§ 36.075 FORM.
CHECKLIST FOR INVITATION FOR BIDS FOR REVERSE AUCTION
Type of supply ______________
Requesting agency ___________
___________ Purchase description
___________ Description of contractual terms and conditions
___________ Evaluation criteria to be used (circle selections)
            Inspection
            Testing
            Quality
            Workmanship
            Delivery
            Other ___________ (specify)
___________ Requirements imposed on trusts
___________ Pre-qualification criteria
___________ Description of information and documentation required for pre-qualification
___________ Evidence of financial responsibility required? (Circle selection)
            Certified check
            Bid bond
            Other ___________ (specify)
___________ Performance bond required?
___________ Deadline for submission of pre-qualification information
___________ Location and manner in which pre-qualification information to be submitted
___________ Locations, including websites, where invitation to bid may be viewed, including any third
          party procedures
___________ Third party conducting reverse auction?
___________ Statement as to how pre-qualified bidders may submit offers
___________ Date and time at which reverse auction bidding period commences; approximate length
          of initial bidding period
___________ Statement concerning bidding period extensions
___________ Deadline for submission of initial price by pre-qualified bidders
___________ Statement of conditions under which reverse auction may be postponed, rescheduled,
          or cancelled
___________ Place and approximate time at which offers may be viewed publicly after close of bidding
          period
___________ Statement concerning imposition of fee by town or third party service charge
___________ Town contact information
___________ Third party contact information
___________ Notice of invitation for bids published
Date of first publication _____________
Date of second publication ___________
___________ Date of reverse auction bidding period
   NON-COLLUSION AFFIRMATION FOR USE WITH REVERSE AUCTION
STATE OF INDIANA   )
            ) SS:
_____________ COUNTY   )
The undersigned offeror or agent, duly swears, under penalties for perjury that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be offered by any person nor to prevent any person from making an offer nor to induce anyone to refrain from making an offer.
                                 ________________________________
                                 Offeror (Firm)
                                 ________________________________
                                 Signature of Offeror or Agent
(Res. 2007-24, passed 11-12-2007)