4-09 - Required Document - State Reciprocal - Non Collusion.pdf
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- Solicitation number
- 26-50-A
- Issued by
- Denton County, Little Cypress CDP, Texas
About this file
This is a required documentation form for the City of Lewisville Purchasing Division related to the Annual Contract for Water & Wastewater Chemical - Activated Carbon. The form establishes compliance requirements for all bidders, including a State Reciprocal Requirement under Texas Government Code Section 2252.002 and a Non-Collusion Statement. Bidders must disclose their principal place of business location and, if located outside Texas, identify whether their home state provides preferential treatment to resident bidders through dollar increments or percentages. The form requires bidders to affirm that their bid was prepared independently without collusion with other bidders and that pricing, terms, and conditions have not been communicated to competitors prior to the official bid opening.
All goods and services provided must comply with the Americans with Disabilities Act and related regulations, with successful bidders required to certify such compliance where applicable. Award will be determined based on Local Government Code Chapter 252. The Non-Collusion Statement requires completion and signature by an authorized bidder representative as well as a company official authorized to execute the contract, with supporting documentation including vendor name, address, contact information, and job titles of both signatories.
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Text version
CITY OF LEWISVILLE
PURCHASING DIVISION
STATE RECIPROCAL REQUIREMENT
The City of Lewisville, as a governmental agency of the State of Texas, may not award a contract for general construction, improvements, services or public works projects or purchases of supplies, materials, or equipment to a non- resident bidder unless the non- resident' s bid is lower than the lowest bid submitted by a responsible Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a non- resident bidder to obtain a comparable contract in the state in which the non- resident' s principal place of business is located ( Section 2252.002 of the Government Code). Bidder shall answer all the following questions by encircling the appropriate response or completing the blank provided.
1. Where is your principal place of business? ____________________________________________
2. Only if your principal place of business is not in the state of Texas, please indicate:
A. In which state is your principal place of business located? ____________________________
B. Does that state favor resident bidders ( bidders in your state) by some dollar increment or percentage? YES NO
C. If "YES", what is that dollar increment or percentage? _______________________________
NON-COLLUSION STATEMENT
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firms, partnership or individual has not prepared this bid in collusion with any other Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employer or agent to any other person engaged in this type of business prior to the official opening of this bid.
Vendor:
Address:
City, State, Zip:
Phone:
Email:
Bidder (Print Name):
Bidder Signature:
Job Title:
Signature of company official authorizing this bid:
Company Official (Print name):
Job Title:
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