ConsultantSignature.doc
DOC document 26 KB Posted
- Attached to
- Biological Surveys, Research, and Testing
- Solicitation number
- S116618-vCurrent
- Issued by
- Suffolk County, 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 about any additional income from the Commonwealth of Massachusetts, including any political subdivision or public authority, during the contract period. The bidder must also disclose any persons with a financial interest in the contract and/or more than one percent interest in the capital stock of the contractor. Additionally, the bidder must attach resumes or statements of qualifications for all key personnel specifically named in the response to be assigned to the performance of the contract.
The document does not provide any details about the specific state or local contract opportunity, such as the products or services requested, project overviews, item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options. It also does not contain any information about 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 |
|---|---|---|
| Bid_Form.doc | DOC document | |
| Termsconditions.doc | DOC document | |
| standard_contract_frm.doc | DOC document | |
| sdpplan.doc | DOC document | |
| ppd.doc | DOC document | |
| S116618-vCurrent_OD.xlsx | XLSX spreadsheet | |
| newMass_W9.doc | DOC document | |
| DFW_2010_006_REVISION.doc | DOC document | |
| contractorauthorizedsignature.doc | DOC document | |
| req_specs.doc | DOC document | |
| EFT2009.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 .