4-05 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Attached to
- Liquid Polymer for Sludge Handling for SEWRP
- Solicitation number
- ITB 26-19332-YB
- Issued by
- Henderson County, Texas
About this file
This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas, Lubbock County, for competitive sealed bids submitted for Liquid Polymer for Sludge Handling at the City of Lubbock Southeast Water Reclamation Plant. The affidavit must be completed and included with all bid submissions. The form requires the bidding firm to certify under oath that the submitted bid is genuine and not collusive, that the firm has not directly induced or solicited other firms to submit sham bids or refrain from bidding, and that the firm has not sought any collusive advantage over competing firms.
The affidavit requires completion of the firm name, respondent name, signature, and title, followed by notarization with the notary public's signature and commission expiration date. This document is mandatory for bid submission and serves as a certification of ethical bidding practices and compliance with competitive procurement requirements.
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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 .