ComplianceStateTaxLaws~67.pdf

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 within Massachusetts. The form is required pursuant to Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A, and must be completed and signed by an authorized signatory of any bidding entity. The certificate confirms that the contractor has filed all required state tax returns, paid all taxes as mandated by law, and complied with all state laws governing unemployment compensation fund contributions and associated payment obligations.

The form requires the contractor to provide identifying information including the authorized signatory's name and title, the business entity name, principal place of business address, and the business organization's Social Security Number or Federal Identification Number. The signatory must execute the certificate under penalties of perjury, with the signature dated and attested. This compliance certificate is a standard prerequisite document for participation in Massachusetts state and local contracts, including the Camp Edwards Impact Area Road Maintenance project, and serves to verify the contractor's tax and unemployment contribution compliance status before contract award.