Attachment B - Contact Form~1.docx

This is a General Information Form (Attachment B) required by the Department of Elementary and Secondary Education (DESE) in Massachusetts for vendors submitting proposals through the COMMBUYS procurement system. The form serves as a standardized contact documentation template that vendors must complete and upload with their bid submissions. The form requests completion of organizational identification information, including the vendor's name, assigned vendor code, and physical address. Additionally, vendors must identify an authorized signatory—the individual or group with legal authority to execute documents on behalf of the organization—along with contact details including name, title, phone, and email address.

The form also requires designation of a substantive contact person who can address detailed questions regarding the submission, with the same contact information fields. For proposals related to work conducted with DESE and school districts, vendors must provide information for a local representative who will serve as the primary point of contact during project execution. The form is submitted in conjunction with the state contract opportunity 27DAAEG2, which involves securing access to the National Student Clearinghouse's nationwide central repository for degree, enrollment, and postsecondary education status information. This data access is necessary to fulfill state and federal reporting requirements regarding post-secondary enrollment of Massachusetts public high school graduates.