ComplianceStateTaxLaws~67.pdf
PDF 9 KB Posted
- Attached to
- ITB TRD01 HVAC SPBN262009 Bldg 168 Chilled Water Chemical Feed System Replacement (Otis ANGB, MA)
- Solicitation number
- BD-27-1069-MILDV-40000-132664
- Issued by
- Barnstable County, Massachusetts
About this file
This is a Certificate of Compliance with State Tax Laws form issued by the Department of Capital Asset Management (DCAM) for the Commonwealth of Massachusetts, related to the ITB TRD01 HVAC SPBN262009 project for Building 168 Chilled Water Chemical Feed System Replacement at Otis Air National Guard Base in Massachusetts. The certificate serves as a compliance verification document required under Massachusetts General Law, Chapter 62C, Section 49A and Chapter 151A, Section 19A, wherein an authorized signatory of a business entity certifies under penalties of perjury that the company has filed all required state tax returns, paid all applicable taxes, and complied with state laws regarding unemployment compensation contributions and payments in lieu of contributions.
The form requires the contractor to provide their principal place of business address, Business Organization name, Social Security Number or Federal Identification Number, and execution date. This certificate is a mandatory compliance documentation requirement for state and local contract opportunities in Massachusetts, ensuring that bidders and contractors meet their tax obligations and unemployment compensation responsibilities prior to award or engagement on public projects.
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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 .