26-07-0711_Manufacturer_Certification_Form.pdf
PDF 1 MB Posted
- Attached to
- Heavy Equipment State and local contract opportunity
- Solicitation number
- 26-07-0711
- Issued by
- Virginia
About this file
The document is a Manufacturer Certification Form for the Virginia Sheriffs' Association (VSA) Heavy Equipment Bid 26-07-0711, designed to be completed by manufacturers participating in the 2025-2026 Heavy Equipment Procurement Program. The bid period will open on June 6, 2025, and close at 12 noon EST on July 11, 2025, with contract awards scheduled for August 15, 2025. The form is specifically intended to certify that a vendor/bidder is either a manufacturer or an authorized dealer for a specific manufacturer in the Commonwealth of Virginia.
The form requires detailed information from the manufacturer representative, including the manufacturer's name, address, contact information, and a signed certification. Notably, the form emphasizes that only authorized manufacturer employees can complete the certification, and dealers or representatives are explicitly prohibited from executing the form on behalf of the manufacturer. Failure to submit this completed certification form with a bid response will result in disqualification. The form includes fields for signature, title, printed name, and date, with a specific note that signatures must be physical or timestamped.
View the file
Other files for this state and local contract opportunity
Show all 50
Heavy Equipment has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Manufacturer Certification Form
Heavy Equipment Bid 26-07-0711
This form is to be completed for all manufacturers in which your company is bidding.
Vendor (Bidder):
PLEASE NOTE: This certification form must be executed by an authorized employee of the manufacturer ONLY. Dealers/Representatives are not authorized to execute this certification form on behalf of the manufacturer. The manufacturer must execute this certification form even if they are offering their own products. Failure to submit this certification form with your response as required shall result in the disqualification of the response.
The section below is to be completed by the manufacturer representative.
This is to certify that the above vendor/bidder is the manufacturer and/or a manufacturer’s authorized dealer for the following manufacturer in the Commonwealth of Virginia.
Manufacturer Name:
Address:
City, State, Zip:
Contact Information of Representative:
Office Phone: Mobile Phone:
E-mail:
Signature of Manufacturer Representative: Title:
Printed Name of Manufacturer Representative: Date:
Note: Signatures must be physical or timestamped.
| Vendor Bidder: |
| Manufacturer Name: |
| Address: |
| City State Zip: |
| Office Phone: |
| Mobile Phone: |
| Email: |
| Title: |
| Printed Name of Manufacturer Representative: |
| Date: |
| Signature1_es_:signer:signature: |
File details come from the government source that posted it. Updated .