Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25580-RFP-DST
- Issued by
- Florida
About this file
This is a Non-Collusion Affidavit required by the United States Department of Agriculture (USDA) for submission with proposals to Hernando County Public Schools (HCPS) in Florida. The affidavit is a sworn statement in which the vendor certifies that it is fully informed regarding the preparation and contents of its proposal for the Primary Foodservice Distributor contract. The vendor must attest that the proposal is genuine and not collusive or sham in nature, and that neither the vendor nor any of its officers, partners, owners, agents, representatives, or employees have engaged in any collusion, conspiracy, or agreement with any other vendor or firm to submit collusive proposals, refrain from proposing, fix prices, or secure unlawful advantages against HCPS or any interested parties.
The vendor further certifies under oath that all prices quoted in the attached proposal are fair, proper, and untainted by collusion, conspiracy, connivance, or unlawful agreement. The affidavit must be notarized and signed by an authorized representative of the vendor before a notary public. This document serves as a standard compliance requirement for federal contracting and ensures the integrity of the competitive bidding process for HCPS's foodservice distributor procurement, which encompasses delivery of frozen, refrigerated, grocery, and dry foods, as well as USDA commodity processed products to school sites supporting the National School Breakfast and Lunch Programs and related feeding programs.
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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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