1-06 - Non Collusion Affidavit.pdf

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Attached to
Valencia Public Improvement District Park Lighting Project
Solicitation number
ITB 26-19343-KM
Issued by
Henderson County, Texas

About this file

This is a Non-Collusion Affidavit form required for the Valencia Public Improvement District Park Lighting Project in Lubbock County, Texas. The affidavit must be completed and submitted with all bids for the project, which involves adding string lighting along two community park tree-lined walking paths located at 1624 87th Street, Lubbock, Texas 79424. The project has an initial term of six months with an optional extension for an additional six months.

The affidavit requires the bidder to swear under oath that the submitted bid is genuine and not collusive, that no other firms have been improperly induced or solicited to submit sham bids or to refrain from bidding, and that the firm has not sought any unfair advantage through collusion with competitors. The form must be notarized and signed by an authorized representative of the bidding firm, with the notary public's commission expiration date noted. Submission of this completed and notarized form is mandatory for bid consideration.

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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 ___________ 2021

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 .