8-1002HVAC Tex Govt Code 2270 Verification.pdf
PDF 86 KB Posted
- Attached to
- CNS Disposal Serive State and local contract opportunity
- Solicitation number
- 1074CNDS
- Issued by
- Van Zandt 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 requires a company representative (the Affiant) to swear under penalty of perjury that the company does not and will not boycott Israel during the term of the agreement.
The verification form includes five key statements: the Affiant is authorized to complete the document, is fully aware of its contents, can read English and is over 18 years old, currently does not boycott Israel, and will not boycott Israel during the contract term. The document is designed to be notarized, with spaces for the Affiant's signature, address, date, and notary public details. This appears to be a standard compliance document required for government contracting in Texas, ensuring vendors adhere to state legislation regarding commercial interactions with Israel.
View the file
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| 15-1003INSU Specifications.pdf | ||
| 7-1002HVAC Anti-Terrorism Certification.pdf | ||
| 11-1002HVAC Certificate of Residency.pdf | ||
| 12-1002HVAC HUB or Minority Owned Business.pdf | ||
| 13-1002HVAC W-9 Form.pdf | ||
| 16-1003INSU Questionnaire 2022.pdf | ||
| 2-1002HVAC Deviations Form.pdf | ||
| 10-1002HVAC Vendor Debarment Statement.pdf | ||
| 14-1003INSU Addendum 1.pdf | ||
| 3-1002HVAC Non-Collusive Certificate.pdf | ||
| 4-1002HVAC Felony Conviction Notification.pdf | ||
| 6-1002HVAC Form 1295.pdf | ||
| 9-1002HVAC Lobbying Certification.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 .