T3165 26DPP01283 ATTACHMENT 3 Specification Conformance Form 8.20.26.pdf
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- Attached to
- T3165 - Naloxone, 4mg Nasal Spray, FDA-Approved, for the New Jersey Department of Human Services
- Solicitation number
- 26DPP01283
- Issued by
- New Jersey
About this file
This is a Specification Conformance Certification form for bid solicitation 26DPP01283, issued by the New Jersey Department of Human Services for the procurement of naloxone, 4mg nasal spray, FDA-approved products under the T3165 contract opportunity. The form serves as a required submission document that bidders must complete, sign, and submit with their quotes to certify that all items offered conform to the requirements specified in the bid solicitation.
The certification requires the authorized representative of the bidding vendor to attest under penalty of law that the information provided is true, complete, and accurate to the best of their knowledge. The vendor acknowledges a continuing obligation to notify the State of New Jersey in writing of any changes to the certified information from the date of certification through contract completion. The form explicitly warns that making false statements or misrepresentations constitutes a criminal offense and will result in criminal prosecution liability, as well as material breach of contract, permitting the State to void and declare any resulting contract unenforceable.
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Text version
Specification Conformance Certification Bid Solicitation Number: 26DPP01283
Bid Solicitation Title: T3165 - Naloxone, 4mg Nasal Spray, FDA-Approved, for the New Jersey Department of Human Services’ Naloxone Direct Program
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 .