Form Gs 1078 PDF Details

Navigating the intricacies of contract compliance is critical for companies engaging with state departments, and the State of Tennessee Department of General Services provides a clear pathway for entities aiming to collaborate with its Central Procurement Office through the GS-1078 form. Situated at 312 Rosa L. Parks Avenue in the William R. Snodgrass TN Tower, this department emphasizes transparency and legality in all contracted services. The GS-1078 form serves as a critical attestation document where companies must declare their adherence to specific hiring standards, particularly regarding the non-employment of illegal immigrants in contract performance. This document not only requires basic company information such as name, mailing address, and contact details but also mandates an affirmation of truthfulness and accuracy from the contractor. It’s a pledge that extends to any subcontractors employed, ensuring that all layers of contract execution are free from the employment of illegal labor. Furthermore, the form's requirement of a signature from an authorized company official underscores the seriousness with which the State of Tennessee regards these declarations, making it a pivotal document for companies aspiring to maintain or initiate public sector contracts in the state.

QuestionAnswer
Form NameForm Gs 1078
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestennessee attestation performance form, tennessee gs 1078 attestation form, tennessee attestation contract form, tennessee attestation contract

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State of Tennessee

Department of General Services

Central Procurement Office

312 Rosa L. Parks Avenue

William R. Snodgrass TN Tower, 3rd Floor

Nashville, TN 37243-1102

Phone: 615-741-1035 Fax: 615-741-0684

Attestation Regarding Personnel Used in Contract Performance

Company Name:

Contract No:

Company Mailing Address:

Buyer:

Edison Vendor ID Number:

Company Contact Name:

Telephone Number of Contact:

Company Email Address:

The Contractor, identified above, does hereby attest, certify, warrant, and assure that the Contractor shall not knowingly utilize the services of an illegal immigrant in the performance of this Contract and shall not knowingly utilize services of any subcontractor who will utilize the services of an illegal immigrant in the performance of this Contract.

Affirmation: The Contractor acknowledges by signature that all information stated above is true and accurate and is no way misleading.

Authorized Signatory: I, ____________________________ (print name), as a Principal or Officer

of the Company, do certify, warrant and assure that I am empowered to contractually bind the Contractor.

________________________________________

_______________

Officer’s Signature

Date

_____________________________________________________________________

Title of Signatory

GS-1078 (Rev. 12-12)