Bidders Checklist_Medical Items_Prosthetics for MassAbility Participants.docx

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Attached to
Medical Items & Prosthetics for MassAbility Participants
Solicitation number
BD-27-1071-VR-VR00-131846
Issued by
Massachusetts

About this file

This is a Bidders' Checklist for a Request for Responses (RFR) issued by MassAbility, a Massachusetts state agency seeking medical items and prosthetics providers. The RFR solicits qualified vendors to assess, procure, and repair personal medical items under object code F07 and provide associated medical assistance under object code R07, as outlined in the Expenditure Classification Handbook. Bidders must submit a completed checklist along with all required documentation through the COMMBUYS platform by the specified deadline to be considered for award. The submission deadline is August 3, 2026.

Bidders are required to submit the Vendor Response Document, Bidders' Checklist, Department of Revenue Certificate of Good Standing, and a Supplier Diversity Plan Form for non-POS vendors. Within five business days after contract award, vendors must provide additional documentation to the Office of the State Comptroller if not previously on file, including the Massachusetts Substitute W-9 Form, EFT Form with voided check or bank letter, Prompt Payment Discount Form, Contractor Authorized Signatory Listing Form, CORI Assurance Form, and Certificate of Liability Insurance with an expiry date no more than 90 days from submission. The checklist indicates that omission of required information or documentation may result in bidder disqualification. All required forms and instructions are available on COMMBUYS, with updates posted throughout the procurement process.

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MBY Medical Items & Prosthetics 26 MassAbility Bidders’ Checklist 08/03/2026

Instructions: Bidders must submit a completed version of this RFR Checklist, including filling in all Bidder contact information and checking off each box below, thereby certifying completion and submission of each of the forms required by this RFR. Omission of required information or documentation may be grounds for Bidder disqualification.

Vendor Information

Vendor Name

Vendor Contact Person

Vendor Phone Number

Vendor Address

Vendor Website (if applicable)

The following documents must be uploaded into COMMBUYS for the bid submission to be complete:

CHECK IF COMPLETE
Form/Document
location
check if Confidential
☐VENDOR RESPONSE DOCUMENT
COMMBUYS BID POSTING: ‘ONEDRIVE’ ZIPPED FOLDER
☐
☐BIDDER’S CHECKLIST
COMMBUYS BID POSTING: THIS FORM
☐
☐DEPARTMENT OF REVENUE CERTIFICATE OF GOOD STANDING
LINK TO FORM INSTRUCTIONS
☐
☐SUPPLIER DIVERSITY PLAN FORM FOR NON-POS
SDP NON-POS: LINK TO FORM
☐
☐STANDARD CONTRACT FORM AND INSTRUCTIONS
FOR INFORMATION PURPOSES ONLY: DO NOT FILL OUT
☐

Other Forms

If the following signed documents are not on file with the Office of the State Comptroller, or there are changes to forms current on file (e.g. Bidder Address, Contact Information etc.), the Bidder must submit electronic versions of these forms to the email address noted on the cover page of this BID within 5 business days after awarded contract under this RFR.

· Request for Taxpayer Identification Number & Certification (Massachusetts Substitute W-9 Form)

· EFT Form with voided check/bank letter

· Prompt Payment Discount Form

· Contractor Authorized Signatory Listing (CASL) Form

· CORI Assurance Form

· Certificate of Liability Insurance (Expiry Date must be no more than 90 days of submission) The above noted forms may change or be revised during the life of this procurement. Updated forms will be posted on COMMBUYS and completed accordingly.

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