ATTACHMENT E-PURCHASE SUMMARY ATTESTATION CARBONLESS PAPER 2026.pdf

This is a Purchase Summary Attestation form for a carbonless paper negotiated contract with the State of Mississippi. The contract, identified as 1130-26-R-NBID-00023-V01, covers the procurement of carbonless paper products with a contract term running from October 1, 2025, through September 30, 2026. The attestation form requires the manufacturer or authorized representative to certify that all sales data submitted on the attached Purchase Summary are true and accurate. The form includes signature and date fields for the representative completing the attestation, along with fields for the manufacturer's name, representative's name, contract name, and contract term.

The form serves as a compliance document ensuring the integrity of submitted sales information. Any inaccuracies in the sales data submitted on the Purchase Summary will result in the proposal being deemed non-responsive and ineligible for consideration. This attestation is a critical component of the proposal submission process, requiring authorized signature and dating to validate the authenticity of all claimed sales activity related to the carbonless paper contract.