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City ofArden Hills• RFP <br />Comprehensive Recycling Services <br />Form D:Certification of Independent Proposal Pricing <br />Instructions: <br />This form shall be executed by the authorized official to bind the company. <br />The Proposer makes the following representations and certifications as part of this proposal: <br />The undersigned respondent certifies that the Proposer has not directly or indirectly entered into <br />any agreement, express or implied, with any other Proposer(s) (other than for purposes of <br />forming a Team as defined and allowed in this RFP) for any of the following: <br />A.Controlling of the price of such proposal(s); <br />B.Limiting of the number of proposals or Proposers; or <br />C.Parceling or farming out to any Proposer(s) or other persons of any part of the Contract or <br />any part of the subject matter of the proposal(s) or of the profits. <br />The undersigned respondent certifies that they have not and will not divulge the sealed proposal <br />to any person except those as a part of a legitimate Team as per the specifications of this RFP or <br />having a partnership or other financial interest with them in said proposal or proposals until after <br />the Contract is fully executed or until the City publicly releases this sealed information. <br />The undersigned respondent further certifies that the Proposer has not been a party to any <br />collusion including, but not limited to, actions such as: <br />A.Proposers restraining the freedom of competition by agreement to make a proposal at <br />a fixed price or pre-arranged price limit; <br />B.Refraining from submitting a proposal at a fixed or pre-arranged price limit; or <br />C.Refraining from submitting a proposal. <br />The undersigned responded further certifies that the Proposer has not engaged in any prohibited <br />contact or conflict of interest with any City official or its agents such as, but not limited to: <br />A.Discussion of service quantity, quality, or price in the prospective Contract or any <br />other terms of said prospective Contract; or <br />B.Any other prohibited discussions between the Proposers and City officials or agents <br />concerning exchange of money or other things of value for special consideration in <br />the letting of a Contract. <br />Signature of person duly authorized to sign submittal on behalf of the Proposer: <br />_____________________________________ <br />Printed Name <br />__________________________________________________________________________ <br />Authorized SignatureDate <br />Form D -1 <br />