Certification of Non-Collusion Form~2.doc

DOC document 23 KB Posted

Attached to
19CBBORIMLICENSERFR: RFR for the Physician Online Initial Licensing Application
Solicitation number
BD-19-1039-EHS01-EHS01-39914
Issued by
Middlesex County, Massachusetts

About this file

The document provided is a Certification of Non-Collusion Form related to a Request for Response (RFR) issued by the Executive Office of Health and Human Services (EOHHS) on behalf of the Commonwealth of Massachusetts Board of Registration in Medicine (BORIM). The RFR seeks qualified vendors to develop, implement, maintain, and support an Online Initial Licensing Application integrated with BORIM's existing applications, as well as to provide Managed Support Services (MMIS) for BORIM's Applications Portfolio. The RFR was issued for the state of Massachusetts.

The pricing terms, set asides, incumbents, current environment, funding requirements and sources, and other salient information are not provided in the given document. The Certification of Non-Collusion Form only requires the name of the person signing the response and the name of the business.

View the file

Other files

File Type Posted
Amendment 1 to the RFR for the Physician Online License Management System.docx DOCX document
Amendment 4 to the RFR for the Physician Online License Management System.docx DOCX document
Attachment 5 EOHHS Secretariat Application Reference Manual~1.pdf PDF
BORIM RFR QA Document 1.docx DOCX document
Certification Regarding Debarment and Suspension~4.docx DOCX document
Copy of Attachment 3 Cost Response Worksheet Revised 20190626.xlsx XLSX spreadsheet
Attachment 1 Requirements for the Online Initial Licensing Application~1.docx DOCX document
Certification with Regard to Financial Condition~5.docx DOCX document
Disclosures~5.docx DOCX document
Amendment 2 to the RFR for the Physician Online Initial Licensing Management System.docx DOCX document
Amendment 3 to the RFR for the Physician Online License Management System.docx DOCX document
Amendment 5 to the RFR for the Physician Online License Management System.docx DOCX document
Attachment 2 Template Statement of Work~1.docx DOCX document
Attachment 4 Initial Limited License Application Kit~1.pdf PDF
BORIM RFR QA Document 2.docx DOCX document
Commonwealth Terms Conditions~12.doc DOC document
Contractor Authorized Signatory Listing~19.doc DOC document
Massachusetts Substitute W9 Form~12.doc DOC document
SDP Plan Form 1 Commitment 3 8 16~1.docx DOCX document
Attachment 4 Full License Application Kit DRAFT~1.pdf PDF
Prompt Pay Discount Form~5.doc DOC document
RFR for the Physician Online License Management System New.docx DOCX document
Standard Contract Form 3~2.doc DOC document
Show all 23

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Certification of Non-Collusion Form The undersigned certifies under penalties of perjury that this bid or response has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.

(Name of person signing Response)

(Name of business)

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