4-05 - Non Collusion Affidavit.pdf

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Attached to
Granular Road Maintenance Salt
Solicitation number
ITB 26-19689-YB
Issued by
Henderson County, Texas

About this file

This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas for competitive sealed bids on Granular Road Maintenance Salt. The affidavit must be completed and submitted with all bid proposals. The form requires the bidding firm to certify under oath that the bid submitted is genuine and not collusive, that no inducements or solicitations have been made to other firms to submit sham bids or refrain from bidding, and that the firm has not sought any unfair advantage over competing bidders through collusion or other improper means.

The affidavit requires completion of identifying information including firm name, signatory name and title, and notarization by a licensed notary public. The document must be sworn and subscribed to before a notary, with the notary's commission expiration date noted. Submission of the completed affidavit is mandatory and must be included with the bid submission for the procurement to be considered responsive.

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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 .