134555 - Bidders Checklist - Instrumental Activities of Daily Living -IADL- Support Services and In-Home Evaluations~1.docx

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Attached to
Instrumental Activities of Daily Living (IADL) Support Services and In-Home Evaluations
Solicitation number
BD-27-1071-AO-02021-134555
Issued by
Massachusetts

About this file

This is a Bidders' Checklist for a Request for Response (RFR) issued by MassAbility, a Massachusetts state agency, for the procurement of Instrumental Activities of Daily Living (IADL) Support Services and In-Home Evaluations. The RFR seeks to establish a statewide network of qualified providers to deliver IADL support services, in-home evaluations, and limited ancillary supports to eligible MassAbility participants with disabilities throughout Massachusetts. The checklist requires bidders to submit vendor information including company name, contact person, phone number, address, and website, along with certified completion of all required submission documents. The RFR submission deadline is October 20, 2026.

Bidders must submit multiple required documents through the COMMBUYS platform, including a vendor response document, bidder's checklist, Department of Revenue Certificate of Good Standing, Supplier Diversity Plan Form, and acknowledgment of Commonwealth Terms and Conditions for Health and Human Services. Additionally, within five business days of receiving an intent to award, bidders must submit electronic versions of supporting forms including a Massachusetts Substitute W-9 Form, Electronic Funds Transfer Form, Contractor Authorized Signatory Listing, Contracting Qualification Form, CORI Assurance Form, Certificate of Liability Insurance, and Prompt Pay Discount Form. The checklist notes that omission of required information or documentation may result in bidder disqualification, and previously filed versions of forms may be acceptable if completed within six months prior to submission or if not yet expired.

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Instrumental Activities of Daily Living (IADL) Support Services and in-Home Evaluations MassAbility Bidders’ Checklist 10-20-2026

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
☒VENDOR RESPONSE DOCUMENT
COMMBUYS BID POSTING: ‘ADDITIONAL RFR DOCUMENTS’ FOLDER
☐
☒BIDDER’S CHECKLIST
COMMBUYS BID POSTING: ‘BIDDER CHECKLIST CCS’ FILE
☐
☒DEPARTMENT OF REVENUE (MA – DOR) CERTIFICATE OF GOOD STANDING
LINK TO FORM INSTRUCTIONS
☐
☒SUPPLIER DIVERSITY PLAN FORM FOR POS

SDP POS: LINK TO FORM

SDP FORM: LINK TO FORM - GOODS & SERVICES

☐
☒COMMONWEALTH TERMS & CONDITIONS FOR HEALTH AND HUMAN SERVICES
COMMBUYS BID POSTING: ‘COMMONWEALTH TERMS & CONDITIONS’ FILE

FOR INFORMATION ONLY – NO SUBMISSION REQUIRED

☒STANDARD CONTRACT FORM & LINK TO COMMONWEALTH TERMS & CONDITIONS
COMMBUYS BID POSTING: ‘FORM STANDARD CONTRACT’ FILE
FOR INFORMATION ONLY – NO SUBMISSION REQUIRED

Other Forms The Bidder must submit electronic versions of the following forms within five (5) business days after receiving an intent to award under this RFR. If signed versions of any of these forms are on file with the Office of the State Comptroller, please provide us with an electronic copy as long as it was completed within six (6) months prior to your response submission date and/or hasn't expired.

· Request for Taxpayer Identification Number and Certification (Massachusetts Substitute W-9 Form)

· Electronic Funds Transfer (EFT) Form

· Contractor Authorized Signatory Listing (CASL) Form

· Contracting Qualification Form (LINK TO FORM)

· CORI Assurance Form (organizations only)

· Certificate of Liability Insurance

· Prompt Pay Discount (PPD) Form

MassAbility

File details come from the government source that posted it. Updated .