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
This document is a Manufacturer Certification Form for a Heavy Equipment bid (Bid 26-07-0711) in the Commonwealth of Virginia. The form is specifically designed to be completed by manufacturers for all manufacturers in which a company is bidding, with strict requirements that only authorized manufacturer employees can execute the certification. The form requires detailed information including manufacturer name, address, contact details, and signatures, with a clear warning that failure to submit this form with a response will result in disqualification.
The form emphasizes that dealers or representatives are not authorized to complete the certification on behalf of the manufacturer, even if the manufacturer is offering its own products. The purpose is to certify that the vendor/bidder is either the manufacturer or an authorized dealer for a specific manufacturer within Virginia. A key requirement is that signatures must be physical or timestamped, adding an additional layer of authentication to the certification process.
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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 .