1-Affidavit.pdf
PDF 163 KB Posted
- Attached to
- Environmental Services Laboratory Equipment
- Solicitation number
- RFP-25-0078
- Issued by
- Johnson County, Kansas
About this file
This document is an Affidavit for the City of Olathe, Kansas, designed to ensure transparency and ethical conduct in municipal contracting. The affidavit requires a representative of a firm seeking to do business with the city to swear under oath that: (1) they are authorized to submit the document on behalf of their company, (2) no city officer, agent, or employee has a direct financial interest in the firm's offer, and (3) if awarded a contract, no city personnel would receive financial benefits from the transaction. The document also requires the firm to affirm that they have not engaged in any collusive practices or acts that would restrain trade in response to the city's solicitation.
The affidavit provides spaces for the firm to provide critical information including their federal tax ID, contact details, and signature of an authorized representative. The document must be signed in the presence of a notary public, who will validate the sworn statement and record the commission expiration. This form serves as a legal declaration of ethical business practices and potential conflicts of interest, which is a standard requirement for companies bidding on municipal contracts to ensure transparency and prevent corruption in the procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-RFP-25-0078 Environmental Services Laboratory Equipment.pdf |
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Text version
CITY OF OLATHE, KANSAS
AFFIDAVIT
STATE OF )
) SS.
COUNTY OF )
of the City of , (Name of Individual)
County of , State of , being duly sworn on her or his oath, states;
1. That I am the (Title) of (Firm Name), and have been authorized by said firm to make this affidavit on its behalf;
2. (Check the box the applies) No officer, agent or employee of the City of Olathe, Kansas is financially interested, directly or indirectly, in what firm is offering to sell to the City pursuant to any solicitation issued by the City of Olathe;
OR
The following officer(s), agent(s), or employee(s) of the City of Olathe would be financially interested in or receive a benefit from the profit or payments of any contract, job work, or service provided to the City of Olathe: (list all such officers, agents, or City employees on a separate sheet);
3. (Check the box that applies) If firm were awarded any contract, job work, or service for the City of Olathe, Kansas, no officer, agent or employee of the City would be financially interested in or receive any benefit from the profit or payments of such;
OR
The following officer(s), agent(s), or employee(s) of the City of Olathe would be financially interested in or receive a benefit from the profit or payments of any contract, job work, or service provided to the City of Olathe: (list all such officers, agents, or City employees on a separate sheet);
4. Firm has not participated in collusion or committed any act in restraint of trade, directly or indirectly, which bears upon anyone's response or lack of response any solicitation issued by the City of Olathe.
(Firm Name) Federal Tax ID #
By: (Signature) Subscribed and sworn before me this day of
(Printed Name) 20
(Title)
Mailing Address NOTARY PUBLIC in and for the County of
City, State, Zip Code State of
Phone Fax My commission expires:
Email SEAL
| CITY OF OLATHE, KANSAS |
| AFFIDAVIT |
| COUNTY OF ) |
| County of , State of , |
| OR |
| OR |
File details come from the government source that posted it. Updated .