Attachment B - Contact Form~1.docx

DOCX document 102 KB Posted

Attached to
26MACISCS5 | Educator Preparation Alternative Assessment Attestations | (MA)
Solicitation number
BD-26-1026-DOE02-DOE01-127733
Issued by
Massachusetts

About this file

This is a General Information Form attachment for the Massachusetts Department of Elementary and Secondary Education (DESE) contract opportunity 26MACISCS5, which seeks sponsoring organizations to offer educator preparation alternative assessment attestations in response to recently updated regulations allowing alternatives to the Massachusetts Tests for Educator Licensure (MTEL). The form serves as a submission document to be completed and uploaded through COMMBUYS and requires organizations to provide their vendor code, business address, and identify an authorized signatory with the legal authority to execute documents on behalf of the organization.

The form additionally requires submission of contact information for a substantive point of contact to answer questions regarding the submission and, if applicable, a local representative who would serve as the primary contact for work conducted with DESE and school districts. No pricing terms, set-asides, incumbent information, or specific contract duration details are contained within this general information form, which functions as a standard intake document for vendor identification and communication purposes.

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Text version

135 Santilli Highway, Everett, MA 02149 | 781.338.3000 | TTY: N.E.T. Relay (800).439.2370

Attachment B General Information Form

Complete the form below and upload with submission on COMMBUYS Organization Name

Vendor Code
VC#

Address

City, State, Zip

Authorized Signatory
The person or group of people who have the authority to sign legal documents on behalf of their organization.

Name

Title

Phone

Email

Contact Person
The person who can answer substantive questions about this submission. (If different from above.)

Name

Title

Phone

Email

Contact Person
If relevant, a local representative from your organization who would be the first point of contact for work being conducted for DESE and districts.

Name

Title

Phone

Email image1.gif image2.jpeg

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