contract frmNewContractAffidavit(4).pdf
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- Attached to
- Snow Removal Contract
- Solicitation number
- BPM020942
- Issued by
- St. Mary's County, La Plata Town, Maryland
About this file
The document provided is a Contract Affidavit related to a Snow Removal Contract opportunity for the state of Maryland, specifically for St. Mary's County and the Town of La Plata. The contract is for snow removal services at the Joseph D. Carter DC/MSC facility located at 23110 Leonard Hall Drive, Leonardtown, MD 20650. The contract term is for three years, beginning on November 1, 2020 and ending on April 30, 2023.
The Contract Affidavit requires the authorized representative of the business to affirm the corporation's registration and tax payment status, as well as the continued validity of the certifications and acknowledgments made in the Bid/Proposal Affidavit. The affidavit must be signed under the penalties of perjury, attesting to the truthfulness and accuracy of the information provided.
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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 .