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Authorized to make this Certification on behalf of the Contractor. The Contractor submits this Certification in response to the referenced contract issued by the Division of Purchase and Property, Department of the Treasury, State of New Jersey (the "Division"), in accordance with the requirements of N.J.S.A. 52:34-13.2. Instructions: List every location where services will be performed by the Contractor and all Subcontractors. If any of the services cannot be performed within the United States,.

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How to fill out the Source Disclosure Certification Form online

The Source Disclosure Certification Form is an essential document required for contractors responding to solicitations issued by the Division of Purchase and Property, Department of the Treasury, State of New Jersey. This guide aims to provide clear instructions on how to complete the form online, ensuring that all relevant information is accurately reported.

Follow the steps to fill out the Source Disclosure Certification Form online with ease.

  1. Click ‘Get Form’ button to retrieve the Source Disclosure Certification Form and open it in your preferred online editor.
  2. In the first section, enter the Contractor's name and solicitation number. Ensure that you accurately input this information as it identifies your submission.
  3. Provide personal knowledge of the facts requested. This means affirming your ability to certify the information on behalf of the Contractor by completing the 'I hereby certify and say' section.
  4. List every location where services will be performed, including all subcontractors. Be clear and detailed, as this section is crucial for compliance.
  5. If services cannot be performed within the United States, specify reasons clearly and with detailed justification. Attach additional pages if necessary to fully explain.
  6. Make sure to note any changes in information during the contract period, as these must be reported promptly to the Director, Division of Purchase and Property.
  7. Complete the certification statement, ensuring you understand that providing false information can have serious consequences.
  8. Sign the form by including the name of the organization or entity, the name of the person submitting the certification, their title, and the date of submission.
  9. Finally, you can save your changes, download, print, or share the completed Source Disclosure Certification Form directly from the online platform.

Complete your Source Disclosure Certification Form online today to ensure compliance and timely submission.

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