ATTACHMENT E- PURCHASE SUMMARY ATTESTATION.pdf

PDF 85 KB Posted

Attached to
1130-26-R-NBID-00016
Solicitation number
3130002331
Issued by
Hinds County, Jackson City, Mississippi

About this file

This is a Purchase Summary Attestation form for a toner supply contract with a contract term running from June 1, 2025 through May 31, 2026. The form requires the manufacturer to provide their name, attest to the accuracy of all sales data submitted on the attached Purchase Summary, and acknowledge that inaccurate submissions will result in proposal rejection. The document includes spaces for the representative's signature, printed name, and date of attestation.

The attestation serves as a certification mechanism to ensure the integrity of pricing and sales information provided during the procurement process. No specific pricing, set-asides, or funding information is detailed within this particular form, as it functions primarily as a verification document requiring the manufacturer's sworn commitment to the accuracy of data submitted separately on the Purchase Summary attachment.

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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: Toner
Text3: 6/1/2025-5/31/2026

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