ComplianceStateTaxLaws~67.pdf
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- Solicitation number
- BD-27-1069-MILDV-30000-131852
- Issued by
- Barnstable County, 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 contracting in Massachusetts. The form is required pursuant to Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A. The certificate serves as a mandatory compliance document for the ITB 260722 Building 3132 Generator Transfer Switch Replacement project at Camp Edwards, Massachusetts, which involves removing and disposing of an existing automatic generator transfer switch and installing a new automatic transfer switch with complete wiring and control systems in the existing enclosure.
The form requires an authorized signatory of the bidding company to certify under penalties of perjury that the company has filed all required state tax returns, paid all taxes as required by law, and complied with all Massachusetts state laws pertaining to unemployment compensation contributions and payments in lieu of contributions. The signatory must provide the company's principal place of business, business organization name, Social Security Number or Federal Identification Number, and sign and date the document. This certificate of compliance is a prerequisite document that must be completed and submitted as part of the bidding process for this construction project.
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Text version
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: ________________________________________
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