Non-Collusive_Affidavit.pdf
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- Attached to
- Milk, Dairy and Non-Dairy
- Solicitation number
- 002-DW-0326
- Issued by
- Florida
About this file
This is a Non-Collusive Affidavit form required for submission with a bid or quote for a milk, dairy, and non-dairy products procurement opportunity in Florida. The affidavit serves as a sworn statement in which the bidder or quoter certifies the authenticity and independence of their submitted quote or bid. The document requires completion of the bidder's name, title, and relationship to the organization, along with the state and county where the affidavit is executed. The form must be notarized, with signature lines provided for both the affiant and the notary public, including the notary's commission expiration date.
The affidavit requires the bidder to confirm that the submitted quote is genuine, prepared without collusion with other bidders, and based on fair market pricing. The bidder must attest that neither they nor any affiliated parties, employees, or representatives have engaged in any agreement, communication, or conspiracy to fix prices, adjust costs, manipulate overhead or profit margins, or gain unfair advantages against the recipient or other interested parties. This form ensures competitive integrity by requiring bidders to certify the independence and legitimacy of their pricing and submission process.
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Text version
NON-COLLUSIVE AFFIDAVIT
STATE OF _______________________
COUNTY OF _____________________
_______________________________________being first duly sworn deposes and says that:
BIDDER is the
(Owner, Partner, Officer, Representative or Agent)
QUOTER is fully informed respecting the preparation and contents of the attached quote and of all pertinent circumstances respecting such quote;
Such quote is genuine and is not a collusive or sham quote;
Neither the said QUOTER 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 QUOTER, firm or person to submit a collusive or sham quote in connection with the Contract for which the attached quote has been submitted; or to refrain from quoting in connection with such Contract; or have in any manner, directly or indirectly, sought by agreement or collusion, or communications, or conference with any QUOTER, firm, or person to fix the price or prices in the attached quote or any other QUOTER, or to fix any overhead, profit, or cost element of the Quote Price or the Quote Price of any other QUOTER, or to secure through any collusion conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Contract;
The price of items quoted in the attached quote are fair and proper and are not tainted by collusion, conspiracy, connivance, or unlawful agreement on the part of the QUOTER or any other 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 .