Business Relationship Affidavit.pdf

ATTACH NOTARIZED COPY TO BID IN BIDNET

City Clerk 3/13/2025 Page 1 of 2

BUSINESS RELATIONSHIP AFFIDAVIT

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

Signature of Bidder or Bidder’s Authorized Agent

Type or print name and title of person who signed above

This Affidavit required for Public Improvement Projects by 61 Oklahoma Statutes Supp. 2008 § 108.

ATTACH NOTARIZED COPY TO BID IN BIDNET

City Clerk 3/13/2025 Page 2 of 2

BUSINESS RELATIONSHIP AFFIDAVIT

N O T A R Y S T A T E M E N T

STATE OF ____________________________ )

COUNTY OF __________________________ )

I, _________________________________________, Notary Public in and for said County and

State, do hereby certify that on this _________ day of _________________________, 20 _____, _____________________________________, personally known to me to be the same person and official who executed the above and foregoing instrument as __________________________ appeared before me in person and acknowledged that, as such official, he/she executed the above instrument as his/her free and voluntary act on behalf of _________________________________ pursuant to authority conferred and for the uses and purposes therein set forth.

IN WITNESS THEREOF, I have hereunto set my hand and seal the day and year last above written.

Notary Public

My commission expires: My commission #:

(Seal)