NON-COLLUSION FORM.pdf
PDF 136 KB Posted
- Attached to
- ITB DMS-2223-124 Chiller Inspection Services
- Solicitation number
- ITB-05679
- Issued by
- Leon County, Florida
About this file
This document is a Non-Collusion Form related to an Invitation to Bid (ITB) issued by the State of Florida, Department of Management Services' Division of Real Estate Development and Management (Department) for Chiller Inspection Services, with ITB No. DMS-22/23-124. The form requires the bidder to attest that the bid prices were arrived at independently without collusion, and that no attempt was made to induce any firm to submit a complementary or noncompetitive bid. The contract will be for the provision of chiller inspection services for the State of Florida.
The form outlines specific certifications the bidder must make, including that the bid prices were arrived at independently, that the prices have not been disclosed to any other potential bidder, and that no attempt has been made to induce other firms to submit complementary or noncompetitive bids. The bidder must also disclose any current or past investigations or convictions related to conspiracy or collusion on public contracts.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ITB No.: DMS-22/23-124 Chiller Inspection Services
NON-COLLUSION FORM
STATE OF
COUNTY OF
I state that I of , (Name and Title) (Name of Firm) am authorized to make this affidavit on behalf of my firm and its owner, directors and officers. I am the person responsible in my firm for the price(s) and amount(s) of this Bid, and the preparation of the Bid. I state that:
1. The price(s) and amount(s) of this Bid have been arrived at independently and without consultation, communication or agreement with any other Provider, potential provider, Bidder, or potential Bidder.
2. Neither the price(s) nor the amount(s) of this Bid, and neither the approximate price(s) nor approximate amount(s) of this Bid, have been disclosed to any other firm or person who is a Provider, potential Provider, Bidder, or potential Bidder, and they will not be disclosed before Bid opening.
3. No attempt has been made or will be made to induce any firm or persons to refrain from submitting a Bid for this contract, or to submit a price(s) higher that the prices in this Bid, or to submit any intentionally high or noncompetitive price(s) or other form of complementary Bid.
4. The Bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary or other noncompetitive Bid.
5. , its affiliates, subsidiaries, officers, director, and employees (Name of Firm) are not currently under investigation, by any governmental agency and have not in the last three years been convicted or found liable for any act prohibited by state or federal law in any jurisdiction, involving conspiracy or collusion with respect to a Bid or proposal, on any public contract, except as follows:
I state that I and the named firm understand and acknowledge that the above representations are material and important and will be relied on by the State of Florida for which this Bid is submitted. I understand and my firm understands that any misstatement in this affidavit is, and shall be treated as, fraudulent concealment from the State of Florida of the true facts relating to the submission of Bids for this contract.
Dated this day of 202__.
Name of Organization:
Signed by:
Print Name
File details come from the government source that posted it. Updated .