Attachment B - Contact Form~1.docx

This is a General Information Form (Attachment B) used by the Massachusetts Department of Elementary and Secondary Education (DESE) for vendor submissions through the COMMBUYS procurement system. The form requires organizations to provide their legal business name, vendor code, and complete address information. Vendors must identify their authorized signatory—the individual or individuals with legal authority to execute documents on behalf of the organization—along with their title, phone number, and email address.

The form also requests contact information for a substantive point of contact who can answer detailed questions regarding the submission, which may differ from the authorized signatory. Additionally, if applicable, vendors should identify a local representative from their organization who would serve as the primary point of contact for work conducted with DESE and school districts. All information must be completed and uploaded with the vendor's submission on the COMMBUYS platform. The form is accompanied by the DESE contact information: 135 Santilli Highway, Everett, MA 02149, telephone 781.338.3000, and TTY access through N.E.T. Relay at 800.439.2370.