23222i_attachment-09-manufacturercertificate.docx
DOCX document 46 KB Posted
- Contract number
- Not on record
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- New York
About this file
This document is a Manufacturer's Certificate form (Attachment 09) for a state contract bidding process involving Group 10150 Personal Protective Equipment (PPE) & Related Items. The form is designed to verify the relationship between bidders and manufacturers participating in state procurement, requiring completion by both the bidding company and the manufacturer they represent. The certificate serves as a qualification requirement ensuring that only established manufacturers or their authorized representatives can participate in the bidding process.
The contract covers Personal Protective Equipment and related items under Group 10150, though specific product details, pricing, or contract values are not provided in this template document. The certificate requires manufacturers to confirm their authorization of bidders to sell their products and guarantee their ability to supply all quantities ordered under any resulting state contract. The form includes fields for both bidder and manufacturer identification information including company names, Federal Employer Identification Numbers (FEIN), addresses, and contact details, along with required signatures from authorized manufacturer representatives. This certification process ensures supply chain reliability and manufacturer support for contract fulfillment obligations.
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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 .