ATTACHMENT E-PURCHASE SUMMARY ATTESTATION INCONTINENCE 2027.pdf
PDF 70 KB Posted
- Attached to
- 1130-27-R-NBID-00004
- Solicitation number
- 3130002410
- Issued by
- Hinds County, Jackson City, Mississippi
About this file
This is a Purchase Summary Attestation form for an Incontinence Products contract. The document serves as a manufacturer's certification requiring a representative to attest that all sales information submitted on the attached Purchase Summary are true and accurate. The contract term runs from March 1, 2026, through February 29, 2027. The form includes designated fields for the manufacturer's name, contract name, the representative's signature and printed name, and the date of attestation. The document emphasizes that inaccurate sales submissions will result in the proposal being deemed non-responsive and ineligible for consideration.
The form does not contain information regarding pricing terms, set-asides, incumbent vendors, funding sources, or other financial details. As a certification and attestation document rather than a solicitation or award notice, it functions primarily as a compliance mechanism to ensure the integrity of sales data reported during the contract period. The document appears to be part of a larger procurement package that would include the actual Purchase Summary with detailed sales information and pricing data.
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Other files
| File | Type | Posted |
|---|---|---|
| FORMAT AND GUIDELINES FOR PROPOSALS INCONTINENCE 2027.pdf | ||
| ATTACHMENT F-SOMS TERMS AND CONDITIONS 2025.pdf | ||
| ATTACHMENT D-PURCHASE SUMMARY INCONTINENCE 2027.xlsx | XLSX spreadsheet | |
| ATTACHMENT C- INTERNAL CATALOG SPREADSHEET INCONTINENCE 2027.xlsx | XLSX spreadsheet | |
| ATTACHMENT G- SAMPLE CONTRACT.docx | DOCX document | |
| ATTACHMENT B- PRICE LIST INCONTINENCE 2027.xlsx | XLSX spreadsheet | |
| RESPONDING TO AN RFX BY VENDOR JOB AID.pdf | ||
| ATTACHMENT A- DEALERS LIST INCONTINENCE 2027.xlsx | XLSX spreadsheet |
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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: Incontinence Products |
| Text3: 3/1/2026-2/29/2027 |
File details come from the government source that posted it. Updated .