RFP 26-165 Non-Collusion Affidavit.docx
DOCX document 56 KB Posted
- Attached to
- Continuous Patient Monitoring System
- Solicitation number
- 2139514
- Issued by
- Erie County, New York
About this file
This is a Non-Collusion Affidavit document for RFP 26-165 issued by Roswell Park Comprehensive Cancer Center, a state and local healthcare facility in New York. The affidavit serves as a certification requirement for vendors submitting proposals for a comprehensive telemetry and patient monitoring system. The project encompasses a solution supporting 140 monitored beds across nine inpatient nursing units, with capabilities for bedside physiological monitoring (including Masimo SET SpO2, respiration rate, noninvasive blood pressure, temperature, and 5-lead ECG), telemetry monitoring for up to 32 patients, centralized surveillance stations, and mobile alarm notification integration with the facility's EHR system (Altera Sunrise Clinical Manager) and clinical communication platforms. Vendors may propose integrated platforms combining bedside and telemetry monitoring or separate complementary solutions meeting all specified requirements.
The Non-Collusion Affidavit requires prospective bidders to certify under oath that their proposals have been made independently without collusion, conspiracy, communication, or agreement with other bidders regarding pricing, terms, or conditions of the bid. This document is a standard procurement requirement designed to ensure fair competition and prevent anticompetitive practices. Bidders must affirm that no competing vendors have been consulted regarding bid preparation and that the proposal represents the vendor's own pricing and terms without coordination with other parties.
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix B - Roswell Park Terms and Conditions (1).docx | DOCX document | |
| Appendix A-1 EEO Requirements.docx | DOCX document | |
| RFP 26-165 EEO Staffing Plan.docx | DOCX document | |
| Roswell Park_Business Asscociate Agreement.docx | DOCX document | |
| RFP 26-165 Price Sheet.xlsx | XLSX spreadsheet | |
| RFP IT & InfoSec Questionnaire (6).xlsx | XLSX spreadsheet | |
| Appendix A Roswell Park Required Clauses.docx | DOCX document | |
| RFP #26-165 Continuous Bedside Patient Monitoring.pdf | ||
| RFP 26-165 Bid Proposal Form (1).doc | DOC document | |
| RFP 26-165 Disclosure Form.docx | DOCX document | |
| Appendix C (Information & System Security).docx | DOCX document | |
| RFP 26-165 EEO Policy Statement.docx | DOCX document |
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Text version
NON-COLLUSION AFFIDAVIT
| Request for Proposal Number: |
| 26-165 |
| Request for Proposal Title: |
| CONTINUOUS PATIENT MONITORING SYSTEM |
| Request for Proposal Due Date: |
| Friday, October 23, 2026, BY 2:00 P.M. EST |
Pursuant to the above referenced Roswell Park Cancer Institute Corporation d/b/a Roswell Park Comprehensive Cancer Center (“Roswell Park”) Request for Proposal (the “RFP”), the bidder identified on the last page of this Non-Collusion Affidavit (the “Bidder”) certifies that:
1. The pricing and Bid Response submitted by the Bidder has been arrived at independently and without consultation, communication, collusion, and/or agreement with any other company and/or person who is a bidder and/or potential bidder on the RFP, and has not been disclosed to any other company and/or person who is a bidder and/or potential bidder on the RFP, and will not be disclosed to any company and/or person who is a bidder and/or potential bidder on the RFP before the opening of the Bid Responses by Roswell Park;
2. No attempt has been made and/or will be made by the Bidder to induce any company and/or person to refrain from bidding on the RFP;
3. No attempt has been made and/or will be made by the Bidder to induce any other company and/or person who is a bidder and/or potential bidder on the RFP to submit any intentionally high and/or noncompetitive pricing and/or Bid Response;
4. The Bidder’s Bid Response is made in good faith and not pursuant to any agreement and/or discussion with any other company and/or person and/or inducement from any company and/or person to submit a complementary offer;
5. The Bidder, including its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency for any act prohibited by State and/or Federal law in any jurisdiction involving conspiracy and/or collusion with respect to bidding on any public contract, and have not, in the last four (4) years, been convicted of and/or found liable for any act prohibited by State and/or Federal law in any jurisdiction involving conspiracy and/or collusion with respect to bidding on any public contract; and
6. Neither Roswell Park nor any other company and/or person (including any company and/or person who is a bidder and/or potential bidder on this RFP) has, have, and/or will receive from the Bidder, either directly or indirectly, any gifts, commissions, and/or similar items of value in connection with this RFP.
Any defined terms in the RFP shall have the same respective meanings in this Non-Collusion Affidavit. The Bidder hereby warrants that by signing this Non-Collusion Affidavit, it is certifying that the above statements are true and accurate as they relate to the Bidder as of the date in which this Non-Collusion Affidavit is signed by the Bidder as indicated below. The Bidder understands and acknowledges that the above representations are material and important, and will be relied on by Roswell Park in awarding a Resultant Agreement. The Bidder understands and acknowledges that any misstatement in this Non-Collusion Affidavit is and shall be treated as fraudulent concealment from Roswell Park of the true facts relating to the submission of the Bidder’s Bid Response.
(Bidder)
Signature
Printed Name
Title
Date
| Rev. August 2015 |
| Page 1 of 2 |
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