3-04 - Non Collusion Affidavit.pdf

This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas for bidders responding to a Consulting and Broker Services for City Property and Casualty Insurance solicitation. The affidavit must be completed and signed by an authorized representative of the bidding firm and notarized before submission. The form requires the bidder to affirm under oath that the bid submitted is genuine and not collusive, that the firm has not induced or solicited other firms to submit sham bids or refrain from competing, and that the firm has not sought collusive advantage over other bidders through any improper means.

Completion and inclusion of this Non-Collusion Affidavit with the bid submission is mandatory. The form requires the firm name, authorized representative name and title, signature, date of execution, and notary public certification with commission expiration date. This document serves as a compliance requirement to ensure fair competition and ethical bidding practices in the procurement process for insurance consulting and broker services.