20260529130615918 Attachment 5 - Non-Collusion Affidavit.pdf

PDF 27 KB Posted

Attached to
Bank Depository Services
Solicitation number
142625
Issued by
Dallas County, Texas

About this file

This is a Non-Collusion Affidavit form required for submission with bids or proposals to the State of Texas for Bank Depository Services. The affidavit must be completed and submitted by the authorized representative of each bidder or proposer as part of their bid package. The document serves as a sworn statement certifying that the bid is genuine, independent, and made solely in the interest of the bidding party without coordination or agreement with competing bidders.

The affidavit requires the authorized company representative to affirm under oath that the bid price and all related information have not been discussed, coordinated, or shared with other bidders; that no inducements or collusive agreements have been made; and that no fees have been paid to any third party to facilitate a collusive or sham bid. The form must be notarized and include the signature of the authorized representative, their name and title, the bidder's name, and the date of execution. This standard compliance document ensures bidding integrity and protects the public body awarding the contract from fraudulent or anti-competitive bidding practices.

View the file

Other files

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

NON-COLLUSION AFFIDAVIT

This affidavit must be completed and submitted with the bid/proposal

The authorized representative for b i d d e r / proposer, , being first duly sworn, deposes and says that he or she is of the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation;

that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

Signature of Authorized Company Representative

Name and Title of Authorized Company Representative

Date

Subscribed and sworn to before me on (Date)

(Notary Seal) Signature Notary Public

firm_name:
signature_rep:
name_title_rep:
BidderName:
NameTitle:
Date:

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