consltfm.doc
DOC document 26 KB Posted
- Attached to
- State Employee Commuter Benefits Program
- Solicitation number
- S119109-vCurrent
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form for a state and local contract opportunity. The form requires bidders to disclose additional income from the Commonwealth of Massachusetts, any individuals with a financial interest in the contract, and the qualifications of key personnel to be assigned to the contract performance. The form must be completed and submitted as part of the bid response. The contract appears to be for consulting services, as it is classified under the HH, NN, and UU object classes. No other details about the specific products, services, or project requirements are provided in this document.
The document outlines the legal and disclosure requirements for bidders, including provisions from Massachusetts General Laws chapters 29 and 7A. Bidders must certify the accuracy of the information submitted under pains and penalties of perjury. No information is provided about pricing terms, set-asides, incumbent contractors, funding sources, or other salient commercial details.
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| c_tc.doc | DOC document | |
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| S119109-vCurrent_OD.xlsx | XLSX spreadsheet | |
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| RFR_QTB_1202010.doc | DOC document | |
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| FINAL_ANSWERS_FORUM.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: ________________________________________________________________
RFR Number: # _________________________________________________________________
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 .