9-08 - Non Collusion Affidavit.pdf

PDF 32 KB Posted

Attached to
LPSIA Airfield Maintenance Building Roofing Project
Solicitation number
ITB 25-19159-AE
Issued by
Henderson County, Texas

About this file

This document is a Non-Collusion Affidavit for Lubbock County, Texas, which is a standard legal form designed to certify that a bid submission is genuine and not the result of collusive or fraudulent practices. The affidavit requires the bidder to swear under oath that their submitted bid is not a sham or collusive bid, and that they have not induced or solicited other firms to submit fraudulent bids or refrain from bidding.

The form provides spaces for the bidder to complete key information, including their firm name, personal name, signature, and title. It must be signed in the presence of a notary public, who will document the date of signing and their official commission expiration. The document specifically emphasizes that the form must be completed and included with the submission, indicating it is a mandatory component of the bidding process to ensure fair and ethical competitive practices.

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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 .