ATTACHMENT 10R-BUSINESS RELATIONSHIP AFFIDAVIT.pdf

Page 1 of 2 Attachment 10R

BUSINESS RELATIONSHIP AFFIDAVIT

The undersigned as Offeror or Offeror’s Authorized Agent, being of lawful age and being first duly sworn on oath, hereby swears, affirms and states that the undersigned has thoroughly read and understands the provisions and terms of this Business Relationship Affidavit and is fully knowledgeable of Offeror's and its officers’ and directors’ business relationships and associations and hereby affirmatively so states that as a part of this Proposal.

The undersigned as Offeror or Offeror’s Authorized Agent further swears, affirms, and states that the Offeror does not have any partnership, joint venture, or other business relationship presently in effect or which existed within one (1) year prior to the date of this sworn statement and has not had any such relationship with the architect, the engineer, or any other party to this project except, if any, as stated on the lines below.

The undersigned as Offeror or as Offeror’s Authorized Agent further swears, affirms, and states that no officer or director of the Offeror has a partnership, joint venture, or other business relationship presently in effect and no officer or director of the Offeror has had any such relationship within one (1) year prior to the date of this sworn statement with any officer or director of the architectural or engineering firm or other party to this project except, if any, as stated on the lines below.

If Offeror or any of its officers or directors has or within the one (1) year prior to the date of this statement has had any such relationships, the Offeror or Offeror’s Authorized Agent must state the names of all persons having such business relationships and the positions they hold or held with the Offeror and/or their respective companies or firms on the lines provided below:

(THE OFFEROR MUST STATE ANY BUSINESS RELATIONSHIP MEETING THE ABOVE

DESCRIPTION ON THE LINES ABOVE. IF NO DISCLOSURE IS MADE ON THE ABOVE LINES THEN

OFFEROR WILL BE IRREFUTABLY DEEMED TO HAVE STATED AND SWORN UNDER PENALTY OF

LAW THAT OFFEROR AND ITS OFFICERS OR DIRECTORS HAVE NO SUCH RELATIONSHIPS.)

This Proposal will not be considered unless this form has been fully signed by the Offeror, and notarized, dated and completed by the Notary Public.

The undersigned, as Offeror or Offeror’s Authorized Agent, hereby expressly adopts and affirmatively incorporates herein by reference the above recitation as the sworn statement of the Offeror and the signatory.

Name of Individual, Partnership, Limited Liability Company, or Corporation herein called Offeror

Signature of Authorized Agent

Title of person who signed above

Page 2 of 2 Attachment 10R

STATE OF )

) ss.

COUNTY OF )

Signed and sworn to or affirmed before me on this day of , 20 , by the above named Offeror or Offeror’s Authorized Agent.

Notary Public

My Commission expires:

My Commission number:

This Affidavit required for Public Improvement Projects by 61 Oklahoma Statutes 2011 § 108.

The undersigned as Offeror or Offeror’s Authorized Agent, being of lawful age and being first duly sworn on oath, hereby swears, affirms and states that the undersigned has thoroughly read and understands the provisions and terms of this Business Rela...