6-08 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
2026 Concrete Replacement
Solicitation number
ITB 26-19283-AE
Issued by
Henderson County, Lubbock City, Texas

About this file

This is a Non-Collusion Affidavit form required by the City of Lubbock, Texas for the 2026 Concrete Replacement project. The affidavit serves as a sworn statement that must be executed by bidders submitting proposals for the city's concrete replacement street maintenance projects. The form requires the bidder to attest under oath that their bid is genuine and not collusive, and that they have not engaged in any anticompetitive practices including directly or indirectly soliciting other firms to submit sham bids, inducing firms to refrain from bidding, or seeking collusive advantages over competing bidders. The document must be notarized and included with the bid submission.

The affidavit requires completion of standard identification fields including the firm name, individual name, signature, title, date of execution, and notary public information with commission expiration date. The form explicitly states in the concluding note that completion and inclusion of this document with the bid submission is mandatory for participation in this procurement opportunity.

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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 .