Application and Attachment A Final.docx
DOCX document 37 KB Posted
- Attached to
- DFSJW - DFS-Speakers-2023 - Speakers/Lecturers
- Solicitation number
- BD-23-1021-DFS-DFS01-81619
- Issued by
- Hampden County, Middlesex County, Plymouth County, Massachusetts
About this file
This document is an Application for DFS Speakers/Lecturers from the Massachusetts Department of Fire Services. The requested services include speaking and lecture topics customized for public safety personnel, with a focus on areas such as public education, fire prevention, code enforcement, homeland security tactics, fire service leadership, and professional development. Applicants are asked to provide up to three proposed topics, speaker information, topic descriptions, maximum group sizes, presentation lengths, and estimated speaker fees. In-state speakers are not eligible for travel reimbursements. The selected vendors will participate in the Commonwealth's Small Business Purchasing Program, and a Supplier Diversity Plan will be required once the contract value approaches $250,000. The contract term is not specified.
The application does not provide details on pricing terms, set-asides, incumbents, funding requirements, or other salient information. Applicants are advised to familiarize themselves with the acceptable reimbursements listed in the Request for Response (RFR) Section 6.1 Compensation.
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Text version
Vendor Name:
Vendor Address:
| Telephone: |
| Cell Phone: |
| Email: |
| Employer(s): |
| Memberships & Affiliations: |
| Certifications, Licenses, etc: |
| Date: |
| Topic: |
Speaking Categories (check topics within your area of expertise):
| Public Education | Fire Prevention Code Enforcement Other | |
| Homeland Security | Tactics & Strategy for Successful Fireground Operations | |
| Fire Service Leadership | Weapons of Mass Destruction/Improvised Explosive Devices Emergency Response | Professional development topics customized for public safety personnel |
Equipment training topics customized for public safety personnel
Please provide up to three proposed topics. This is a sample listing and speakers/lectures are not limited to these topics.
PLEASE ATTACH A RESUME OR CURRICULUM VITAE
| Proposed Topic: |
| Speaker: |
Topic Description:
| Maximum Group Size: | |
| Length of Presentation: | Estimated Speaker Fee $ |
| Proposed Topic: |
| Speaker: |
Topic Description:
Maximum Group Size:
Length of Presentation: Estimated Speaker Fee $
Application for DFS Speakers/Lecturers Attachment A
| Proposed Topic: |
| Speaker: |
Topic Description:
| Maximum Group Size: | |
| Length of Presentation: | Estimated Speaker Fee $ |
It is preferred that one set fee is charged per class/session/speech/lecture. If your fee is a variable, please explain your fee schedule:
Do you participate in the Commonwealth’s Small Business Purchasing Program (SBPP)?
Yes No
In state speakers are not eligible for any travel reimbursements. Travel reimbursements and restrictions are listed in the Request for Response (RFR) Section 6.1 Compensation. Please familiarize yourself with acceptable reimbursements.
Note: The Supplier Diversity Plan (SDP) Form is not required at this time. A signed Supplier Diversity Plan (SDP) Form with a meaningful and quantifiable plan will be required for vendors as proceeds from this contract approach $250,000.00.
Bidder’s Signature
Date
PLEASE ATTACH A RESUME OR CURRICULUM VITAE
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