ComplianceStateTaxLaws~67.pdf

PDF 9 KB Posted

Attached to
ITB 260328 Inspection, Testing, and Maintenance of Fire Sprinkler Systems
Solicitation number
BD-26-1069-MILDV-30000-129014
Issued by
Massachusetts

About this file

This is a Certificate of Compliance with State Tax Laws form issued by the Massachusetts Department of Capital Asset Management (DCAM) for use in state and local contract opportunities within Massachusetts. The certificate is required pursuant to Massachusetts General Law Chapter 62C, Section 49A and Chapter 151A, Section 19A for the ITB 260328 Inspection, Testing, and Maintenance of Fire Sprinkler Systems contract at Camp Edwards. The form serves as a compliance verification document that must be completed and signed by an authorized signatory of any bidding contractor to certify under penalties of perjury that the business has filed all required state tax returns, paid all applicable taxes, and complied with all state unemployment compensation contribution requirements.

The certificate requires the contractor to provide the business name, principal place of business address, Social Security Number or Federal Identification Number, and the signature of an authorized representative with date and title. This compliance document is a mandatory prerequisite for contract award and must accompany bid submissions. No pricing information, set-asides, or funding details are contained within this form, as it functions solely as a legal attestation of the contractor's compliance with Massachusetts state tax and unemployment compensation laws.

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Certificate of Compliance with State Tax Laws DCAM Rev. 04/02

CERTIFICATE OF COMPLIANCE WITH STATE TAX LAWS AND

WITH UNEMPLOYMENT COMPENSATION CONTRIBUTION

REQUIREMENTS

Pursuant to M.G.L., Ch. 62C, s. 49A and M.G.L., Ch. 151A, s. 19A, I, ________________________________________________ authorized signatory for

________________________________ whose principal place of business is at

_______________________________________________________ do hereby certify under penalties of perjury that ___________________________________ has filed all state tax returns and paid all taxes as required by law and has complied with all state laws pertaining to contributions to the unemployment compensation fund and to payments in lieu of contributions.

The Business Organization Social Security Number or Federal Identification Number is

Signed under the penalties of perjury the __________ day of ________________

20 ____.

Signature: _______________________________________

Name and Title: ________________________________________

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