ESBD_393954_1738699328351_Attachment D - Affidavit.pdf

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Attached to
Comprehensive Master Plan
Solicitation number
ARC1001
Issued by
Anderson County, Texas

About this file

This is an Affidavit form (Attachment D) that must be submitted with bids for a Texas state/local contract opportunity. The document requires bidders to certify under oath that they are not participating in any trust, pool, or combination to control prices or influence other bidders, and that they have not and will not offer any economic opportunities, gifts, loans, gratuities, special discounts, trips, favors, or services to public servants in connection with their bid.

The affidavit must be signed by a manager, secretary, or other officer/agent of the bidding company in the presence of a notary public in Texas. The form requires the bidder's name, signature, title, address, zip code, telephone number, and date. The document explicitly states that bids submitted without this completed affidavit will not be considered, indicating this is a mandatory submission requirement for bid consideration.

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Text version

Attachment D

AFFIDAVIT

BEFORE ME, the undersigned authority, on this day personally appeared __________________________________________ known to me to be the person whose name is subscribed to the following, who upon oath, says:

I AM THE Manager, Secretary or other agent or officer or the principal of the Bidder in the matter of the bids to which this affidavit is attached, and I have full knowledge of the relations of the Bidder with the other firms in this same line of business, and the Bidder is not a member of any trust, pool, or combination to control the price of supplies bid on, or to influence any person to bid or not bid thereon.

I further affirm that the Bidder has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted bid.

Affiant

SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath states that the facts contained in the above are true and correct this _______________________day of __________________, 20___.

Notary Public in and for

__________________________________ County, Texas

Name of Bidder: ______________________________________________

Signed by: ______________________________________________

(Sign Name in Writing) (Title)

Address: ______________________________________________ (Zip Code)

Telephone Number: ______________________________________________

(Date)

NOTE: BIDS NOT ACCOMPANIED BY THIS AFFIDAVIT WILL NOT BE

CONSIDERED.

File details come from the government source that posted it. Updated .