ATTACHMENT E-PURCHASE SUMMARY ATTESTATION WATER TREATMENT 2026.pdf

PDF 61 KB Posted

Attached to
1130-26-R-NBID-00024
Solicitation number
3130002364
Issued by
Jasper County, Mississippi

About this file

This is a Purchase Summary Attestation form for a water treatment chemicals contract. The contract period runs from October 1, 2025, through September 30, 2026. The form requires a manufacturer's representative to certify under signature that all sales information submitted on the attached Purchase Summary are true and accurate, with the understanding that any inaccuracies in the submitted sales data will result in the proposal being rejected from consideration.

The attestation document serves as a verification mechanism to ensure the integrity of proposal submissions related to water treatment chemical procurement. The form includes fields for the manufacturer's name, the representative's signature with date, and the representative's printed name, establishing accountability for the accuracy of all reported sales figures and supporting documentation submitted as part of the bidding process.

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: Water Treatment Chemicals
Text3: 10/1/2025-9/30/2026

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