ComplianceStateTaxLaws~67.pdf
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- Solicitation number
- BD-27-1069-MILDV-30000-132375
- Issued by
- Barnstable County, Massachusetts
About this file
This is a Certificate of Compliance with State Tax Laws form issued by the Commonwealth of Massachusetts Department of Capital Asset Management (DCAM), required pursuant to Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A. The certificate pertains to a contract opportunity for the removal and replacement of munitions-impacted soils on the India Range Berm in Massachusetts. Work must commence after October 1, 2026, and be fully completed by December 30, 2026. The project scope includes removing the top layer of loam and soil fill to the inner liner mat, containing and disposing of removed soils, restoring or replacing the fabric liner, installing new 1/4-inch minus soils across the entire berm, installing jute matting, and performing hydroseed application.
Prospective bidders are required to complete and sign this certificate under penalties of perjury, certifying that their organization has filed all state tax returns, paid all required taxes, and complied with all Massachusetts state laws pertaining to unemployment compensation contributions and payments in lieu of contributions. The form requires the authorized signatory to provide the business name, principal place of business address, business organization name, Social Security Number or Federal Identification Number, and the date of certification. This compliance document serves as a prerequisite qualification for bidders on this state and local contract opportunity and must be submitted as part of the bid package.
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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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