23222i_attachment-09-manufacturercertificate.docx
DOCX document 46 KB Posted
- Contract number
- 23222
- Issued by
- New York
About this file
This document is a Manufacturer's Certificate template for a state procurement solicitation, specifically for Group 10150 Personal Protective Equipment (PPE) & Related Items. The certificate is designed to verify manufacturer authorization and support for potential bidders seeking to supply products under a state contract. The form requires both the bidder and manufacturer to complete specific identifying information and confirm the bidder's authorization to sell the manufacturer's products.
The document outlines two key certification points: first, confirming whether the bidder is authorized to sell the manufacturer's products, and second, verifying the manufacturer's willingness to supply all ordered quantities under a potential resulting state contract. The form is part of a competitive bidding process for Personal Protective Equipment, with the manufacturer explicitly attesting to their support and ability to fulfill contract requirements. While specific pricing, contract duration, and exact product details are not provided in this document, it serves as a critical validation mechanism for ensuring manufacturer backing in the procurement process.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
GROUP XXXXX – insert DESCRIPTION PAGE 1 of 2
GROUP 10150 Personal Protective Equipment (PPE) & Related Items PAGE 1 of 1
ATTACHMENT 09
MANUFACTURER’S CERTIFICATE
NOTE TO BIDDER:
| Only established Manufacturers or a Bidder authorized by the Manufacturer are qualified to participate in this bid. Any Bidder hereby guarantees that it is authorized by the Manufacturer to supply all quantities of products required in fulfillment of its obligations under any resultant contract with the State, and by executing this certificate acknowledges this level of support. | |
| This "Manufacturer’s Certificate" is to be forwarded to the Manufacturer by the Bidder, completed and returned to the Bidder by the Manufacturer, and submitted with the Bidder's offer. (See Section 3.9 – Manufacturer’s Certificate) | |
| BIDDER’S COMPANY NAME: | |
| Click or tap here to enter text. | BIDDER’S FEIN: Click or tap here to enter text. |
| STREET ADDRESS: |
| Click or tap here to enter text. |
| CITY, STATE ZIP: |
| Click or tap here to enter text. |
The Manufacturer executing this certificate by signature below does hereby attest to the accuracy and validity of the responses to the following questions:
| 1. | Is the Bidder listed above authorized to sell your products? | Yes ☐ | No ☐ |
| 2. | Do you, as a Manufacturer, agree to supply the | ||
| Bidder with all quantities of items ordered | |||
| pursuant to any resulting contract with the State? | Yes ☐ No ☐ |
MANUFACTURER:
| COMPANY NAME: |
| Click or tap here to enter text. |
| FEIN: |
| Click or tap here to enter text. |
| ADDRESS: |
| Click or tap here to enter text. |
| TELEPHONE NUMBER: |
| Click or tap here to enter text. |
| E-MAIL ADDRESS: |
| Click or tap here to enter text. |
| PRINTED OR TYPED NAME |
| Click or tap here to enter text. |
| SIGNATURE OF AUTHORIZED MANUFACTURER’s REPRESENTATIVE |
| TITLE |
| Click or tap here to enter text. |
| DATE |
| Click or tap to enter a date. |
22911i_Attachment 2 – Supplier Certificate.docx Attachment 2 of 8 23222i_Attachment09_ManufacturerCert
File details come from the government source that posted it. Updated .