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City of Arden Hills <br />RFP for Recvclina Services <br />Form D: Certification of Independent Proposal Pricing <br />Instructions: 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 <br />proposal: <br />The undersigned respondent certifies that the Proposer has not directly or indirectly <br />entered into any agreement, express or implied, with any other Proposer(s) (other <br />than for purposes of forming a Team as defined and allowed in this RFP) for any of <br />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 <br />Contract or 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 <br />sealed proposal to any person except those as a part of a legitimate Team as per <br />the specifications of this RFP or having a partnership or other financial interest with <br />them in said proposal or proposals until after the Contract is fully executed or until <br />the City publicly releases this sealed information. <br />The undersigned respondent further certifies that the Proposer has not been a party <br />to any collusion including, but not limited to, actions such as: <br />A. Proposers restraining the freedom of competition by agreement to make a <br />proposal at 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 <br />any prohibited contact or conflict of interest with any City official or its agents such <br />as, but not limited to: <br />A. Discussion of service quantity, quality, or price in the prospective Contract or <br />any other terms of said prospective Contract; or <br />B. Any other prohibited discussions between the Proposers and City officials or <br />agents concerning exchange of money or other things of value for special <br />consideration in the letting of a Contract. <br />Signature of person duly authorized to sign submittal on behalf of the Proposer: <br />Printed Name <br />Authorized Signature <br />Date <br />Form D - 1 <br />