T1054 Specification Conformance Certification 9.27.2023~1.docx

Specification Conformance Certification

Bid Solicitation Number: 24DPP00912 Bid Solicitation Title: T1054 Cigarette Tax Decals/Stamps for the Division of Revenue

Instructions: Please provide the information requested 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: