4-05- Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
Air Filter Replacement at LPSIA
Solicitation number
ITB 26-19197-SR
Issued by
Henderson County, Texas

About this file

The document is a Non-Collusion Affidavit for a bid submission in Lubbock County, Texas. This standard legal form is designed to certify that the bid being submitted is genuine and not the result of collusive practices or anti-competitive behaviors. The form requires the bidder to swear, under oath, that they have not engaged in any activities intended to manipulate the bidding process or secure an unfair advantage over other firms.

The affidavit must be completed, signed by an authorized representative of the bidding firm, and notarized before being included with the bid submission. It serves as a legal declaration that the bidder is submitting a fair and independent proposal, without conspiring with other potential bidders to artificially influence the procurement process. The form provides spaces for the firm's name, the representative's signature and title, and requires notarization to validate the statement.

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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 .