2-04 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
Upland Crossing Public Improvement District (PID) Playa Lake Stormwater Drainage Restoration
Solicitation number
RFP 26-19456-KM
Issued by
Henderson County, Texas

About this file

This is a Non-Collusion Affidavit form required by Lubbock County, Texas for the Upland Crossing Public Improvement District (PID) Playa Lake Stormwater Drainage Restoration project. The affidavit must be completed and submitted with all bids for this project, which involves restoring drainage infrastructure at Playa Lake Park located at 7335 26th Street, Lubbock, Texas. The form certifies that the bid submitted is genuine and not collusive, and that the bidding firm has not directly induced, solicited, or conspired with any other firm to submit sham bids or to refrain from submitting qualifications. No specific project timeline, response dates, or award dates are indicated on this form.

The affidavit requires the bidding firm to provide its name, have an authorized representative sign the document, and obtain notarization before submission. The form includes spaces for the notary public to record the date of execution and their commission expiration date. Completion and inclusion of this affidavit with the bid submission is mandatory as stated in the note at the bottom of the form. No pricing, set-asides, or funding information is contained within this document.

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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 .