Laserfiche WebLink
5.5 ANTI-KICKBACK AFFIDAVIT <br /> <br /> <br />I, the undersigned, say that no portion of the sum herein bid will be paid to any employees of the City of North Miami <br />Beach, as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of <br />the corporation. <br /> <br /> <br />As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. <br /> <br />Name: <br />Title: <br />Date: <br /> <br />5.6 NON-COLLUSIVE AFFIDAVIT <br /> <br /> <br />a) He/she is the , (Owner, Partner, Officer, <br />Representative or Agent) of __________________________ the Bidder that has submitted the attached Bid; <br /> <br />b) He/she is fully informed respecting the preparation and contents of the attached Bid and of all <br />pertinent circumstances respecting such Bid; <br /> <br />c) Such Bid is genuine and is not collusive or a sham Bid; <br /> <br />d) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees <br />or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or <br />indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Work for <br />which the attached Bid has been submitted; or to refrain from proposing in connection with such work; or have in <br />any manner, directly or indirectly, sought by person to fix the price or prices in the attached Bid or of any other <br />Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to <br />secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), <br />or any person interested in the proposed work; <br />e) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any <br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, <br />representatives, owners, employees or parties in interest, including this affiant. <br /> <br />As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. <br /> <br />Name: <br />Title: <br />Date: <br /> <br /> <br /> <br /> <br />