ATTACHMENT E-PURCHASE SUMMARY ATTESTATION INCONTINENCE 2027.pdf

PDF 71 KB Posted

Attached to
1130-27-R-NBID-00003
Solicitation number
3130002400
Issued by
Hinds County, Jackson City, Mississippi

About this file

This is a Purchase Summary Attestation form for an Incontinence contract. The document requires the manufacturer to certify under their name, with the contract name listed as "Grounds Maintenance" and a contract term running from March 1, 2026, through February 28, 2027. The form mandates that a representative of the manufacturer attest and certify that all sales data submitted on the attached Purchase Summary are true and accurate, with explicit warning that any inaccuracies in the submitted sales information will result in the proposal being deemed non-responsive and ineligible for consideration.

The attestation form serves as a compliance verification document requiring the signature and printed name of an authorized representative, along with the date of certification. No additional pricing terms, set-asides, incumbent information, funding sources, or other financial details are provided in this particular document, as it functions solely as a certification instrument to validate the accuracy of previously submitted purchase summary 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: Grounds Maintenance
Text3: 3/1/2026-2/28/2027

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