T0081 ATTACHMENT 4 - Specification Conformance Certification.docx

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Attached to
T0081 - Gases: Medical, Specialty & Industrial, Cylinders & Equip. - Statewide
Solicitation number
24DPP01006
Issued by
Essex County, New Jersey

About this file

This document is a Specification Conformance Certification for Bid Solicitation 24DPP01006, titled "T0081 Gases: Medical, Specialty and Industrial, Cylinders (for Purchase or Rental) and Related Equipment - Statewide". The bid solicitation is issued by the State of New Jersey and covers the purchase or rental of medical, specialty, and industrial gases, cylinders, and related equipment for the statewide contract. The vendor submitting this certification attests that all items offered conform to the requirements set forth in the bid solicitation and that they are authorized to execute this certification on behalf of the vendor.

The related state and local contract opportunity covers the same scope of products and services, and is applicable to Mercer County and Trenton City in New Jersey. No additional details are provided regarding item quantities, response dates, award dates, contract term, or renewal options.

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Text version

Specification Conformance Certification Bid Solicitation Number: 24DPP01006 Bid Solicitation Title: T0081 Gases: Medical, Specialty and Industrial, Cylinders (for Purchase or Rental) and Related Equipment - Statewide Instructions: Please review the information below, sign, date and submit this document with your Quote.

To Whom It May Concern:

I certify that all items offered in response to the Bid Solicitation referenced above conform to the requirements set forth in the Bid Solicitation.

I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor, that the foregoing information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State of New Jersey is relying on the information contained herein, and that the Vendor is under a continuing obligation from the date of this certification through the completion of any contract(s) with the State to notify the State in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification. If I do so, I may be subject to criminal prosecution under the law, and it will constitute a material breach of my contract(s) with the State, permitting the State to declare any contract(s) resulting from this certification void and unenforceable.

Bidder Name (type name of firm): _________________________________

Authorized Representative (type name): _________________________________

Authorized Representative Signature: __________________________________

Date: _____________________

File details come from the government source that posted it. Updated .