consltfm.doc
DOC document 12 KB Posted
- Attached to
- Hotline Answering and Processing Service
- Solicitation number
- S103167-vCurrent
- Issued by
- Norfolk County, Quincy City, Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form for a state and local contract opportunity. The form requires the bidder to provide information such as the RFR (Request for Response) name/title and number, any additional income disclosure from the Commonwealth of Massachusetts, disclosure of persons with financial interest in the contract, and resumes or statements of qualifications for key personnel to be assigned to the contract. The form must be signed by an authorized signatory for the bidder, certifying the accuracy of the information provided under the pains and penalties of perjury.
The document does not provide details on the specific products or services requested, project overviews, quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract and any renewal options. The document also does not include information on pricing terms, set asides, incumbents, current environment, funding requirements and sources, or any other salient details.
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Other files
| File | Type | Posted |
|---|---|---|
| c_tc.doc | DOC document | |
| eft_form.doc | DOC document | |
| S103167-vCurrent_OD.xlsx | XLSX spreadsheet | |
| aaplan.doc | DOC document | |
| w9.doc | DOC document | |
| 2005_Hotline.doc | DOC document | |
| nirel.doc | DOC document | |
| scf2001.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 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 .