Commodity IFB Template s2

GROUP 37829 – Breakaway Sign Support Systems PAGE 1 of 1 (Roadside Ground-Mounted U-Channel) (All State Agencies and Political Subdivisions)

Attachment 09 MANUFACTURER’S CERTIFICATE NOTE TO BIDDER: Only Manufacturers or authorized Resellers are qualified to participate in this bid. Any Reseller submitting a bid hereby guarantees that it is an authorized Reseller of the Manufacturer, that the Manufacturer has agreed to supply the Reseller with all quantities of products required by the Reseller in fulfillment of its obligations under any resultant Contract with the State, and by executing this certificate acknowledges this level of support. This "Manufacturer’s Certificate" is to be forwarded to the Manufacturer by the Bidder, completed and returned to the Bidder by the Manufacturer, and submitted with the Bidder's offer. (See Invitation for Bids, Section 2.2 – Manufacturer’s Certificate)

BIDDER’S COMPANY BIDDER’S FEIN: NAME: Click here to enter text. Click here to enter text. STREET ADDRESS: Click here to enter text. CITY, STATE ZIP: Click here to enter text. The Manufacturer executing this certificate by signature below does hereby attest to the accuracy and validity of the responses to the following questions:

1. Is the Bidder listed above an authorized Reseller for your Breakaway Sign Support Systems? ☐Yes ☐No

2. Do you as a Manufacturer agree to supply the Reseller with all quantities of items ordered pursuant to any resulting contract with the State? ☐Yes ☐No

MANUFACTURER’S NAME: Click here to enter text.

ADDRESS: Click here to enter text.

PHONE: Click here to enter EMAIL: Click here to enter text. text.

PRINT NAME: Click here to enter text. TITLE: Click here to enter text.

Click here to enter text. SIGNATURE OF AUTHORIZED MANUFACTURER’S REPRESENTATIVE DATE * * * * *

23055_Attachment 09 – Manufacturer’s Certificate