ATTACHMENT F- PURCHASE SUMMARY ATTESTATION.pdf
PDF 75 KB Posted
- Attached to
- 1130-26-R-NBID-00013
- Solicitation number
- 3130002300
- Issued by
- Mississippi
About this file
This is a Purchase Summary Attestation form for a Traffic Signal Parts contract opportunity with the State of Mississippi. The contract is identified as 1130-26-R-NBID-00013 and covers the period from July 1, 2025, through June 30, 2026. The form requires the manufacturer to submit a purchase summary documenting all sales related to traffic signal parts, with the manufacturer's authorized representative attesting that all information provided is true and accurate.
The attestation serves as a certification mechanism within the proposal submission process, with the explicit caveat that any inaccuracies in the submitted purchase summary will result in the proposal being deemed non-responsive and ineligible for consideration. The form requires the signature, printed name, and date from the manufacturer's authorized representative to validate the attestation.
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: Traffic Signal Parts |
| Text3: 7/1/2025-6/30/2026 |
File details come from the government source that posted it. Updated .