1-04 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Solicitation number
- RFP 25-19282-MA Ultrasonic Meters, Products & Services
- Issued by
- Hunt County, Texas
About this file
This is a Non-Collusion Affidavit form issued by Lubbock County, Texas, required for submission with bids related to RFP 25-19282-MA for ultrasonic water meters and related products and services. The affidavit serves as a sworn statement by the bidding firm certifying that the submitted bid is genuine and not a sham or collusive bid made in the interest of any undisclosed party. The form requires the bidder to affirm that no direct inducements or solicitations were made to other firms to submit false bids or to refrain from submitting qualifications, and that the bidding firm has not engaged in any collusive practices to gain unfair advantage over competing firms. The document must be completed, signed by an authorized representative of the firm, notarized, and included with the bid submission.
The affidavit requires standard notarization elements, including the signature of the firm's authorized representative, printed name, title, and the notary public's certification with commission expiration date. Completion and inclusion of this form with the submission is mandatory for bid consideration. The document is a compliance mechanism designed to ensure competitive integrity and prevent fraudulent bidding practices in the City's procurement process for ultrasonic water meters and related services.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-06 - Reference Form.pdf | ||
| 7-01 - RFP 26 19282 MA Ultrasonic Meters and AMI Fire Hydrant Meters.docx | DOCX document | |
| 6-02 - Vendor Acknowledgement Form.docx | DOCX document | |
| 4-03 Insurance Affidavit.pdf | ||
| 3-05 - Business Questionnaire.pdf | ||
| 5-07 - Contact Person Form.pdf |
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Text version
NON-COLLUSION AFFIDAVIT
STATE OF TEXAS
LUBBOCK COUNTY
_________________________________________________ being first duly sworn, on his/her oath, says that the bid above submitted is a genuine and not a sham or collusive bid, or made in the interest or on behalf of any person not therein named; and s/he further says that the said respondent has not directly induced or solicited any firm on the above work or supplies to put in a sham , or any other person or corporation to refrain from a statement of qualifications; and that said firm has not in any manner sought by collusion to secure to self an advantage over any other firm or firms.
Firm
Name
Signature
Title
Subscribed and sworn to before me this ______________ day of ___________ 20__
Notary Public
My Commission Expires: _______________________________________________
NOTE: THIS FORM MUST BE COMPLETED AND INCLUDED IN WITH THE SUBMISSION
File details come from the government source that posted it. Updated .