Contractor Authorized Signatory Listing - Sole Proprietors~1.pdf
PDF 220 KB Posted
- Attached to
- RFR-27-05773 Work Authorization Counsel Support
- Solicitation number
- BD-27-1060-ITD00-ITD00-134455
- Issued by
- Massachusetts
About this file
This is a Contractor Authorized Signatory Listing document for Sole Proprietors related to the Massachusetts state contract opportunity RFR-27-05773 for Work Authorization Counsel Support. The document serves as an official roster identifying authorized representatives or signatories for sole proprietor contractors who may be engaged in state procurement activities. The listing establishes the authorized individuals permitted to execute documents and agreements on behalf of sole proprietor entities in connection with state contracts and related procurement processes.
The document functions as a reference tool for state procurement officials and contract administrators to verify signatory authority for sole proprietor contractors. It ensures proper authorization protocols are followed when executing contractual documents and maintaining compliance with state contracting requirements. This type of listing is typically maintained to prevent unauthorized signings and to provide transparency regarding who has legal authority to bind sole proprietor contractors to state agreements.
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| File | Type | Posted |
|---|---|---|
| Standard Contract Form~5.pdf | ||
| RFR-27-05773 Work Authorization Counsel Support~1.docx | DOCX document | |
| Environmental Practices Form~2.xlsx | XLSX spreadsheet | |
| Commonwealth Terms and Conditions~1.pdf | ||
| Statement of Work Template~6.docx | DOCX document | |
| Prompt Pay Discount Form~2.pdf | ||
| Standard Contract Form Instructions~1.pdf | ||
| EFT Form~3.pdf | ||
| Massachusetts Substitute W9~1.pdf | ||
| Contractor Authorized Signatory Listing - Corporations~1.pdf |
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Text version
Commonwealth of Massachusetts
CONTRACTOR AUTHORIZED SIGNATORY LISTING (CASL) FORM
This form is jointly issued and published by the Office of the Comptroller (CTR) and the Operational Services Division (OSD) as the default form for all Commonwealth Departments when another form is not prescribed by regulation or policy.
Notarized Signature for Individual, Sole-Proprietor or Single Member LLC (must match Form W-9 tax classification)
Contractor Legal Name Contractor Vendor/Customer Code (if available, not the Taxpayer Identification Number)
INSTRUCTIONS: Any Contractor, sole-proprietor, or an individual, must provide a notarized signature of the authorized person who can sign contracts and other legally binding documents related to the contract on the Contractor’s behalf.
For privacy purposes DO NOT ATTACH any documentation containing personal information, such as bank account numbers, social security numbers, driver’s licenses, home addresses, social security cards or any other personally identifiable information that you do not want released as part of a public record. The Commonwealth reserves the right to publish the names and titles of authorized signatories of contractors.
Signature (ink on paper) Contractor Signature as it will appear on contract or other documents (Complete only in presence of notary)
Print Signatory’s full legal name Title
Certificate of Acknowledgement of Notary Public Before me, the undersigned notary public, the above named individual proved to me through satisfactory evidence of identification, to be the person whose name is signed above and acknowledged to me that (he)/(she) signed for its stated purpose.
Print Notary Name Notary Signature (ink on paper)
Date My commission expires on
AFFIX NOTARY SEAL/STAMP
A copy of this document must be attached to the “record copy” of a contract filed with the department.
| Commonwealth of Massachusetts |
| CONTRACTOR AUTHORIZED SIGNATORY FORM |
| Contractor Legal Name: |
| Print Signatorys full legal name: |
| Title: |
| Date: |
| My commission expires on: |
| Contractor Vendor/Customer Code: |
| Print Notary Name: |
| AFFIX NOTARY SEAL/STAMP: |
File details come from the government source that posted it. Updated .