MECHANICAL_JOINT_RETAINER_GLANDS_AND_BOLT_AND_GASKET_PACKS_-_LESS_GLAND_SAMPLE_AFFIDAVIT.pdf

This document is a sample Affidavit of Compliance form for Mechanical Joint Retainer Glands and Bolt and Gasket Packs, specifically prepared for the Town of Manchester Water and Sewer Department in Connecticut. The form is designed for manufacturers to certify that their mechanical joint retainer glands supplied for a bid are manufactured in their plant and fully comply with the latest revision of AWWA C111 and AWWA C153 standards.

The document requires a manufacturer to complete the form on their letterhead, providing company details, and includes spaces for witnessing and notarization. The form is dated for 2023 and requires the manufacturer to affirm the compliance of their glands, with signature and title from an authorized representative. The document serves as a formal declaration of product compliance for a potential water infrastructure supply contract, allowing the Town of Manchester to verify the technical specifications and manufacturing standards of the proposed joint retainer glands and associated hardware.