath that the proposal submitted is genuine and free from collusion, conspiracy, or sham bidding practices. The vendor must certify that neither it nor any of its officers, partners, owners, agents, representatives, or employees have engaged in any collusive communications or agreements with competing vendors regarding proposal pricing, overhead, profit margins, or other cost elements.
The affidavit affirms that the pricing quoted in the proposal is fair, proper, and untainted by any unlawful agreements or collusive practices. The form requires the vendor to identify the signatory's role within the company and must be notarized before a notary public. This document serves as a mandatory certification of competitive integrity and is standard practice for public procurement activities involving federal funding or federal program participation, such as those under USDA guidelines for school food service contracts.
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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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