5021123335_att11_suppliermanufacturerscertificate.pdf

Group 50211 – Recycled Copy Paper (Statewide)

Attachment 11 – Supplier/Manufacturer's Certificate

Note to Bidders:

This "Supplier/Manufacturer's Certificate" is to be forwarded to the supplier/manufacturer by the Bidder, completed and returned to the Bidder by the supplier/manufacturer, and submitted with the Bidder's Bid. Bidder may offer multiple brands for each item (See "Bidder Qualifications” and “Specifications” Sections of the IFB).

Bidder’s Company Name:

Street Address:

City, State, Zip:

The supplier/manufacturer executing this certificate by signature below does hereby attest to the accuracy and validity of the responses to the following questions:

☐ Yes ☐ No

1. Is the Bidder listed above an authorized distributor of the supplier/manufacturer?

2. Do you as a supplier/manufacturer agree to supply the Bidder with all quantities of the supplier/manufacturer’s product required in the fulfillment of a Contract with the State of New York for Paper Roll Stock for Offset and Digital Printing? ☐ Yes ☐ No

Manufacturer's Company Name: __________________________________________

Address: _____________________________________________________________

Telephone Number: _____________________________________________________

E-Mail Address: ________________________________________________________

Signature of Authorized Date: __________________ Manufacturer's Representative

Name: ____________________________________

Title: _____________________________________

5021123335_Att11 - Suppliers/Manufacturer's Certificate