6-04 - Non Collusion Affidavit.pdf
PDF 32 KB Posted
- Solicitation number
- ITB 26-19467-MA
- Issued by
- Henderson County, Texas
About this file
This is a Non-Collusion Affidavit form required for bidding on a contract with Lubbock County, Texas for the fabrication of four complete sets of auger bearing hangers and shafts for the South East Water Reclamation Plant (SEWRP). The affidavit must be completed and signed by the firm's authorized representative and notarized before submission with the bid. The document certifies that the bid submitted is genuine and not collusive, that no sham bids have been solicited, that no other firms have been induced to refrain from bidding, and that the bidding firm has not sought unfair advantage through collusion with competitors.
The form requires standard information fields including the firm name, authorized representative name and signature, title, and notary attestation with commission expiration date. This affidavit is mandatory and must be included with all bid submissions as a condition of responsiveness.
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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 .