1-Affidavit.pdf
PDF 163 KB Posted
- Attached to
- Total Organic Carbon Analyzer
- Solicitation number
- RFP-25-0079
- Issued by
- Johnson County, Kansas
About this file
This document is an Affidavit from the City of Olathe, Kansas, designed to ensure transparency and prevent conflicts of interest in municipal contracting. The affidavit requires a representative of a bidding firm to swear under oath that no City of Olathe officer, agent, or employee has a direct or indirect financial interest in the firm's bid, or that any such interests are explicitly disclosed. The affiant must also confirm that the firm has not engaged in any collusive practices or acts that would restrain trade in response to a City solicitation.
The affidavit provides checkboxes for the firm to disclose any potential conflicts of interest, including financial benefits that might accrue to City employees from a potential contract. The document requires the firm's representative to provide their name, title, firm name, contact information, and Federal Tax ID, and to sign the document in the presence of a notary public. This affidavit serves as a legal declaration of the firm's ethical standing and commitment to fair competition in the municipal procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-RFP-25-0079 Total Organic Carbon Analyzer.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 .