Proposal Number PSDF #P09-0004
VENDOR'S AFFIDAVIT
(This Affidavit is Part of the BID)
STATE OF __________________________________________
COUNTY OF __________________________________________
Being duly sworn, deposes and says that he resides at ________________________________________
______________________________________________________________________________________
that he is the___________________________________________________________________________
(Give Title)
______________________________________________________________________________________
who signed the above Proposal, that he was duly authorized to sign, and that the PROPOSAL is the
true offer of the VENDOR and that all the declarations and statements contained in the PROPOSAL
are true to the best of their knowledge and belief.
__________________________________
(Affiant)
Subscribed and Sworn to before me this _________ day of ____________________________,20_____.
_________________________________
(Notary Public)
My Commission Expires __________________________, 20_______.
(SEAL)
B-4
