T0121 ATTACHMENT 4 Specification Conformance Form 4.10.25.docx
DOCX document 16 KB Posted
- Solicitation number
- 25DPP01157
- Issued by
- New Jersey
About this file
This document is a Specification Conformance Certification form for a New Jersey state procurement solicitation (Bid Solicitation Number: 25DPP01157) concerning Breakaway U-Post Sign Supports on a statewide contract. The form requires vendors to certify that their offered items fully conform to the bid solicitation requirements, with the authorized representative acknowledging the legal and professional obligations associated with submitting an accurate response.
The certification form requires the vendor to attest to the truthfulness of their submission, with explicit acknowledgment that providing false information could result in criminal prosecution and contract voiding. The document provides spaces for the bidder's name, authorized representative's name, signature, and date of certification, serving as a formal declaration of compliance with the state procurement specifications for the U-Post Sign Supports contract.
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Specification Conformance Certification Bid Solicitation Number: 25DPP01157 Bid Solicitation Title: T0121 – Breakaway U-Post Sign Supports - 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: _____________________
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