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's (VSA) Heavy Equipment Bid 26-07-0711, specifically designed for manufacturers participating in the 2025-2026 procurement cycle. This form is a mandatory submission for all manufacturers in which a bidding company is seeking to offer equipment, with strict requirements that the certification must be executed by an authorized manufacturer employee only. The form requires detailed information including manufacturer name, address, contact details, and a certification that the vendor is either the manufacturer or an authorized dealer for the specified manufacturer in the Commonwealth of Virginia.
The certification form emphasizes critical compliance requirements, including that dealers and representatives are not authorized to complete the form on behalf of the manufacturer, and that failure to submit this form with a bid response will result in automatic disqualification. The document mandates physical or timestamped signatures and is part of a larger procurement process for heavy equipment that covers multiple equipment categories, requires a minimum 6% discount off MSRP, and includes a 0.75% commission fee. The form serves as a critical validation mechanism to ensure that bidders have direct and legitimate authorization from equipment manufacturers to represent and sell their products in the Virginia market.
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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 .