4-05 - Non Collusion Affidavit.pdf

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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 .