26-10-0422_Manufacturer_Certification_Form.pdf

PDF 107 KB Posted

Attached to
Heavy Equipment State and local contract opportunity
Solicitation number
26-10-0422
Issued by
North Carolina

About this file

This is a Manufacturer Certification Form required for the North Carolina Sheriffs' Association (NCSA) Heavy Equipment Procurement Program (Bid 26-10-0422). The form must be completed and submitted by all manufacturers whose equipment is included in vendor bids, and it certifies that the vendor/bidder is either the manufacturer or an authorized dealer of the specified manufacturer in North Carolina. The procurement covers 74 distinct equipment groups encompassing over 1,173 line items across multiple manufacturers, including all-terrain vehicles, excavators, generators, asphalt maintenance equipment, and specialized machinery. The vendor registration period opened January 22, 2025, and closes March 26, 2025, with a pre-bid conference scheduled for February 26, 2025. Bids are due April 22, 2025, at 12 noon EST, and contract awards are scheduled for May 18, 2025. The contract will remain in effect until the next official NCSA contract is awarded, with potential renewal for up to two additional consecutive years at NCSA's discretion.

The certification form must be executed by an authorized manufacturer representative only; dealers and representatives are not authorized to execute the form on behalf of the manufacturer. Failure to submit the completed and properly signed certification form with the bid response will result in automatic disqualification. Vendors must provide a minimum 6% discount off manufacturer's suggested retail price (MSRP) and must incorporate a mandatory 0.75% commission fee into base pricing. Additional vendor qualification requirements include maintaining $1,000,000 in Comprehensive General Liability insurance, demonstrating financial stability, providing drug-free workplace certification, and certifying compliance with the Iran Divestment Act and No Boycott Israel requirements. The procurement is open to authorized dealers and manufacturers serving local governments, counties, municipalities, public safety agencies, and educational institutions across North Carolina and potentially other states. All bidding will be conducted through the VendorLink online platform.

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Text version

Manufacturer Certification Form

Heavy Equipment Bid 26-10-0422

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 State of North Carolina.

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 .