ComplianceStateTaxLaws~67.pdf
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- Solicitation number
- BD-27-1069-MILDV-30000-132602
- 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. The document certifies that a bidding organization has filed all required state tax returns, paid all applicable taxes, and complied with Massachusetts General Laws Chapter 62C Section 49A and Chapter 151A Section 19A regarding unemployment compensation contributions and payments in lieu of contributions. The certificate requires the authorized signatory to provide the company name, principal place of business, Business Organization Social Security Number or Federal Identification Number, and the date of certification under penalties of perjury.
This compliance certificate is a mandatory requirement for the ITB SPBN262008 Parking Lot Light Pole Replacement project at Otis Air National Guard Base in Massachusetts, which involves replacing and upgrading existing parking lot light poles and luminaires to LED/Solid State Lighting systems. Bidders must complete and submit this form as part of their bid package to demonstrate compliance with Massachusetts tax and unemployment compensation laws prior to contract award.
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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 .