Non-Collusion_Affidavit_USDA.pdf
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- Solicitation number
- 25533-RFP-DST
- Issued by
- Florida
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Non-Collusion Affidavit for USDA-Funded Paper Products Contract
This is a Non-Collusion Affidavit required by Hillsborough County Public Schools (HCPS) in Florida for the Paper Products – Student Nutrition Services contract solicitation. The affidavit must be completed and sworn before a notary public by an authorized representative of the vendor submitting a proposal. The document certifies that the vendor has not engaged in collusion, conspiracy, or unlawful agreement with any other vendor regarding the preparation of the proposal, pricing, overhead, profit margins, or any other cost elements. The affidavit further attests that the vendor's quoted prices are fair, proper, and untainted by any collusive practices and that neither the vendor nor its officers, partners, owners, agents, representatives, or employees have sought unfair advantage through unlawful agreement or communication with competitors.
Completion of this affidavit is a mandatory compliance requirement for all proposers participating in the USDA-funded solicitation for weekly delivery of paper products to 219 school sites throughout Hillsborough County. The form requires the vendor's authorized signatory to acknowledge full knowledge of the proposal contents and circumstances while confirming the proposal's genuineness and independence from competitor influence. This certification is essential to the federal funding requirements governing the contract, as USDA funding mandates strict adherence to fair competition and anti-collusion standards.
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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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