Attachment B - Contact Form~1.docx
DOCX document 102 KB Posted
- Attached to
- 27SEPRLS1 | RFR | Improving Positive Social-emotional skills & relationships through PBS
- Solicitation number
- BD-27-1026-DOE02-DOE01-132479
- Issued by
- Massachusetts
About this file
This is an Attachment B General Information Form for the Massachusetts Department of Elementary and Secondary Education (DESE) related to a Request for Response (RFR) for improving positive social-emotional skills and relationships through Positive Behavioral Support (PBS). The form is designed to collect vendor information for submission through COMMBUYS, the state's procurement system. Vendors are required to provide their organization name, vendor code, address, and identify an authorized signatory with the legal authority to sign documents on behalf of their organization. The form also requests contact information for a substantive point of contact who can answer questions about the submission and, if applicable, a local representative who would serve as the first point of contact for work conducted by DESE and participating school districts.
The contract opportunity seeks a vendor with expertise in the Pyramid Model to provide technical assistance, coaching, consultation, and implementation support to early childhood educators and leadership teams across 22 Massachusetts public school districts currently engaged in State Systemic Improvement Plan (SSIP) activities. The services will target early childhood, school, and district leaders, as well as site-based and external coaches. This General Information Form does not specify pricing terms, award dates, contract duration, or renewal options; rather, it functions as a preliminary vendor registration document to be completed and uploaded alongside the primary submission on COMMBUYS.
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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
| Contact Person |
| The person who can answer substantive questions about this submission. (If different from above.) |
Name
Title
Phone
| 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 .