COA_form~1.docx
DOCX document 107 KB Posted
- Solicitation number
- BD-18-1067-MCD01-MCD01-26742
- Issued by
- Massachusetts
About this file
This document is a Change of Address form from the Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH) for its Department of Interpreter and CART Services contract titled "MCD06 ASL Interpreters and Transliterators for the Deaf and Hard of Hearing." The contract opportunity is for the provision of American Sign Language (ASL) interpreting and transliterating services to the state of Massachusetts, specifically in the Boston region, Metro region, Northeast region, Southeast region, Central region, and Western region, as well as various after-hours emergency regions. The contract package is due by U.S. Mail to MCDHH two weeks after downloading the required forms from the provided site. The contract MBPO (Master Blanket Purchase Order) number is PO-18-1067-MCD01-MCD01-13286.
The document does not provide details on pricing terms, set-asides, incumbents, funding requirements or sources, or other financial information. It solely focuses on the administrative process for vendors to change their address and service coverage regions for the MCDHH contract.
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Text version
The Commonwealth of Massachusetts Executive Office of Health and Human Services Massachusetts Commission for the Deaf and Hard of Hearing 600 Washington Street Boston, Massachusetts 02111 Tel. (617) 740-1600
TTY (617) 740-1700
VP (617) 326-7546
Fax (617) 740-1880 www.mass.gov/mcdhh
Department of Interpreter and CART Services / A & F Change of Address
To: MCDHH Business Department;
From: __________________________________________ Effective date of address change: ____________________
Please change my address from:
CURRENT ADDRESS
Mailing Address:
Legal Address:
| City: |
| State: |
| Zip + 4: |
| Home Phone: |
| Home Fax: |
To:
NEW ADDRESS
Mailing Address:
Legal Address:
| City: |
| State: |
| Zip + 4: |
| Home Phone: |
| Home Fax: |
Please select regions you will cover from your new address
General Referral Regions:
| Boston Region |
| Metro Region |
| Northeast Region |
| Southeast Region |
| Central Region |
| Western Region |
After-Hours Emergency Regions:
| Berkshire County Region |
| Western Region |
| Central Region |
| Metro/Central Region |
| Northeast Region |
| Greater Boston Region |
| Southeast Region |
| Cape Cod & Islands Region |
Signature of Vendor Date
INTERNAL USE ONLY
MMARS updated – By: _____________________
Date sent to OSC: ____________________________
Approved by OSC – date: ____________________
Avianco updated – By: _________________________
DATE RECEIVED
Effective 4/6/12 image1.wmf oleObject1.bin
File details come from the government source that posted it. Updated .