3-NON-COLLUSION STATEMENT.pdf

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Attached to
FREEZER AND COOLER PREVENTATIVE MAINTENANCE AND REPAIR SERVICES ON A TASK-REQUEST BASIS
Solicitation number
#26-003RFP
Issued by
Travis County, Texas

About this file

This is a Non-Collusion Statement form required by Manor Independent School District in Manor, Texas for vendors responding to a Request for Proposals for commercial freezer and cooler preventative maintenance and repair services. The statement serves as a sworn affidavit in which the respondent's authorized representative certifies that the submission is genuine and has not been prepared in collusion with other bidders. The respondent attests that neither the firm nor any of its officers, partners, owners, agents, representatives, or employees have engaged in any collusive practices, conspiracies, or unlawful agreements with competing vendors or other interested parties regarding the proposal submission, pricing, or the decision to refrain from submitting a response for the District's freezer and cooler maintenance contract.

The affidavit further certifies that any prices proposed will be fair, proper, and untainted by collusion or unlawful agreement. The form requires the respondent's business name, authorized representative signature and title, and notarization by a Texas notary public, with completion dated in 2021. This standard anti-collusion requirement is intended to ensure fair competition and procurement integrity in the District's solicitation process for preventative maintenance and emergency repair services across its school kitchen facilities.

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NON-COLLUSION STATEMENT

, being first duly sworn, deposes and says this:

(1) S/he is of (a partner or officer) (the firm of, etc.) the Respondent who has submitted the attached Statement of Qualifications.

(2) S/he is fully informed respecting the preparation and contents of the attached Statement of Qualifications and of all pertinent circumstances respecting such Statement of Qualifications.

(3) That Statement of Qualifications is genuine and is not a collusive or sham response.

(4) Neither the said Respondent nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with another Respondent, firm or person, to submit a collusive or sham. Response in connection with the Contract for which the attached Statement of Qualifications has been submitted or to refrain from proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion, or communication or conferences, with any other Respondent, firm or person to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Manor Independent School District of Manor, Texas or any person interested in the proposed contract; and,

(5) The price or prices which will be offered if selected as the successful Respondent in connection with this Request for Qualifications will be fair and proper and will not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Respondent or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Respondent’s Business Name):

(Respondent’s Representative Signature)

(Respondent’s Representative Title)

Subscribed and sworn to before me on this ______ day of , 2021.

NOTARY PUBLIC, STATE OF TEXAS

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