Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25614-RFP-DST
- Issued by
- Florida
About this file
This is a Non-Collusion Affidavit form for the Food Service Sanitation Program - Student Nutrition Services contract opportunity with Hillsborough County Public Schools (HCPS) in Florida. The affidavit requires vendors to certify under oath that their proposal is genuine and submitted without collusion, conspiracy, or sham intent. The document mandates that vendors confirm they have not engaged in any unlawful agreements or communications with competing vendors regarding proposal pricing, overhead, profit margins, or cost elements. Additionally, vendors must attest that they have not sought any collusive advantage against HCPS or other interested parties and that all quoted prices are fair, proper, and untainted by any unlawful arrangements.
The affidavit must be completed by an authorized representative of the vendor, including the individual's title and role within the company. The document requires notarization with the notary's signature, commission expiration date, and the date of execution. This certification serves as a standard procurement requirement to ensure fair competition and maintain the integrity of the bidding process for HCPS's food service sanitation and cleaning supply program.
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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 .