Equipment Services (Required).doc
DOC document 36 KB Posted
- Attached to
- CTFTRAIN18
- Solicitation number
- BD-18-1037-2CTF0-CTF00-20252
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Commonwealth of Massachusetts Equipment/Services Confirmation Form issued jointly by the Executive Office for Administration and Finance (ANF), the Office of the Comptroller (CTR), and the Operational Services Division (OSD) for use by all departments and contractors. It confirms the selection of equipment and services covered under statewide contract 750018CTFTRAINERSRFR5, which has a term from November 1, 2017 to October 31, 2018. The contract is for the provision of training services to the Department of Early Education and Care and the Children's Trust Fund.
The pricing and terms are as stated in the statewide contract. This is not a standalone contract, but rather a confirmation of services to be provided under the existing statewide contract. There are no additional details provided regarding set-asides, incumbents, funding sources, or other salient information beyond what is contained in the statewide contract.
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Text version
Commonwealth Of Massachusetts Equipment\Services Confirmation Form
This form is issued jointly by the Executive Office for Administration and Finance (ANF), the Office of the Comptroller (CTR) and the Operational Services Division (OSD) for use by all departments and contractors. Any changes or electronic alterations by either the department or the contractor to the official printed version of this form, as jointly published by ANF, CTR and OSD, shall void the form. This form may be used to confirm the selection of equipment and services which are covered under a current statewide contract on file at OSD. Conflicting or additional terms, conditions or agreements, included in or attached to this form which conflict with the terms of the statewide contract shall be considered to be superseded and void.
DOC ID NUMBER: ___________________________
FISCAL YEAR: 18_______________
| DEPARTMENT: EEC/CTF |
| CONTRACTOR: |
| Contact Person: Meg Manning |
| Contact Person: |
Phone: (617) 727-8957 x28723
Fax: (617) 727 8997 Phone:
Fax:
Billing Address:
55 Court Street 4th Floor
Boston, MA 02108
Contact: Meg Manning Phone: (617) 502-8723 Contractor Address:
Delivery Address:
_X_(Check here if same address as above)
Contact:____________________________ Phone:_________________ (Check the applicable box below)
____X__ Service ______Rental (not to exceed 6 months)
_______Maintenance ______TELP lease/purchase (intent to own)
_______Term lease ______Commodity
_______Outright purchases
Statewide Price Agreement or MSA number (whichever is applicable):
750018CTFTRAINERSRFR5
Equipment category/class:
Start date of this agreement:
November 1, 2017
Termination date of this agreement:
(may not exceed termination date of statewide contract) October 31, 2018
Confirmation of equipment or services selected from the statewide contract: (Include description here and any related costs, prices, or options.) Attach additional pages as necessary.
Rates will be effective for this contract from November 1, 2017- October 31, 2018.
In witness whereof, the contractor certifies that the equipment or services identified in this confirmation form shall be provided in accordance with the statewide contract on file at OSD.
FOR THE DEPARTMENT: FOR THE CONTRACTOR:
X:
X:
(Signature)
(Signature)
NAME: _______________ NAME:
TITLE: _________________________ TITLE:
DATE:
DATE: __________________________________________________
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