consltfm~7.doc
DOC document 29 KB Posted
- Solicitation number
- BD-17-1100-MMP01-MMP01-15081
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form for a state and local contract opportunity in Massachusetts. The contract opportunity is for International Destination Marketing & PR services in the UK, Ireland, and France, with RFR #2018-MOTT-01. The form requires bidders to disclose any additional income from the Commonwealth of Massachusetts, as well as any persons with a financial interest in the contract or more than 1% interest in the bidder's company. Bidders must also attach resumes or statements of qualifications for key personnel.
The contract term and any renewal options are not specified in this document. Pricing terms, set asides, incumbent information, funding requirements, and other salient details are also not provided in this Consultant Contractor Mandatory Submission Form.
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| eppform~6.doc | DOC document | |
| UK_Ireland_France RFR_2018_MOTT_01.doc | DOC document | |
| sdp_plan_form_1_commitment~5.docx | DOCX document | |
| prompt_pay_frm~5.doc | DOC document | |
| Authorization_Signature~6.doc | DOC document | |
| EFT_FORM~5.pdf | ||
| busreffm_InternationalMarketing~1.doc | DOC document | |
| Compliance_Statement_form_UK.Ireland.France.doc | DOC document | |
| 17_w8ben.pdf | ||
| BidderDisclosureForm_UK.Ireland.France.doc | DOC document | |
| Terms_Conditions~6.doc | DOC document | |
| standard_contract_frm.International.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
Sensitivity level - low
File details come from the government source that posted it. Updated .