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2020-042B
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Last modified
3/1/2021 10:56:41 AM
Creation date
4/21/2020 2:52:38 PM
Metadata
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Template:
Official Documents
Official Document Type
Contract
Approved Date
03/10/2020
Control Number
2020-042B
Agenda Item Number
8.G.
Entity Name
Florida Department of Transportation
FDOT
Subject
43rd Avenue Sidewalk from Airport Drive West to 41st Street
Contract Documents and Specifications
Project Number
IRC-1503
Bid Number
2020016
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SECTION 00472 <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />575-060-13 <br />NON -COLLUSION DECLARATION AND <br />RIGHT OF WAY <br />05/01 <br />COMPLIANCE WITH 49 CFR § 29 <br />Page 1 of <br />ITEM/SEGMENT NO.: <br />F.A.P. NO.: ITR -909001 R-11-91711901,11-1 <br />MANAGING DISTRICT: 4 <br />PARCEL NO.: <br />COUNTY OF: Indian River Count <br />BID LETTING OF: January 22.2020 <br />I, Peggy Sheltra hereby declare that I am <br />(NAME) <br />President Of PRP Construction Group, LLC <br />(TITLE) (FIRM) <br />of Indiantown. FI. <br />(CITY AND STATE) <br />and that I am the person responsible within my firm for the final decision as to the price(s) and amount of this Bid on this <br />State Project. <br />I further declare that: <br />1. The prices(s) and amount of this bid have been arrived at independently, without consultation, <br />communication or agreement, for the purpose of restricting competition with any other contractor, bidder or potential <br />bidder. <br />2. Neither the price(s) nor the amount of this bid have been disclosed to any other firm or person who is a <br />bidder or potential bidder on this project, and will not be so disclosed prior to the bid opening. <br />3. No attempt has been made or will be made to solicit, cause or induce any other firm or person to refrain from <br />bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or <br />other form of complementary bid. <br />4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or <br />inducement from, any firm or person to submit a complementary bid. <br />5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or <br />services from any firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in <br />connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain <br />from bidding or to submit a complementary bid on this project. <br />6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or <br />services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, <br />whether in connection with this or any other project, in consideration for my firm's submitting a complementary bid, or <br />agreeing to do so, on this project. <br />7. 1 have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities <br />relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them <br />that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other <br />conduct inconsistent with any of the statements and representations made in this Declaration. <br />8. As required by Section 337.165, Florida Statutes, the firm has fully informed the Department of <br />Transportation in writing of all convictions of the firm, its affiliates (as defined in Section 337.165(I)(a), Florida Statutes), <br />and all directors, officers, and employees of the firm and its affiliates for violation of state or federal antitrust laws with <br />respect to a public contract or for violation of any state or federal law involving fraud, bribery, collusion, conspiracy or <br />material misrepresentation with respect to a public contract. This includes disclosure of the names of current employees <br />of the firm or affiliates who were convicted of contract crimes while in the employ of another company. <br />00472-1 <br />
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