BidderDisclosureForm_UK.Ireland.France.doc
DOC document 35 KB Posted
- Solicitation number
- BD-17-1100-MMP01-MMP01-15081
- 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 International Destination Marketing & Public Relations Services for the UK, Ireland, and France. The procurement is being managed by the Massachusetts Office of Travel & Tourism (MOTT) and is identified as Commbuys Bid Number BD-17-1100-MMP01-MMP01-15081 and RFR Document Number 2018-MOTT-01. Bidders must disclose any business or personal associations with members of the MOTT Procurement Management Team within the last 24 months. The contract term and any renewal options are not specified in the document.
The document requires the bidder to either certify that they have had no associations with the listed MOTT staff, or to disclose any such associations and provide details. Pricing terms, set asides, incumbent information, funding sources, and other salient details are not included in this particular document.
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Text version
BIDDER'S PROCUREMENT RELATIONSHIP DISCLOSUREPRIVATE
Commbuys Bid Number: BD-17-1100-MMP01-MMP01-15081
RFR Document Number: 2018-MOTT-01 International Destination Marketing & Public Relations Services - UK/Ireland/France 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:
Annie Moloney, Massachusetts Office of Travel & Tourism
Maria Speridakos, Massachusetts Office of Travel & Tourism
Tony D’Agostino, Massachusetts Office of Travel & Tourism
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 MMP/MOTT 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]
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