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 Manufacturer Certification Form for Bid 26-07-0711 is a critical document for the Virginia Sheriffs' Association's (VSA) Heavy Equipment Procurement Program for the 2025-2026 contract cycle. This form is specifically designed to validate manufacturer authorization and eligibility for vendors participating in the heavy equipment procurement opportunity. The form requires manufacturers to certify their status as either a direct manufacturer or an authorized dealer for equipment in the Commonwealth of Virginia, with strict requirements that the certification must be executed by an authorized manufacturer employee, not dealers or representatives. Failure to submit a properly completed certification form will result in bid disqualification.
The form mandates comprehensive documentation including manufacturer name, address, contact information, and requires physical or timestamped signatures from an authorized representative. This certification is part of a larger procurement process that covers 75 equipment groups, including vehicles, maintenance equipment, and various municipal and law enforcement support systems. The procurement is structured as a cooperative purchasing contract potentially serving public bodies in Virginia and other states, with vendors required to provide current model year equipment at a minimum 6% MSRP discount and include a 0.75% commission fee. Vendors must also meet specific requirements including insurance coverage, financial stability documentation, and providing government references, with at least one reference from a Virginia public body.
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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 .