6-04 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
Hay Harvesting
Solicitation number
ITB 26-19415-KM
Issued by
Harris County, Texas

About this file

This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas for the Hay Harvesting contract opportunity. The affidavit serves as a sworn statement from bidders certifying that their submitted bid is genuine and not collusive in nature. Bidders must affirm that they have not directly induced or solicited any other firm to submit a sham bid, nor have they sought collusion to secure competitive advantage over other bidding firms. The form requires completion with the bidding firm's name, an authorized representative's signature and title, and must be notarized with the notary public's signature and commission expiration date before submission with the bid package.

This document is mandatory for all bid submissions and must be completed in full and included with the proposal. The affidavit is a standard procurement integrity requirement that protects the competitive bidding process by requiring bidders to certify their independent and ethical participation. No pricing, timeline, or technical requirements are specified within this form, as it functions solely as a compliance and integrity certification document accompanying the primary bid submission for the hay harvesting services.

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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

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