consltfm.doc
DOC document 12 KB Posted
- Attached to
- E-Licensing
- Solicitation number
- S116333-vCurrent
- Issued by
- Middlesex County, Suffolk County, Boston City, Chelsea City, 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 provide information about any contracts, grants, or other income due from the Commonwealth of Massachusetts, including any political subdivisions or public authorities. Bidders must also disclose any individuals with a financial interest in the contract or more than a 1% interest in the capital stock of the contractor. Additionally, bidders must provide resumes or statements of qualifications for all key personnel assigned to the contract performance.
The form does not provide any details about the specific products or services requested, project overviews, response dates, award dates, contract terms, or renewal options. There is also no information about pricing terms, set asides, incumbents, funding requirements and sources, or other salient details about the contract opportunity.
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Text version
Consultant Contractor Mandatory Submission Form
COMPLETE THE FOLLOWING ONLY FOR CONSULTANT CONTRACTS
(Within HH and NN subsidiaries)
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. Enter N/A if none. You may attach additional sheets as necessary.
Disclosure of Persons with Financial Interest. 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. Enter N/A if none. You may attach additional sheets as necessary.
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. Enter N/A if none.
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: __________________________________________________________
File details come from the government source that posted it. Updated .