3-05 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Attached to
- Pivot Irrigation System for Land Application
- Solicitation number
- ITB 26-19345-YB
- Issued by
- Henderson County, Texas
About this file
This is a Non-Collusion Affidavit required by the City of Lubbock, Texas, Lubbock County, for submission with a sealed bid for a Pivot Irrigation System for Land Application project. The affidavit must be completed and included with the bid submission and serves as a sworn statement certifying that the submitted bid is genuine and not collusive in nature. The document requires the bidding firm to confirm that it has not directly induced or solicited any other firm to submit a sham bid, nor has it sought by collusion to secure any advantage over competing firms.
The affidavit requires the authorized representative of the bidding firm to provide the firm name, individual name, signature, and title, along with attestation by a notary public. The form must be notarized with the notary's signature, seal, and commission expiration date. Completion and inclusion of this affidavit in the bid submission is mandatory for bid consideration.
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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 .