4-08 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
Water Operations Pump Repairs
Solicitation number
RFP 26-19328-AE
Issued by
Henderson County, Texas

About this file

This is a Non-Collusion Affidavit required by the City of Lubbock, Texas for the Water Operations Pump Repairs contract opportunity. The affidavit serves as a sworn statement in which the bidding firm certifies that its submitted bid is genuine and not collusive in nature. The document requires the firm to affirm that it has not directly or indirectly induced, solicited, or coordinated with any other firm to submit a sham bid, refrain from bidding, or otherwise engage in anticompetitive conduct that would provide an unfair advantage to the responding firm.

The completed affidavit must be notarized and submitted with the bid proposal. The form requires the firm name, authorized representative name and signature, title, date, and notary information including commission expiration date. Submission of this completed and notarized form is mandatory and must be included with all bid submissions for this procurement.

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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 .