ComplianceStateTaxLaws~67.pdf

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Attached to
ITB SPBN262010 Road Repaving (Otis ANGB, MA)
Solicitation number
BD-27-1069-MILDV-40000-133287
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), required for vendors and contractors doing business with the Commonwealth of Massachusetts. The certificate serves as a sworn certification that the contractor or vendor has filed all required state tax returns, paid all applicable taxes in accordance with law, and complied with all state unemployment compensation contribution requirements pursuant to Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A. The form requires the authorized signatory to provide the business name, principal place of business address, business organization identification number or Federal Identification Number, and signature under penalties of perjury.

This compliance certificate is a standard prerequisite documentation requirement for the road repaving project at Otis Air National Guard Base in Massachusetts (ITB SPBN262010), which involves repaving approximately 2,500 linear feet of active arterial road including base demolition and preparation, high-durability asphalt pavement installation, and roadway restriping. Bidders and contractors must complete and submit this tax compliance certification as part of their proposal package to demonstrate their eligibility to contract with the Commonwealth of Massachusetts.

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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 .