4-05- Non Collusion Affidavit.pdf

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Attached to
Hazardous Waste Collection and Disposal
Solicitation number
ITB 26-19408-SR
Issued by
Henderson County, Texas

About this file

This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas for the Hazardous Waste Collection and Disposal contract opportunity. The affidavit must be completed and submitted as part of the bid package. The form requires the bidder to attest under oath that the submitted bid is genuine and not a sham or collusive bid made in the interest of any undisclosed party. The bidder must also certify that no inducements or solicitations have been made to other firms regarding the work, and that no collusive actions have been taken to secure an unfair competitive advantage.

The affidavit form contains blank fields for the firm name, signatory name, title, signature, and date of execution. The form must be notarized, with the notary public providing their signature and commission expiration date. Completion and inclusion of this form with the bid submission is mandatory, as explicitly noted at the bottom of the document.

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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 .