1-08 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Attached to
- West Lubbock Water System Expansion
- Solicitation number
- RFP 26-19431-AE
- Issued by
- Henderson County, Texas
About this file
This is a Non-Collusion Affidavit required by the City of Lubbock, Texas for the West Lubbock Water System Expansion project. The affidavit is a sworn statement that must be completed and submitted with the proposal by the bidding firm. The document confirms that the bid submitted is genuine and not collusive, that no sham bids have been solicited, that no competing firms have been induced to refrain from bidding, and that the firm has not sought through collusion to gain any advantage over other bidders.
The affidavit requires the firm name, authorized representative name and signature, title, and the date of notarization to be completed. The document must be notarized with the notary public's signature and commission expiration date. Per the instructions, this completed form is mandatory and must be included with the proposal submission for the water line expansion project.
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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 .