Janitorial & Miscellanous Cafeteria Supplies

ATTACHMENT K: CERTIFICATION OF FINANCIAL CONDITION
Solicitation #: __________________________
Vendor Name: __________________________
The undersigned hereby certifies that: [check all applicable boxes]

The Vendor is in sound financial condition and, if applicable, has received an unqualified audit
opinion for the latest audit of its financial statements.
Date of latest audit: ____________________ (If no audit within past 18 months, explain reason
below.)

The Vendor has no outstanding liabilities, including tax and judgment liens, to the Internal Revenue
Service or any other government entity.

The Vendor is current in all amounts due for payments of federal and state taxes and required
employment-related contributions and withholdings.

The Vendor is not the subject of any current litigation or findings of noncompliance under federal or
state law.

The Vendor has not been the subject of any past or current litigation, findings in any past litigation,
or findings of noncompliance under federal or state law that may impact in any way its ability to fulfill
the requirements of this Contract.

He or she is authorized to make the foregoing statements on behalf of the Vendor.
Note: This shall constitute a continuing certification and Vendor shall notify the Contract Lead within 30
days of any material change to any of the representations made herein.
If any one or more of the foregoing boxes is NOT checked, Vendor shall explain the reason(s) in
the space below. Failure to include an explanation may result in Vendor being deemed non-
responsive and its submission rejected in its entirety.
_________________________________________ _______________________________
Signature Date
_________________________________________ _______________________________
Printed Name Title
[This Certification must be signed by an individual authorized to speak for the Vendor]
North Carolina Certification of Financial Condition
Version Date: 09/2021
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