Attachment B - Contact Form~1.docx

DOCX document 102 KB Posted

Attached to
27TALLB2 |Mentor Training for Registered Teacher Apprentices | RFR
Solicitation number
BD-27-1026-DOE02-DOE01-134176
Issued by
Essex County, Massachusetts

About this file

This is a General Information Form (Attachment B) for vendor submissions to the Massachusetts Department of Elementary and Secondary Education (DESE) through the COMMBUYS procurement system. The form serves as a standardized contact and organizational information document required for all vendor submissions and must be completed and uploaded with bids or proposals. The form collects essential organizational details including vendor name, assigned vendor code, and business address, along with identification of the authorized signatory who possesses legal authority to execute contracts on behalf of the organization.

The form designates three key contact roles to facilitate communication throughout the procurement process. The authorized signatory section captures the individual or group with legal signing authority, while the primary contact person section identifies the individual who can answer substantive questions regarding the submission. An optional third contact role is provided for organizations with local representatives who would serve as the first point of contact for work conducted by DESE and school districts. Each contact role requires name, title, phone number, and email address. The form is submitted through the COMMBUYS online procurement platform and is located at 135 Santilli Highway, Everett, MA 02149, with phone contact available at 781.338.3000 and TTY access through N.E.T. Relay at 800.439.2370.

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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 .