ATTACHMENT E - PURCHASE SUMMARY ATTESTATION.pdf

PDF 66 KB Posted

Attached to
1130-26-R-NBID-00008
Solicitation number
3130002260
Issued by
Hinds County, Jackson City, Mississippi

About this file

This is a Purchase Summary Attestation form for a Copiers Purchase and Rental Negotiated Contract Bid (1130-26-R-NBID-00008) with the State of Mississippi. The document serves as a certification by manufacturers that all sales data submitted on the attached Purchase Summary are true and accurate. The contract term runs from May 1, 2025, through April 30, 2026, covering copier equipment and related services. The attestation requires the signature and date of an authorized representative, along with printed identification of that representative, confirming the validity of submitted sales information.

The form establishes a critical compliance mechanism whereby manufacturers certify the accuracy of their purchasing data submissions. Failure to provide accurate sales information on the Purchase Summary results in disqualification of the proposal from consideration. This attestation is a mandatory component of the bid submittal process and serves as the manufacturer's sworn verification that all claimed sales figures and supporting documentation are factual and complete.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Purchase Summary Attestation

Manufacturer’s Name:

Contract Name:

Contract Term:

I attest and certify that all sales submitted on the attached Purchase Summary are true and accurate. Further, I understand that if the sales submitted on the Purchase Summary are found to be inaccurate, the submitted proposal will not be considered.

Signature of Representative Date

Name of Representative

Name of Representative:
Date:
Text1:
Text2: Copiers
Text3: 5/1/2025-4/30/2026

File details come from the government source that posted it. Updated .