Alachua County Housing Authority
FORM OF NON-COLLUSIVE AFFIDAVIT
(To be modified if law requires other form)
AFFIDAVIT
(Prime Bidder)
State of
)
County of
)
being first duly sworn, deposes and says:
That he is
The party making the foregoing
proposal or bid, that such proposal or bid is genuine and not collusive or sham; that said bidder has not
colluded, conspired, connived or agreed, directly or indirectly, with any bidder or person, to put in a sham
bid or to refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or
collusion, or communication or conference, with any person, to fix the bid price of affiant or of any other
bidder, or to fix any bidder, or to secure any advantage against the Alachua County Housing Authority or
any person interested in the proposed contract; and that all statements in said proposal or bid are true.
Signature of:
Bidder, if the bidder is an Individual
Partner, if the bidder is a partnership
Officer, if the bidder is a corporation.
Subscribed and sworn to before me this
day of
, 20
.
Notary Public
My commission expires
, 20
.
NOTE: THIS FORM MUST BE SUBMITTED WITH BID DOCUMENTS
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