consltfm~5.doc
DOC document 29 KB Posted
- Attached to
- EOHED Travel Agency Reservation Services
- Solicitation number
- BD-16-1100-MMP01-MMP01-00000007267
- Issued by
- Suffolk County, Massachusetts
About this file
The document is a Consultant Contractor Mandatory Submission Form for a state and local contract opportunity. The contract is for Travel Reservation Services and is issued by the Commonwealth of Massachusetts. The form requires bidders to disclose any additional income from the Commonwealth, individuals with financial interests in the contract, and the key personnel who will be assigned to the contract performance. The contract term and any renewal options are not specified.
The form also includes pricing and financial disclosure requirements. Bidders must indicate if they have any financial interests or more than 1% ownership in the contracting entity. The contract does not appear to have any set-aside requirements, and the current incumbent is not identified. Funding sources and amounts are also not provided in the document.
View the file
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| BidderDisclosureForm_TraveLAgency.doc | DOC document | |
| newMass_W9~3.doc | DOC document | |
| sdp_plan_form_TravelAgency_commitment.docx | DOCX document | |
| TravelAgency_Compliance_Statement_form.doc | DOC document | |
| standard_contract_frm.TravelAgency.doc | DOC document | |
| Authorization_Signature~4.doc | DOC document | |
| TravelAgency RFR 2016_EOHED.MOTT_07~1.doc | DOC document | |
| prompt_pay_frm~3.doc | DOC document | |
| eppform~4.doc | DOC document | |
| busreffm_TravelAgency.doc | DOC document | |
| TRAVEL AGENCY RFR PROPOSAL TEMPLATE.docx | DOCX document | |
| Terms_Conditions~3.doc | DOC document | |
| EFT_FORM~3.pdf |
Show all 13
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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 .