Non-Collusion_Affidavit_USDA.pdf

PDF 81 KB Posted

Attached to
Fresh Fruit & Vegetable Program - Student Nutrition Services
Solicitation number
26039-RFP-DST
Issued by
Florida

About this file

This is a Non-Collusion Affidavit form required by the United States Department of Agriculture (USDA) for the Hillsborough County Public Schools Fresh Fruit and Vegetable Program (FFVP) in Florida. The affidavit must be completed and sworn by a vendor representative, owner, partner, officer, or authorized agent submitting a proposal for the delivery of fresh, high-quality, specialty fruits and vegetables to select elementary school sites. The FFVP is a federally funded grant program that provides free fresh fruits and vegetables to students at participating elementary schools twice weekly outside of meal service, with the primary objectives of serving raw fresh produce without additives or dips, introducing students to unfamiliar fruits and vegetables, and promoting consumption of healthy snack options. The vendor must affirm under oath that the attached 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 unlawful agreement with other vendors regarding pricing, overhead, profit margins, or other contract terms.

The affidavit requires the vendor to certify that the quoted prices are fair, proper, and untainted by collusion, conspiracy, connivance, or unlawful agreement. The vendor must provide the affidavit subscribed and sworn before a notary public, with blanks for the notary to record the date the affidavit was executed and the expiration date of the notary's commission. This document serves as a compliance requirement to ensure competitive bidding integrity and prevent anticompetitive conduct in the procurement process for the cost-plus fixed fee per case contract.

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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 .