T2789 27DPP01338 ATTACHMENT 4 Specification Conformance Form 10.29.26.pdf
PDF 91 KB Posted
- Attached to
- T2789 Bucket Truck, Minimum 19,500 lb. GVWR Crew Cab and Chassis, DRW, 4WD with Maximum 10.5 Foot Se
- Solicitation number
- 27DPP01338
- Issued by
- New Jersey
About this file
This is a Specification Conformance Certification form submitted by vendors in response to New Jersey's Bid Solicitation 27DPP01338 for the procurement of a bucket truck under the statewide T2789 contract. The solicitation requests a single unit bucket truck with a minimum 19,500 lb. Gross Vehicle Weight Rating, crew cab and dual rear wheel (DRW) configuration, four-wheel drive capability, and a maximum 10.5-foot service body. The vehicle must include a rear-stowing insulated aerial lift with a minimum 45-foot working height, hydraulic generator, inverter, and associated accessories. This form serves as the bidder's certification that all items offered conform to the bid solicitation requirements and must be signed, dated, and submitted with the bid response.
The Specification Conformance Certification requires the authorized representative of the bidding vendor to certify under penalty of law that the information provided is true, complete, and accurate. Bidders acknowledge that the State of New Jersey relies on the certification and that vendors maintain a continuing obligation to notify the state in writing of any changes to submitted information from the date of certification through contract completion. False statements or misrepresentations in the certification constitute a criminal offense and constitute material breach of the resulting contract, permitting the state to declare any contract void and unenforceable. The form requires completion of bidder name, authorized representative name and signature, and date but does not specify pricing terms, set-asides, or other financial details on this particular document.
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Text version
Specification Conformance Certification Bid Solicitation Number: 27DPP01338
Bid Solicitation Title: T2789 Bucket Truck, Minimum 19,500 lb. GVWR Crew Cab and Chassis, DRW, 4WD with Maximum 10.5 Foot Service Body, Rear Stowing Insulated Aerial Lift with Minimum 45 Foot Working Height Bucket, Hydraulic Generator, Inverter and Accessories - 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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