Brooke Cooling Tower - Certificate on Non-Collusion.pdf

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Attached to
Colling Tower Louver Replacement
Solicitation number
BD-26-1107-FREG5-ACCOU-123584
Issued by
Suffolk County, Massachusetts

About this file

This is a Certificate of Non-Collusion and Tax Compliance Certification document related to the Brooke Cooling Tower contract opportunity with the Commonwealth of Massachusetts. The document requires the authorized bidder or proposer to certify under penalties of perjury that the submission is bona fide, fair, and made without collusion or fraud with any other party. The certification applies to all natural persons, joint ventures, partnerships, corporations, unions, committees, clubs, and other organizations or legal entities involved in the bid or proposal process.

The document mandates compliance with Massachusetts General Law Chapter 62C, Section 49A, requiring bidders to certify under penalties of perjury that they are in compliance with all Commonwealth laws relating to taxes, employee and contractor reporting, and withholding and remitting child support. Bidders must provide their signature, printed name, business name, and either a Social Security Number or Federal Identification Number. The document notes that social security numbers and federal identification numbers may be furnished to the Massachusetts Department of Revenue to verify tax filing and payment obligations. Providers who fail to correct non-filing or delinquency issues will not have contracts or other agreements issued, renewed, or extended.

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CERTIFICATE OF NON-COLLUSION AND TAX COMPLIANCE CERTIFICATION

The undersigned certifies under penalties of perjury that this bid or proposal is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this certification, the word "person" shall mean any natural person, joint venture, partnership, corporation, union, committee, club, or other organization, entity, business, group of individuals or legal entity.

Pursuant to M.G.L. c. 62C, §49A, I certify under the penalties of perjury that, to the best of my knowledge and belief, I am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting child support.

Signature of authorized person submitting bid or proposal Date

Printed name of authorized individual signing above

Name of business

*Social Security Number or Federal Identification Number

*Your social security number and or federal identification number may be furnished to the

Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended.

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