5-10. Attachment F. Non-Collusion Affidavit.pdf
PDF 96 KB Posted
- Attached to
- Airport Baggage Handling Upgrade
- Solicitation number
- BVB 414-26
- Issued by
- Orange County, Texas
About this file
This is a Non-Collusion Affidavit for the City of Amarillo's Baggage Handling System Modernization project (Bid No. AMA BVB-414-26, Project No. SEC 540402) at Rick Husband Amarillo International Airport in Texas. The affidavit is a sworn statement that must be executed before a notary public and submitted with the bid response. The document requires the bidder or authorized official to certify that neither they nor anyone acting on their behalf has engaged in any collusion, conspiracy, or unlawful agreement with other bidders regarding bid prices, overhead, profit elements, or any other aspects of the procurement. The affidavit confirms that the submitted bid is genuine, fair, and proper, and that the bidder is fully informed of all pertinent circumstances related to the bid preparation and submission.
The affidavit includes signature lines for the bidder's official, notary public, and notarization details including the county, commission expiration date, and the date of execution. This document serves as a certification requirement to ensure competitive integrity in the City of Amarillo's best value bid selection process for the airport baggage handling system upgrades.
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Signature of Official
Title of Official
Notary Signature
Notary Stamp or Printed Name
County.
Commission Expires:
NON-COLLUSION AFFIDAVIT
Baggage Handling System Modernization
BVB-414-26 SEC
540402
Project Name:
City of Amarillo Bid No.
AMA Project No.
Neither the Bidder nor anyone acting on behalf of the Bidder, including this affiant, has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached bid has be submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the
Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Amarillo, Texas or any person interested in the proposed Contract; and, Subscribed and Sworn to before me of this __________________ day of _____________________, ______.
Notary Public, in / for
The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or anyone acting on his/her/its behalf.
STATE OF TEXAS
COUNTY OF POTTER
, being first duly sworn, deposes and says that:
Such Bid is genuine and is not a collusive or sham Bid;
(S)He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;
(S)He is _________________________________________ of _________________________________________ , the Bidder that has submitted the attached bid;
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