consltfm.doc
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- Attached to
- Tessco Antenna Parts
- Solicitation number
- BD-20-1013-RFS00-FLEET-42580
- Issued by
- Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form related to a state and local contract opportunity. The form requires the bidder to provide information such as their name, the RFR (Request for Responses) 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 performance. The form must be signed by an authorized signatory for the bidder.
The document indicates that this form is to be completed for consultant contracts within specific object classes. It outlines the required disclosures and documentation that the bidder must provide as part of their response to the RFR. The form does not provide any details about the specific products, services, or project requirements, response deadlines, or contract term.
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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
Sensitivity level - low
File details come from the government source that posted it. Updated .