Attachment 12-OCAT 00320 Business Relationship Affidavit (002).pdf

BUSINESS RELATIONSHIP AFFIDAVIT

BIDDER MUST ELECTRONICALLY COMPLETE, SIGN AND NOTARIZE THIS DOCUMENT

PRIOR TO SUBMITTING IN THE ELECTRONIC BID SYSTEM

Please be aware that typing in your password acts as your electronic signature, which is just as legal and binding as an original signature.

(See Electronic Signatures in Global and National Commerce Act for more information.)

The undersigned as Bidder or Bidder’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 Bidder's and its officers’ and directors’ business relationships and associations and hereby affirmatively so states that as a part of this Bid.

The undersigned as Bidder or Bidder’s Authorized Agent further swears, affirms, and states that the Bidder 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 Bidder or as Bidder’s Authorized Agent further swears, affirms, and states that no officer or director of the Bidder has a partnership, joint venture, or other business relationship presently in effect and no officer or director of the Bidder 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 Bidder 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 Bidder or Bidder’s Authorized Agent must state the names of all persons having such business relationships and the positions they hold or held with the Bidder and/or their respective companies or firms on the lines provided below:

(THE BIDDER MUST STATE ANY BUSINESS RELATIONSHIP MEETING THE ABOVE DESCRIPTION ON THE LINES

ABOVE, IF NO DISCLOSURE IS MADE ON THE ABOVE LINES THEN BIDDER WILL BE IRREFUTABLY DEEMED TO HAVE

STATED AND SWORN UNDER PENALTY OF LAW THAT BIDDER AND ITS OFFICERS OR DIRECTORS HAS NO SUCH

RELATIONSHIPS.)

This Bid will not be considered unless this form has been fully signed by the

Bidder, and notarized, dated and completed by the Notary Public.

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

Name of Individual, Partnership, Limited Liability

Company, or Corporation herein called Bidder

Type Name of Authorized Agent

Title of person who signed above

Page 1 of 2CONST Business Relationship Affidavit

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

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

BIDDER MUST ELECTRONICALLY COMPLETE, SIGN

AND NOTARIZE THIS DOCUMENT

PRIOR TO SUBMITTING IN THE ELECTRONIC BID SYSTEM

Please be aware that typing in your password acts as your electronic signature, which is just as legal and binding as an original signature.

(See Electronic Signatures in Global and National Commerce Act for more information.)

STATE OF )

) ss.

COUNTY OF )

My Commission expires:

Type Name of Notary Public

My Commission number

Page 2 of 2CONST Business Relationship Affidavit

11/1/2013https://www.bidsync.com/DPXViewer/ok/okc/CONST_Business_Relationship_Affidavit