4-10 - Required Document - State Reciprocal - NonCollusion.pdf

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Attached to
Minor Housing Rehabilitation Program (HVAC Repair/Replace Program)
Solicitation number
26-74-B
Issued by
Denton County, Little Cypress CDP, Texas

About this file

This is a State Reciprocal Requirement and Non-Collusion Statement form issued by the City of Lewisville Purchasing Division for the Minor Housing Rehabilitation Program (HVAC Repair/Replace Program). The City of Lewisville is soliciting competitive sealed bids from qualified contractors for the repair and/or replacement of HVAC units at 14 residential homes approved through the city's Minor Housing Rehabilitation Program. The project is governed by Local Government Code Chapter 252, and all goods and services must comply with Americans with Disabilities Act (ADA) requirements. Questions must be submitted through the Bonfire platform in the questions and answers section. The successful bidder will be required to certify ADA compliance where applicable.

As a Texas governmental agency, the City of Lewisville may award contracts to non-resident bidders only if their bid is lower than the lowest resident Texas bid by the same percentage or dollar amount that Texas bidders would need to underbid non-resident bidders in the non-resident's home state. Bidders must disclose their principal place of business and identify whether their home state provides reciprocal preference to resident bidders. All bidders must execute a non-collusion statement affirming that the bid was prepared independently, without communication of pricing, terms, or conditions to other bidders prior to the official bid opening. Authorized company officials must sign the statement along with the bidder.

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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:

Where is your principal place of business:
A In which state is your principal place of business located:
C If YES what is that dollar increment or percentage:
percentage: Off
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_2:

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