Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25614-RFP-DST
- Issued by
- Florida
About this file
Non-Collusion Affidavit Summary
This is a Non-Collusion Affidavit form for USDA-funded contracts used by Hillsborough County Public Schools in Florida as part of the Food Service Sanitation Program solicitation (RFP 25614-RFP-DST). The affidavit requires the vendor, identified by their official title and organizational affiliation, to swear under oath that the submitted proposal is genuine and prepared without collusion, conspiracy, or unlawful agreement with any other vendor, firm, or person. The vendor must certify that no parties have conspired to submit sham proposals, refrain from proposing, fix prices, or manipulate overhead, profit, or cost elements in connection with the contract. The affidavit must be signed by the authorized vendor representative and notarized by a Notary Public, with the notary's signature, commission expiration date, and the date of execution required for validity.
This affidavit is a mandatory compliance certification required for all proposers responding to the Hillsborough County Public Schools food service sanitation contract, which is 100 percent USDA-funded under 2 CFR Part 200 standards. The affidavit serves as a federal procurement requirement designed to ensure competitive integrity and prevent fraudulent bidding practices. Vendors must attest to the accuracy and independence of their pricing while affirming that all proposal elements comply with federal anti-collusion regulations mandated for Department of Agriculture funded acquisitions.
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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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