10-12 - Affidavit of Compliance.pdf

This is an Affidavit of Compliance form issued by the City of Lubbock, Texas Purchasing and Contract Management Department, intended for vendors delivering regulated substances to municipal facilities. The affidavit requires the vendor's authorized financial representative to certify that all company drivers meet local, state, and federal regulatory compliance standards for handling regulated substances. The vendor must attest that drivers have completed comprehensive training programs covering safety procedures, awareness protocols, accidental release procedures, and incident management. Additionally, all drivers must be qualified and certified through company-generated procedures to safely unload regulated substances and operate necessary equipment for delivery tasks.

The form requires the submitting vendor to provide contact information including phone number, fax, email, and business address, along with the signature and date from the person authorized to approve financial matters. The specific regulated substance being delivered must be identified on the form. This compliance certification appears to apply to the City of Lubbock's Landscape and Grounds Maintenance Services contract for the Patrol Division Station South location at 14005 Indiana Ave, though the affidavit template is generic and may be used for multiple vendor submissions involving regulated substance deliveries to city facilities.