consltfm.doc
DOC document 30 KB Posted
- Solicitation number
- S124752-vCurrent
- Issued by
- Bristol County, Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form for a state and local government contract opportunity related to a Wireless 911 Routing Proof of Concept project. The contract is identified as RFR # State 911 10-004. The form requires the bidder to disclose any additional income from the Commonwealth of Massachusetts, as well as any persons with a financial interest in the contract or more than a 1% interest in the capital stock of the contractor. The form also requires the submission of resumes or statements of qualifications for all key personnel to be assigned to the contract performance.
The document does not provide any additional details about the scope of work, quantities, response/due dates, award information, or the contract term and renewal options. Pricing terms, set asides, incumbents, funding requirements, and other salient information are also not included in this form.
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Other files
| File | Type | Posted |
|---|---|---|
| EMDPRSQA.docx | DOCX document | |
| EFT_FORM.pdf | ||
| S124752-vCurrent_OD.xlsx | XLSX spreadsheet | |
| eo504.doc | DOC document | |
| ContAuthSignatoryForm.rtf | RTF text file | |
| EMDPRSRFRFINAL.docx | DOCX document | |
| newMass_W9.doc | DOC document | |
| sdpplan.doc | DOC document | |
| standard_contract_frm.doc | DOC document | |
| ppd.doc | DOC document | |
| comm_TermsConditions.doc | DOC document | |
| ContractUpdateNotice.doc | DOC document | |
| busreffm.doc | DOC document |
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Text version
Consultant Contractor Mandatory Submission Form
COMPLETE THE FOLLOWING ONLY FOR CONSULTANT CONTRACTS
(Within HH and NN and UU Object Classes)
Bidder: ________________________________________________________________________
RFR Name/Title: ___Wireless 911 Routing Proof of Concept_______________________________
RFR Number: # _____State 911 10-004____________________________________________
Additional Income Disclosure. Pursuant to the provisions of M.G.L. c. 29, s. 29A, the following amounts represent any contracts, grants or other income due from the Commonwealth of Massachusetts, including any political subdivision or public authority, during the period of a contract. You may attach additional sheets as necessary.
FORMCHECKBOX
Please check if N/A.
Disclosure of Persons with Financial Interest (other than the bidder). Pursuant to the provisions of M.G.L. c. 29, s 29A and c. 7A, s. 6, the following individuals have a financial interest in a contract and/or with more than one percent (1%) interest in the capital stock of the contractor. You may attach additional sheets as necessary.
FORMCHECKBOX
Please check if N/A.
Key Personnel. Attach a resume or statement of qualifications for all key personnel specifically named in bidder's response to be assigned to the performance of a contract.
FORMCHECKBOX
Please check if N/A.
The information submitted herein is certified by the bidder to be accurate under the pains and penalties of perjury.
Signature of Authorized Signatory for Bidder: __________________________________________________
Title of Authorized Signatory for Bidder: _____________________________________________________
Date: __________________________________________________________
Updated 11/1/05
File details come from the government source that posted it. Updated .