5-06 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Attached to
- Cemetery - Irrigation Pump Station
- Solicitation number
- ITB 26-19316-TF
- Issued by
- Hunt County, Texas
About this file
This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas, Lubbock County, for the Cemetery - Irrigation Pump Station competitive sealed bid solicitation. The affidavit must be completed and submitted with all bids and certifies that the bid submitted is genuine and not collusive, that the bidder has not induced or solicited other firms to submit sham bids or to refrain from bidding, and that the bidder has not sought collusive advantage over competing firms through any improper means.
The form requires the bidder to provide the firm name, individual name, signature, and title, along with notarization by a public notary with an expiration date. Completion and inclusion of this affidavit with the bid submission is mandatory for bid consideration.
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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 .