consltfm.doc
DOC document 28 KB Posted
- Attached to
- MASSTAX2 Legal Counsel
- Solicitation number
- S110391-vCurrent
- Issued by
- Suffolk County, Boston City, Chelsea City, Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form for a state and local government contract opportunity. The form requires bidders to provide information on any additional income from the Commonwealth of Massachusetts, disclose any persons with a financial interest in the contract, and attach resumes or statements of qualifications for key personnel assigned to the contract performance. The contract is for an unnamed RFR (Request for Response) with a specified RFR number. No other details about the scope of work, project timelines, or contract term are provided in this form.
The form indicates that the contract will be funded through HH, NN, and UU object classes. It does not specify any pricing terms, set asides, incumbent information, funding sources or amounts, or other salient commercial details about the contract opportunity.
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| File | Type | Posted |
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| standardcontractfrm.doc | DOC document | |
| ampplan.doc | DOC document | |
| DOR_ATT_B_CONFIDENTIALITY_CERT.doc | DOC document | |
| consig.doc | DOC document | |
| S110391-vCurrent_OD.xlsx | XLSX spreadsheet | |
| DOR_ATT_D_TAX_CHILD_SUPPORT.doc | DOC document | |
| w9.doc | DOC document | |
| DOR_ATT_A_DESTRUCTION_CERT.doc | DOC document | |
| DOR_ATT_E_CORI.doc | DOC document | |
| tc.doc | DOC document | |
| DOR_ATT_C_CONTRACTOR_CONFIDENTIALITY_AGREE.doc | DOC document | |
| DORRFR08621FORITLEGACOUNSELMASSTAX2.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 .