Attachment B - Contact Form~1.docx

This is a General Information Form attachment for the Massachusetts Department of Elementary and Secondary Education (DESE) designed to collect vendor information for submission through the COMMBUYS procurement system. The form requests completion by organizations seeking to respond to state and local contract opportunities, specifically the "Interpreter in Education Course Delivery - American Sign Language" opportunity for Massachusetts districts. Vendors must provide their organization name, vendor code, business address, authorized signatory information (including name, title, phone, and email), and a primary contact person who can answer substantive questions about the submission. Additionally, vendors should identify a local representative from their organization, if relevant, who would serve as the first point of contact for work conducted on behalf of DESE and participating districts.

The form does not contain pricing information, set-asides, incumbent details, or other financial terms within its content. Rather, it functions as a standardized intake document to establish vendor contact and authorization credentials prior to contract submission. Vendors are required to complete this form and upload it along with their full submission on the COMMBUYS platform. The form includes reference to the DESE contact address at 135 Santilli Highway, Everett, MA 02149, with phone and TTY relay information provided for vendor inquiries.