BidderDisclosureForm_TraveLAgency.doc

DOC document 33 KB Posted

Attached to
EOHED Travel Agency Reservation Services
Solicitation number
BD-16-1100-MMP01-MMP01-00000007267
Issued by
Suffolk County, Massachusetts

About this file

This document is a Bidder's Procurement Relationship Disclosure form for a Commonwealth of Massachusetts procurement for travel reservation services issued by the Executive Office of Housing & Economic Development (EOHED). The procurement, RFR 2016-EOHED.MOTT-07, is for travel reservation services and involves the Massachusetts Office of Travel & Tourism and the Massachusetts Office of Business Development. Bidders must disclose any business or personal associations with the named Procurement Management Team members within the last 24 months. Bidders must either certify that they have had no such associations or provide details of any associations.

The related state and local contract opportunity is for travel reservation services, with the State of Massachusetts as the contracting jurisdiction. No other specifics regarding the scope, quantities, response dates, award dates, or contract term are provided in the given information.

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BIDDER'S PROCUREMENT RELATIONSHIP DISCLOSURE

Executive Office of Housing & Economic DevelopmentPRIVATE

Procurement: RFR 2016-EOHED.MOTT-07 As a bidder on this Commonwealth of Massachusetts procurement, any business or personal association with any member of the Procurement Management Team within the last 24 months must be disclosed.

YOUR NAME & TITLE

BIDDING COMPANY

PROCUREMENT MANAGEMENT TEAM:

Tony D’Agostino, Massachusetts Office of Travel & Tourism

Daniela DeCaro, Massachusetts Office of Travel & Tourism Annie Addivinola, Executive Office of Housing & Economic Development Camille Passatempo, Massachusetts Office of Business Development

Complete and sign section A or B below.

A: NO ASSOCIATIONS

On behalf of ________________________________, I hereby certify that this entity and all staff for this project have not been associated with, nor had any monetary, familiar, or other relationship with, any of the above listed members of the Procurement Management Team within 24 months of the date of this signing.

SIGNATURE

DATE

B: ASSOCIATIONS TO BE DISCLOSED

On behalf of ________________________________, I hereby certify that this entity and staff for this project have been associated with, or had a monetary, familiar, or other relationship with, the above listed member/s of the review panel or with EOHED staff within 24 months of the date of this signing. Details of the relationships are described below.

SIGNATURE

DATE

Description of relationships(s): [USE ADDITIONAL PAGES IF NECESSARY]

File details come from the government source that posted it. Updated .