Attachment B - Contact Form~1.docx

This is a General Information Form (Attachment B) associated with a Request for Response (RFR) issued by the Massachusetts Department of Elementary and Secondary Education (DESE) for the English Learners with Disabilities Guidance and Resource Revision project. The form is designed to collect vendor information for submission through the COMMBUYS procurement system and requires completion and upload by interested bidders. The form requests organization identification details including vendor name, vendor code, and organizational address, along with information about the authorized signatory who holds legal authority to execute documents on behalf of the bidding entity.

The form also requires identification of a primary contact person capable of answering substantive questions regarding the submission and, if applicable, a local representative from the vendor's organization who would serve as the initial point of contact for work conducted by DESE and participating districts. No specific response dates, contract terms, pricing information, or set-asides are detailed in this form; the document serves solely as a standardized information collection instrument for vendor qualification and contact purposes in response to the ELSwD guidance revision procurement opportunity.