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

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 .