Attachment A Disclosure of Contractual Relationship Form~1.pdf

This is a Disclosure of Contractual Relationship Form required by the Massachusetts Highway Department (MassDOT) for the Expert Cost Estimators and Movers contract opportunity. The form serves as a disclosure mechanism for contractors to declare any existing contractual relationships with employees of MassDOT. Contractors are required to check an appropriate box indicating either that they have no contractual relationships with MassDOT employees or that they do have such relationships. If a contractual relationship exists, the form requires contractors to provide specific details including the date of the contract, the contracting party involved, and the nature of each contract. The form must be signed and dated by the contractor's authorized representative.

The disclosure requirement ensures transparency and allows MassDOT to identify potential conflicts of interest or prior working relationships that may be relevant to the procurement process. This form is a standard compliance document that contractors must complete as part of their bid submission for the Expert Cost Estimators and Movers opportunity. Failure to accurately complete and submit this disclosure could result in bid rejection or subsequent contract issues.