JEM_INdustrial_-_Affirmation___Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state and local contract, specifically for an indefinite delivery vehicle. The form appears to be associated with multiple state jurisdictions, with spaces for entries from different city and state locations. While specific details about all parties are not fully completed, the document suggests it is designed to capture key information for contractors participating in a statewide or multi-jurisdictional contract.

The form provides a framework for contractors to affirm their compliance and disclose relevant information about their business operations and contract performance. It includes sections for principal location of business, subcontractor details, and signature validation. The document seems structured to facilitate transparency and standardization across potential contract participants, though the specific goods, services, pricing terms, and contract specifics are not explicitly detailed in the visible sections of this form. The document appears to be a standard template used in the procurement process for state and local government contracting.