Attachment 3 Acknowledgement and Attestation Form.pdf

This document is an Acknowledgement and Attestation Form that serves as a certification requirement for respondents to a state and local contract opportunity. By completing and submitting this form, respondents formally certify that they have thoroughly reviewed the Agreement and all associated Exhibits, are familiar with all terms and conditions, and find them acceptable without requesting any changes or modifications to the contract requirements.

The form requires completion of standard attestation fields including the date and location of signature (city, state, and county), signature and date from an applicant or corporate officer, and a witness signature with corresponding date. The form explicitly notes that respondents must use their full corporate name and affix a corporate seal if available. This acknowledgement serves as a binding certification that the respondent accepts all contractual terms as presented and is prepared to proceed under those conditions without requesting amendments.