ComplianceStateTaxLaws~67.pdf

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Attached to
ITB TRD01 Electrician Services SPBN262012 Electrical Pole Replacement (Otis ANGB, MA)
Solicitation number
BD-27-1069-MILDV-40000-133301
Issued by
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, required in conjunction with an Invitation to Bid (ITB) for Electrician Services at Otis Air National Guard Base (ANGB) in Massachusetts. The project involves replacing deteriorated wood utility poles, crossarms, guy wires, and associated hardware on the base's overhead electrical distribution system. The form serves as a mandatory compliance document that bidders must complete and submit as part of their proposal package.

The certificate requires authorized signatories to certify under penalties of perjury that their business organization has filed all required state tax returns, paid all applicable taxes, and complied with all Massachusetts state laws pertaining to unemployment compensation contributions and payments in lieu of contributions. Bidders must provide their business organization name, principal place of business address, Social Security Number or Federal Identification Number, and sign and date the completed form. This certification is required pursuant to Massachusetts General Law Chapter 62C, Section 49A and Chapter 151A, Section 19A, and represents a standard prerequisite for contract award eligibility with the Commonwealth of Massachusetts.

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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 .