ComplianceStateTaxLaws~67.pdf

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Attached to
ITB SPBN262013 B197 Concrete Pad and Structural Metal Overhang (Otis ANGB, MA)
Solicitation number
BD-27-1069-MILDV-40000-133298
Issued by
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 contract opportunities in Massachusetts. The form is required pursuant to Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A, and applies to the ITB SPBN262013 B197 contract for design and construction of a concrete pad and structural metal overhang at Otis Air National Guard Base in Massachusetts.

The certificate requires an authorized signatory of the bidding business to certify under penalties of perjury that the company has filed all required state tax returns, paid all taxes as required by law, and complied with all state laws pertaining to unemployment compensation fund contributions and payments in lieu of contributions. The form requires the business to provide its principal place of business address and either its Social Security Number or Federal Identification Number. Submission of a completed and signed certificate is a mandatory compliance requirement for bid submission on this Massachusetts contract opportunity.

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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 .