33-Table 13 Affidavits.pdf

PDF 85 KB Posted

Attached to
Southwest 96-inch Water Transmission Pipeline Project
Solicitation number
CIZ-DWU-26 003
Issued by
Dallas County, Texas

About this file

This document is a qualification affidavit template from the City of Dallas, Texas, for the Southwest 96-inch Water Transmission Pipeline Project. The file provides four standardized affidavit forms that bidders must complete and submit with their qualification documentation. These affidavits are required for corporations, partnerships, individuals, and joint ventures, with each form requiring the signatory to confirm that they have read the submitted qualification documents, verify their accuracy and truthfulness, and certify their authority to bind the organization to an agreement. All affidavits must be notarized and signed before a notary public. For joint ventures, both participating firms must execute separate statements and notarized signatures confirming their agreement to bid together on the project.

The Southwest 96-inch Water Transmission Pipeline Project involves the installation of approximately 14,300 linear feet of 96-inch steel water pipe, 570 linear feet of 78-inch steel water pipe, and 30 linear feet of 54-inch prestressed concrete cylinder water pipe using open cut and tunneling methods, along with cathodic protection, electrical systems, instrumentation, controls for electrically actuated valves, and site and paving restoration. Plans, specifications, and bid proposal spreadsheets are available on the Bonfire platform at https://dallascityhub.bonfirehub.com/ beginning Friday, March 13, 2026, prior to 4:00 p.m. The project manager is Tracey Long, PE. Bidders must submit the completed affidavits with evidence of signatory authority as part of their qualification submission.

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Text version

Table 13 - Affidavits

One of the following four affidavits shall be executed and provided with this information. The individual signing the affidavit shall attach evidence of their authority to bind the organization to an agreement.

AFFIDAVIT FOR CORPORATION

State _______________________________________________

County of ____________________________________________

____________________________________________________, being duly sworn deposes and says

(Name)

That he is _______________________________________ of the (Title)

________________________________________________ corporation submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentation; and that he is authorized to make this affidavit on behalf of the Corporation.

Signature

Signed and sworn to me before this ________ day of __________________, 20__.

Notary Public

My commission expires:

AFFIDAVIT FOR PARTNERSHIP

____________________________________________________, being duly sworn deposes and says

(Name)

That he is _______________________________________ of the (Title)

________________________________________________ company submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentations.

AFFIDAVIT FOR INDIVIDUAL

____________________________________________________, being duly sworn deposes and says

(Name)

That he is _______________________________________ of the (Title)

________________________________________________ company submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentations.

JOINT VENTURE STATEMENT

We the undersigned do hereby give notice to our agreement to bid as a joint venture on the Project.

Name of Joint Venture

Name of Firm

Signed and sworn to me before this _________ day of __________________, 20__.

Name of Firm

Signed and sworn to me before this ____________ day of ____________________, 20__.

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