3-Affidavit.pdf
PDF 101 KB Posted
- Attached to
- Employee Service Pins
- Solicitation number
- 25-046
- Issued by
- Jackson County, Missouri
About this file
This document is an Affidavit for a bidding process with Jackson County, Missouri. The affidavit requires a bidder to make sworn statements regarding their eligibility, integrity, and compliance with county requirements. Key declarations include affirming no financial conflicts of interest with county officers, confirming tax compliance, certifying non-participation in collusion, verifying the bidder is not on any debarment lists, and attesting to participation in federal work authorization programs and employment of only authorized workers.
The affidavit specifically requires the bidder to either be listed on Jackson County's tax rolls and not delinquent in tax payments, or to have no taxable property as of December 31, 2025. The bidder agrees to potential audit of business personal property records if requested. The document is designed to be executed before a notary public, with spaces provided for the bidder's name, signature, title, and notarial certification, demonstrating a formal legal process to ensure transparency and ethical conduct in county procurement activities.
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
AFFIDAVIT
STATE OF ______________________ )
) SS.
COUNTY OF ____________________ )
_________________________________of the city of ________________________________ County of ____________________ State of __________________being duly sworn on her or his oath, deposes and says;
1. That I am the _________________________ (Title of Affiant) of __________________________________(Name of Bidder) and have been authorized by said Bidder to make this Affidavit upon my best information and belief, after reasonable inquiry as to the representations herein.
2. No Officer, Agent or Employee of Jackson County, Missouri is financially interested directly or indirectly what Bidder is offering to sell to the County pursuant to this Invitation (though no representation is made regarding potential ownership of publicly traded stock of bidder).
3. If Bidder were awarded any contract, job, work or service for Jackson County, Missouri, no Officer, Agent or Employee of the
County would be interested in or receive any benefit from the profit or emolument of such.
4. Either Bidder is duly listed and assessed on the tax rolls of Jackson County, Missouri and is not delinquent in the payment of any taxes due to the County or Bidder did not have on December 31, 2025, any property subject to taxation by the County and if bidder is duly listed and assessed on the tax rolls of Jackson County, Missouri, bidder agrees to permit an audit of its records, if requested by the Jackson County Director of Assessment, as they relate to the assessment of Business Personal Property.
5. Bidder has not participated in collusion or committed any act in restraint of trade, directly or indirectly, which bears upon anyone's response or lack of response to the Invitation.
6. Bidder certifies and warrants that Bidder or Bidder's firm/organization is not listed on the General Services Administration's Report of Debarred and/or Suspended Parties.
7. Bidder certifies and affirms its enrollment and participation in a federal work authorization program with respect to the employees working in connection with the contracted services.
8. Bidder certifies and affirms that it does not knowingly employ any person who is an unauthorized alien in connection with the contracted services.
_______________________________ (Name of Bidder)
By: ____________________________ (Signature of Affiant)
_______________________________ (Title of Affiant)
Subscribed and sworn to before me this ______ day of _________________, 20____
NOTARY PUBLIC in and for the County of _______________________________(SEAL)
State of _____________________________
My Commission Expires: ______________________________________________
File details come from the government source that posted it. Updated .