contract frmNewContractAffidavit(4).pdf
PDF 29 KB Posted
- Attached to
- Elevator Service Contract
- Solicitation number
- BPM028751
- Issued by
- St. Mary's County, La Plata Town, Maryland
About this file
This document is a Contract Affidavit for a state and local contract opportunity in Maryland. The contract opportunity is for Elevator Service at the Joseph D. Carter DC/MSC located at 23110 Leonard Hall Drive, Leonardtown, MD 20650. The contract term is for three (3) years, beginning July 1, 2022 and ending June 30, 2025. The jurisdictions involved are St. Mary's County and La Plata Town.
The Contract Affidavit requires the authorized representative of the business to affirm that the business is registered in Maryland, has paid all applicable taxes, and that the information provided in the previously submitted Bid/Proposal Affidavit remains true and correct. The affidavit must be signed under the penalties of perjury.
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
COMAR 21.07.01.25
CONTRACT AFFIDAVIT
Exhibit ___________________ Bid Proposal #_________________
A. AUTHORIZED REPRESENTATIVE
I HEREBY AFFIRM THAT:
I am the (title) _____________________________________________________________________________ and the duly authorized representative of (business) _______________________________________________________ and that I possess the legal authority to make this Affidavit on behalf of myself and the business for which I am acting.
B. CERTIFICATION OF CORPORATION REGISTRATION AND TAX PAYMENT
I FURTHER AFFIRM THAT:
1. The business named above is a (domestic_____) (foreign_____) corporation registered in accordance with the Corporations and Associations Article, Annotated Code of Maryland, and that it is in good standing and has filed all of its annual reports, together with filing fees, with the
Maryland State Department of Assessments and T axation, and that the name and address of its resident agent filed with the State Department of Assessments and T axation is:
Name: _______________________________________________________________________
Address: _______________________________________________________________________
2. Except as validly contested, the business has paid, or has arranged for payment of, all taxes due the
State of Maryland and has filed all required returns and reports with the Comptroller of the
Treasury, the State Department of Assessments and Taxation, and the Department of Labor, Licensing, and Regulation, as applicable, and will have paid all withholding taxes due the State of
Maryland prior to final settlement.
C. CERTAIN AFFIRM ATIONS VA LID
I FURTHER AFFIRM THAT:
To the best of my knowledge, information, and belief, each of the affirmations, certifications, or acknowledgments contained in that certain Bid/Proposal Affidavit dated ________ , 20___ , and executed by me for the purpose of obtaining the contract to which this Exhibit is attached remains true and correct in all respects as if made as of the date of this Contract Affidavit and as if fully set forth herein.
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE
CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE,
INFORMATION, AND BELIEF.
Date: ______________________________ By: ___________________________________________________________________ (Authorized Representative and Affiant)
(Printed or Typed Name)
DGS 360-17 (rev 5/05)
File details come from the government source that posted it. Updated .