3-AFFIDAVIT CONCERNING AUTHORITY (template).docx

DOCX document 14 KB Posted

Attached to
Lubricant, Hydraulic Fluid, & Wear Particle Condition Monitoring
Solicitation number
RFP 265X911116
Issued by
Hamilton County, Ohio

About this file

This is an Affidavit Concerning Authority template document for use with the Metropolitan Sewer District of Greater Cincinnati (MSDGC), a public agency in Ohio. The template is designed to establish authorized signatories for legal and financial documents related to projects undertaken with MSDGC. The affidavit requires completion by an authorized representative of a bidding or contracting entity, who must identify themselves by position and organization, confirm their authority to execute the document, and designate all individuals authorized to sign legal and financial project documents on behalf of their organization, including their names and titles. The affidavit must be notarized and sworn before a notary public, with supporting documentation of the affiant's authority attached as verification.

This template document contains no pricing information, set-asides, incumbent contractor details, funding sources, or contract performance terms, as it serves solely as an administrative verification mechanism for establishing authorized representatives in contracts with MSDGC. The specific contract opportunity referenced pertains to the MSDGC Wastewater Treatment Division's Asset Condition Monitoring Program, which seeks as-needed services for lubricant, hydraulic fluid, and wear particle analysis to monitor equipment reliability at wastewater treatment plants and prevent equipment failures through early defect identification.

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Text version

AFFIDAVIT CONCERNING AUTHORITY

STATE OF _________________, COUNTY OF ______________________, SS:

The undersigned ________________________________, being the/a ________ of _______________________________, a ___________________________________, being first duly cautioned and sworn, states the following:

1. He/she is a/the ____________ of _____________________________, a _________________________.

2. The only person/people who is/are authorized to sign legal and financial documents related to projects with the Metropolitan Sewer District of Greater Cincinnati is/are:

_______________________ TITLE: ______________

_______________________ TITLE: ______________

3. Proof of Affiant’s authority to sign this Affidavit is attached hereto.

Further Affiant sayeth naught.

________________________________________
Printed name:_____________________________
Title: ___________________________________

Sworn to and subscribed in my presence this _______ day of _________________, 20______, by __________________________________.

_________________________________________
Notary Public, State of ____________________

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