Non-Collusion_Affidavit_USDA.pdf
PDF 81 KB Posted
- Attached to
- Walk-in Freezer, Cooler or Combination
- Solicitation number
- 0554FAC-ITB-SNS
- Issued by
- Florida
About this file
This is a Non-Collusion Affidavit form issued by the State of Florida for use in connection with the Hillsborough County Public Schools (HCPS) solicitation for walk-in freezer, cooler, or combination unit procurement, delivery, and installation services. The affidavit requires the vendor's authorized representative to attest under oath that the proposal submitted is genuine and has not been developed through collusive or fraudulent means with competing vendors. The form certifies that neither the vendor nor its officers, partners, owners, agents, representatives, or employees have engaged in any collusion, conspiracy, or agreement to submit sham proposals, refrain from competing, fix pricing, manipulate overhead or profit elements, or secure unlawful advantages against the school district or other interested parties.
The affidavit must be completed with the vendor's name and the authorized official's title and signature, then notarized with the notary public's signature and commission expiration date. This document serves as a standard compliance requirement for sealed bid submissions to Florida public entities and must accompany the vendor's proposal to establish the integrity and independence of the pricing and proposal development process.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .