ComplianceStateTaxLaws~67.pdf

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Attached to
ITB 250560 Sealing Skylight Windows at Bldg 4682 (Camp Edwards, MA)
Solicitation number
BD-27-1069-MILDV-30000-132420
Issued by
Barnstable County, Cambridge City, Massachusetts

About this file

This is a Certificate of Compliance with State Tax Laws form required by the Commonwealth of Massachusetts under General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A for the sealing of skylight windows at Building 4682 at Camp Edwards, Massachusetts. The certificate serves as a prerequisite compliance document for bidders on ITB 250560 and requires an authorized signatory to certify under penalties of perjury that the bidding entity has filed all required state tax returns, paid all assessed taxes, and complied with state unemployment compensation contribution requirements.

The form requires completion of the bidder's legal business name, principal place of business address, Business Organization Social Security Number or Federal Identification Number, and signature with date. This certificate must be submitted as part of the bid package to demonstrate that the contractor meets Massachusetts's fundamental tax compliance and unemployment insurance obligations before being considered eligible for contract award on this skylight window sealing 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: ________________________________________

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