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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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 .