Prohibition_Against_Contigent_Fees.pdf

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Attached to
Automotive Parts and Supplies
Solicitation number
26-ITB-016
Issued by
Glades County, Brownsville CDP, Florida

About this file

This is a Prohibition Against Contingent Fees affidavit required by Florida Statute 287.055(6)(a) for Flagler County's Automotive Parts and Supplies invitation to bid. The document must be completed, signed, and notarized by each bidder submitting a proposal. The affidavit certifies that the firm has not employed any external company or person (other than bona fide employees) to solicit or secure the contract and has not paid or agreed to pay any fees, commissions, percentages, gifts, or other consideration contingent upon or resulting from the award of the agreement. The competitive sealed bid process requires submission of this sworn statement prior to the July 1, 2026 bid deadline.

The notarized affidavit must include the firm's name, authorized signatory information, and notary public certification with seal. This compliance requirement applies to all vendors seeking to provide OEM-quality or better automotive parts, equipment parts, chemicals, and maintenance supplies to support Flagler County's full fleet operations. Failure to include this properly executed document may result in bid rejection or disqualification from award consideration.

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PROHIBITION AGAINST CONTINGENT FEES:

In accordance with Florida Statute 287.055(6)(a), the following statement, duly signed and notarized, must be included in each proposal:

The firm, _______________________________________, warrants that he or she has not employed or retained any company or person, other than a bona fide employee working solely for the respondent to solicit or secure this agreement and that he or she has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for the respondent any fee, commission, percentage, gift, or other consideration contingent upon or resulting from award or making of this agreement.

By ________________________________________ Date _____________ (Signature)

By ________________________________________ Corporate Officer Name & Title

STATE OF _____________________________

COUNTY OF ___________________________

Sworn to/affirmed and subscribed before me this ______ day of ________________________, 20____, by

_____________________________________________________, who is personally known to me or who has produced

_______________________________________________ as identification.

NOTARY PUBLIC – STATE OF ____________________

Type or print name:

Commission No.: __________________________________

Commission Expires: _______________________________

(Seal)

The firm:
Date:
By_2:

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