8-1002HVAC Tex Govt Code 2270 Verification.pdf
PDF 86 KB Posted
- Attached to
- CNS POINT OF SALES DISTRICT WIDE State and local contract opportunity
- Solicitation number
- 1072CNPS
- Issued by
- Victoria County, Texas
About this file
This document is a Texas Government Code 2270 Verification form for a contract with Lyford Consolidated Independent School District, located in Willacy County, Texas. The form is an affidavit requiring a company representative to swear under penalty of perjury that their company does not and will not boycott Israel during the term of the agreement.
The verification document contains five key statements that the affiant must confirm: 1) they are authorized to make the affidavit, 2) they are fully aware of the facts stated, 3) they can read English and are over 18 years old, 4) the company does not currently boycott Israel, and 5) the company will not boycott Israel during the contract term. The form requires the affiant's signature, address, and notarization, with spaces provided for date, name, title, business name, and county of the company.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 13-1002HVAC W-9 Form.pdf | ||
| 14-1003INSU Addendum 1.pdf | ||
| 15-1003INSU Specifications.pdf | ||
| 6-1002HVAC Form 1295.pdf | ||
| 1-1002HVAC Bid Sheet.pdf | ||
| 10-1002HVAC Vendor Debarment Statement.pdf | ||
| 12-1002HVAC HUB or Minority Owned Business.pdf | ||
| 16-1003INSU Questionnaire 2022.pdf | ||
| 3-1002HVAC Non-Collusive Certificate.pdf | ||
| 9-1002HVAC Lobbying Certification.pdf | ||
| 4-1002HVAC Felony Conviction Notification.pdf | ||
| 7-1002HVAC Anti-Terrorism Certification.pdf | ||
| 11-1002HVAC Certificate of Residency.pdf | ||
| 2-1002HVAC Deviations Form.pdf | ||
| 5-1002HVAC Form CIQ.pdf |
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Text version
Attachment g.
TEX. GOV’T CODE 2270 VERIFICATION
STATE OF TEXAS }
COUNTY OF WILLACY }
Date: _________________________________________________________________________________ Name of Affiant: ________________________________________________________________________ Title of Affiant: _________________________________________________________________________ Business Name of Company (“Company”): ___________________________________________________ County of Company: _____________________________________________________________________
Affiant herby swears, verifies, and declares under penalty of perjury that the following statements are true in accordance with Texas Government Code 2270.001 et al (the “Code”):
1. Affiant is authorized by Company to make this affidavit.
2. Affiant is fully aware of the facts stated in this affidavit.
3. Affiant can read the English language and is over eighteen (18) years of age.
4. Company does not currently boycott Israel.
5. Company will not boycott Israel during the term of the Agreement with Lyford Consolidated
Independent School District in accordance with the Code.
Signature of Affiant
Address
SUBSCRIBED AND SWORN TO before me by ___________________on________________20__________.
Notary Public, State of ______________________________________________
Typed or printed name of notary
My commission expires: __________________________________
File details come from the government source that posted it. Updated .