NON-COLLUSION AFFIDAVIT
STATE OF SOUTH CAROLINA
COUNTY OF LEXINGTON
________________________________________, being first duly sworn, deposes and says that:
1. He/She is the ___________________ of offeror that has submitted the attached proposal;
2. He/She is fully informed respecting the preparation and contents of the attached proposal and of all
pertinent circumstances respecting such proposal;
3. Such proposal is genuine and is not a collusive or sham proposal;
4. Neither the said offeror nor any of its officers, partners, owners agents, representatives, employees
or parties of interest, including this affiant, has in any way colluded, conspired, connived or agreed,
directly or indirectly, with any other offeror, firm or person to submit a collusive sham proposal in
connection with the contract for which the attached proposal has been submitted or to refrain from
proposal in connection with such contract, or has in any manner, directly or indirectly, sought by
agreement or collusion or communication or conference with any other offeror, firm or person to
fix the price or prices in the attached proposal or of any other offeror, or to fix any overhead, profit
or cost element of the proposal price of any other offeror or to secure through collusion, conspiracy,
connivance or unlawful agreement any advantage against the County of Lexington or any person
interested in the proposed contract; and
5. The price or prices quoted in the attached proposal are fair and proper and are not tainted by any
collusion, conspiracy, connivance or unlawful agreement on the part of the offeror or any of its
agents, representatives, owners, employees, or parties in interest, including this affiant.
Authorized Signature: __________________________
Printed Name: ________________________________
Subscribed and sworn to before me this _____day of ________, 2024
Company: ___________________________________
Authorized Signature: __________________________
Notary Public
Printed Name: ________________________________
Commission Expires: __________________________