1-04 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Attached to
- Landscape & Grounds Maintenance Services for North, South and East Patrol Division Stations.
- Solicitation number
- RFP 26-19638-SR
- Issued by
- Henderson County, Texas
About this file
This is a Non-Collusion Affidavit required by the City of Lubbock, Texas for the Landscape & Grounds Maintenance Services Request for Proposals. The affidavit applies to proposals submitted for landscaping and grounds maintenance services at three Lubbock Police Department Patrol Division Stations located at North Station (5910 Erskine St.), South Station (14005 Indiana Ave.), and East Station (1901 MLK Jr. Blvd.). The form must be completed and sworn before a notary public, with the affiant certifying that the bid submitted is genuine and not collusive in nature.
The affidavit requires the submitting firm to attest that it has not directly induced or solicited any other firm to submit a sham bid, refrain from bidding, or otherwise engaged in collusive practices to secure an unfair advantage over competing firms. The document must be signed by an authorized representative of the firm, include the firm name and signatory title, and be notarized with the notary's commission expiration date. Completion and inclusion of this form with the proposal submission is mandatory for consideration of the bid.
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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
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