6-04 - Non Collusion Affidavit.pdf

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Attached to
Fabrication of Four Complete Sets of Auger Bearing Hangers and Shafts for SEWRP
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 .