ComplianceStateTaxLaws~67.pdf

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Attached to
ITB 250597 RE-BID Remove and Replace Munitions Impacted Soils on the India Range Berm
Solicitation number
BD-27-1069-MILDV-30000-135116
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 state and local contract opportunities in Massachusetts. The certificate is applicable to the ITB 250597 Re-Bid for Remove and Replace Munitions Impacted Soils on the India Range Berm project. The form serves as a certification requirement whereby an authorized signatory for a business organization must attest, under penalties of perjury, that the company has filed all required state tax returns, paid all applicable taxes as mandated by law, and complied with all Massachusetts state laws regarding contributions to the unemployment compensation fund and payments in lieu of contributions.

The certificate requires the contractor to provide their business organization name, Social Security Number or Federal Identification Number, principal place of business address, and the authorized signatory's name and title. This compliance certification is a prerequisite document that must be completed and submitted as part of the bidding process for the India Range soil remediation project, which involves removing munitions-impacted soils from the berm and restoring it with new materials by December 30, 2026. The form is mandatory under Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A, establishing that all prospective contractors must demonstrate current compliance with state tax and unemployment insurance obligations before contract award consideration.

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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 .