10-Tex Govt Code 2270 Verification.pdf

PDF 89 KB Posted

Attached to
HVAC Equipment, Service and Supplies
Solicitation number
1075HVAC
Issued by
Victoria County, Texas

About this file

This document is a Texas Government Code 2270 Verification form for Lyford Consolidated Independent School District, specifically an affidavit related to Israel boycott compliance. The form requires a company representative (the Affiant) to swear under penalty of perjury that the company does not currently boycott Israel and will not boycott Israel during the term of their agreement with the school district.

The verification document outlines five key statements that the Affiant must affirm: 1) they are authorized to make the affidavit, 2) they are fully aware of the facts stated, 3) they can read English and are over 18 years old, 4) the company is not currently boycotting Israel, and 5) the company will not boycott Israel during the contract term. The form is to be completed in Willacy County, Texas, and requires the Affiant's signature, address, and notarization, with spaces provided for the date, name, title, business name, and county of the company.

View the file

Other files

File Type Posted
5-Form 1295.pdf PDF
2-Certificate of Residency.pdf PDF
1-Anti-Terrorism Certification.pdf PDF
12-W-9 Form.pdf PDF
7-HUB or Minority Owned Business.pdf PDF
14-1075HVAC BID ADDENDUM.docx DOCX document
4-Felony Conviction Notification.pdf PDF
8-Lobbying Certification.pdf PDF
3-Deviations Form.pdf PDF
6-Form CIQ.pdf PDF
11-Vendor Debarment Statement.pdf PDF
9-Non-Collusive Certificate.pdf PDF
13-1075HVAC BID.pdf PDF
Show all 13

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Attachment g.

TEX. GOV’T CODE 2270 VERIFICATION

STATE OF TEXAS }

COUNTY OF WILLACY }

Date: _________________________________________________________________________________ Name of Affiant: ________________________________________________________________________ Title of Affiant: _________________________________________________________________________ Business Name of Company (“Company”): ___________________________________________________ County of Company: _____________________________________________________________________

Affiant herby swears, verifies, and declares under penalty of perjury that the following statements are true in accordance with Texas Government Code 2270.001 et al (the “Code”):

1. Affiant is authorized by Company to make this affidavit.

2. Affiant is fully aware of the facts stated in this affidavit.

3. Affiant can read the English language and is over eighteen (18) years of age.

4. Company does not currently boycott Israel.

5. Company will not boycott Israel during the term of the Agreement with Lyford Consolidated

Independent School District in accordance with the Code.

Signature of Affiant

Address

SUBSCRIBED AND SWORN TO before me by ___________________on________________20__________.

Notary Public, State of ______________________________________________

Typed or printed name of notary

My commission expires: __________________________________

File details come from the government source that posted it. Updated .