47-Table 13 Affidavits.docx
DOCX document 16 KB Posted
- Solicitation number
- CIZ-DWU-26 003
- Issued by
- Dallas County, Texas
About this file
This document is an affidavits and joint venture statement form for the Southwest 96-inch Water Transmission Pipeline Project in Texas. The file outlines four required affidavit options that must be executed and submitted with qualification information, depending on the bidder's entity type: corporation, partnership, individual, or joint venture. Each affidavit requires the signatory to confirm their authority to bind the organization, attest to the accuracy and truthfulness of submitted documents, and declare the absence of material misrepresentations. All affidavits must be notarized, with the signatory providing their name, title, and evidence of authorization. For joint venture bidders, a separate joint venture statement requires all participating firms to acknowledge their agreement to bid together on the project, with each firm's representative signing and having their signature notarized.
The related project involves the installation of approximately 14,300 linear feet of 96-inch steel water pipe, 570 linear feet of 78-inch steel water pipe, and 30 linear feet of 54-inch prestressed concrete cylinder water pipe using both open cut and tunneling methods. The scope includes cathodic protection, electrical systems, instrumentation and controls for electrically actuated valves, and site and paving restoration with all appurtenances. Plans, specifications, and bid proposal spreadsheets will be available on Bonfire beginning Friday, March 13, 2026, prior to 4:00 p.m., with Tracey Long, PE, serving as the project manager.
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Text version
Table 13 - Affidavits One of the following four affidavits shall be executed and provided with this information. The individual signing the affidavit shall attach evidence of their authority to bind the organization to an agreement.
AFFIDAVIT FOR CORPORATION
State _______________________________________________ County of ____________________________________________ ____________________________________________________, being duly sworn deposes and says (Name)
That he is _______________________________________ of the (Title)
________________________________________________ corporation submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentation; and that he is authorized to make this affidavit on behalf of the Corporation.
Signature
Signed and sworn to me before this ________ day of __________________, 20__.
Notary Public
My commission expires:
AFFIDAVIT FOR PARTNERSHIP
State _______________________________________________ County of ____________________________________________ ____________________________________________________, being duly sworn deposes and says (Name)
That he is _______________________________________ of the (Title)
________________________________________________ company submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentations.
My commission expires:
AFFIDAVIT FOR INDIVIDUAL
State _______________________________________________ County of ____________________________________________ ____________________________________________________, being duly sworn deposes and says (Name)
That he is _______________________________________ of the (Title)
________________________________________________ company submitting the foregoing qualification form and related information; that he has read such documents; and that such documents are true and correct and contain no material misrepresentations.
JOINT VENTURE STATEMENT
We the undersigned do hereby give notice to our agreement to bid as a joint venture on the Project.
Name of Joint Venture
Name of Firm Signature
Signed and sworn to me before this _________ day of __________________, 20__.
Notary Public
My commission expires:
Name of Firm
Signature
Signed and sworn to me before this ____________ day of ____________________, 20__.
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