125628 - Bidders Checklist_BICC_02_19_2026.docx
DOCX document 34 KB Posted
- Attached to
- MBY Brain Injury Community Center 26
- Solicitation number
- BD-26-1071-AO-02021-125628
- Issued by
- Bristol County, New Bedford City, Massachusetts
About this file
This is a Bidders' Checklist for a Request for Response (RFR) issued by MassAbility in Massachusetts to qualify providers to operate Brain Injury Community Centers (BICCs) serving individuals with acquired brain injuries. The BICC services will be contracted and delivered at multiple locations across the Commonwealth. The checklist establishes mandatory submission requirements for all bidders, including completion of vendor information, cover page, vendor response document, cost/budget worksheet, and various certification forms. Bidders must upload all required documents into COMMBUYS to complete their bid submissions, with omission of required information or documentation potentially resulting in disqualification.
Bidders must submit a Department of Revenue Certificate of Good Standing, Contracting Qualification Form, and either a Supplier Diversity Plan Form for Point of Sale (POS) or Supplier Diversity Plan (SDP), depending on the applicable program. Additionally, within five business days after contract award, bidders must submit to the State Comptroller's office electronic versions of the Request for Taxpayer Identification Number & Certification (Massachusetts Substitute W-9 Form), EFT Form, Prompt Payment Discount Form, and Contractor Authorized Signatory Listing (CASL) Form if these documents are not already on file or if changes have occurred. A Certificate of Insurance with an expiry date no more than 90 days from submission must be provided within 30 days of award notification. The forms referenced in this checklist may be revised during the procurement process, with updated versions posted on COMMBUYS accordingly.
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Text version
MassAbility Brain Injury Community Center 26 MassAbility Bidders’ Checklist
MM/DD/YYYY
Instructions: Bidders must submit a completed version of this RFR Checklist, including filling in all Bidder contact information and checking off each box below, thereby certifying completion and submission of each of the forms required by this RFR. Omission of required information or documentation may be grounds for Bidder disqualification.
Vendor Information
Vendor Name
Vendor Contact Person
Vendor Phone Number
Vendor Address
Vendor Website (if applicable)
The following documents must be uploaded into COMMBUYS for the bid submission to be complete:
| CHECK IF COMPLETE |
| Form/Document |
| location |
| check if Confidential |
| ☐ | COVER PAGE |
| COMMBUYS BID POSTING: ‘RFR FORMS” FOLDER | |
| ☐ | |
| ☐ | VENDOR RESPONSE DOCUMENT |
| COMMBUYS BID POSTING: ‘RFR FORMS” FOLDER | |
| ☐ | |
| ☐ | BIDDER’S CHECKLIST |
| COMMBUYS BID POSTING: ‘RFR FORMS” FOLDER | |
| ☐ | |
| ☐ | COST/BUDGET WORKSHEET |
| COMMBUYS BID POSTING: ‘RFR FORMS” FOLDER | |
| ☐ | |
| ☐ | DOR CERTIFICATE OF GOOD STANDING |
| LINK TO FORM INSTRUCTIONS | |
| ☐ | |
| ☐ | CONTRACTING QUALIFICATION FORM |
| LINK TO FORM | |
| ☐ | |
| ☐ | SUPPLIER DIVERSITY PLAN FORM FOR POS |
| SDP POS: LINK TO FORM |
SDP: LINK TO FORM
Other Forms If the following signed documents are not on file with the Office of the State Comptroller, or there are changes to forms current on file, the Bidder must submit electronic versions of these forms to the email address noted on the cover page of this BID within 5 business days after awarded contract under this RFR.
· Request for Taxpayer Identification Number & Certification (Massachusetts Substitute W-9 Form)
· EFT Form
· Prompt Payment Discount Form
· Contractor Authorized Signatory Listing (CASL) Form
· Commonwealth Terms & Conditions The following documents have been included for the Bidders’ Review and would only be required within 30 days of award notification:
· Certificate of Insurance (Expiry Date must be no more than 90 days of submission) The above noted forms may change or be revised during the life of this procurement. Updated forms will be posted on COMMBUYS and completed accordingly.
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