2-04 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
Automated Teller Machine Services
Solicitation number
RFP 26-19502-KM
Issued by
Hunt County, Texas

About this file

This is a Non-Collusion Affidavit required by the City of Lubbock, Texas for the Automated Teller Machine Services contract opportunity. The affidavit must be completed and submitted with all proposals and serves as a sworn statement by the bidding firm certifying that the bid submitted is genuine and not collusive in nature. The document requires the firm to affirm that it has not directly induced or solicited any other firm to submit a sham bid, refrain from bidding, or collude in any manner to secure an unfair advantage over competing firms.

The affidavit must be completed with the firm name, authorized representative name, title, and signature, and must be notarized before a notary public before submission. The form includes spaces for the notary public to document the date of notarization and the expiration date of their commission. This form is mandatory and constitutes a required component of the proposal submission package for this City of Lubbock procurement.

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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 .