MCD06 Contracting Forms Checklist.docx

600 Washington Street Boston, Massachusetts 02111 Tel. (617) 740-1600

TTY (617) 740-1700

VP (617) 326-7546

Fax (617) 740-1880 www.mass.gov/mcdhh The Commonwealth of Massachusetts Executive Office of Health and Human Services Massachusetts Commission for the Deaf and Hard of Hearing

MCD06 CONTRACTING FORMS

CHECKLIST & INSTRUCTIONS

Interpreters and transliterators wanting to receive jobs through MCDHH’s Interpreter/CART Referral Service must execute an MCD06 CONTRACT FOR AMERICAN SIGN LANGUAGE INTERPRETERS AND TRANSLITERATORS FOR THE DEAF AND HARD OF HEARING. This document, “MCD06 Contracting Forms Checklist & Instructions” explains how to do that. Some of the forms are for your records and others must be signed and returned to us. The forms that you return to us need to be signed and dated in ink, so you must use US Mail. We cannot accept faxes or e-mailed documents.

The MCD06 Contract begins on July 1, 2018. So that the Interpreter/CART Referral Service can begin booking jobs for July, YOUR COMPLETED CONTRACT DOCUMENT PACKAGE IS DUE HERE AT MCDHH TWO WEEKS AFTER YOU PICK UP THE DOCUMENTS FROM COMMBUYS. Thank you, in advance, for your prompt response.

PART I: HOW TO GET THE MCD06 FORMS

All MCD06 forms may be found on COMMBUYS, including this document (mcd06 contracting forms checklist.docx), without needing a COMMBUYS Vendor ID or Password:

1. Go to the COMMBUYS main screen, www.commbuys.com

2. Scroll almost all the way down to the box with the red bar that says “Browse by Category.” Click on Contract and Bid Search

3. Click on Bids

4. In the “Bid Description” box at the left near the top enter MCD06 and click on FIND IT

5. Scroll down. You will see the bid for Contract MCD06. Click on the blue hyperlink

6. This will take you to a page with summary information about MCD06. “File attachments” are listed in blue as hyperlinks, which open and can be downloaded. Do one of two things:

a. Download the file named “mcd06 contracting forms checklist.docx” this document) AND the file named “mcd06 forms.zip.” mcd06 forms.zip contains all the forms you need to complete this application but needs to be unzipped first using a program such as Win ZIP.

b. If you don’t have or are not comfortable using an unzipping program, download ALL the files listed in blue except mcd06 forms.zip.

7. Save all the forms and refer to them at the appropriate point as you follow this “Checklist & Instructions” document If you need assistance, contact the COMMBUYS Help Desk at commbuys@state.ma.us.

PART II: COMPLETING YOUR MCD06 APPLICATION

For Reference, Review and Action (Do Not Return to MCDHH):

· MCD06 Contract for American Sign Language Interpreters and Transliterators for the Deaf and Hard of Hearing: RFR / Contract and Procedures: This is the Scope of Services of the Contract. Filename MCD06 RFR Contract.docx

· MCD06 Rates Starting July 1, 2018: This is incorporated into the Contract and is yours to keep. Filename MCD06 Rates Effective July 1 2018.xlsx

For Completion and Return to MCDHH:

· 1. Standard Contract Form and Instructions (MCD06 New Standard Conract Form.docx). Complete the sections in the block on the upper left related to the vendor (your name, address, phone, etc.). You are the contract manager. Your Contractor Vendor Code is your 12-character MMARS V/Cust number that begins with the letters VC. If you choose to offer an optional Prompt Payment Discount, indicate so in the appropriate section about two-thirds of the way down the first page, and ALSO complete the optional Prompt Payment Discount Form, filename prompt-pay-frm.docx.

· Sign and date where indicated at the second page. Return two copies of the first two pages of the Standard Contract Form. Retain the Instructions for reference. When MCDHH has signed and completed processing, a fully executed contract will be returned to you.

· 2. Commonwealth Terms and Conditions (comm-termsconditions.docx). Complete the sections highlighted in yellow.

· 3. Request for Taxpayer Identification Number and Certification (W-9 Form) (newmass-w9.docx). Complete the sections highlighted in yellow, sign and return.

· 4. Electronic Funds Transfer (EFT) Form (EFT_FORM.docx). This is a mandatory Commonwealth requirement whether or not you accept state jobs. Complete, sign, attach a voided check, and return. Be sure bank routing numbers are correct.

· 5. Criminal Offender Record Information (CORI): You will send us four forms / pieces of paper. Three of them will be completed forms that we send you:

· Criminal Records History Disclosure Form.docx

· Criminal Records Notification Form.docx

· 2016 Version EHS DCS CORI Form 07 2015.pdf

The fourth is a photocopy of a government-issued photo ID such as a driver’s license or a passport.

· 6. MCDHH Interpreter Data Sheet (terp data sheet updated march 2018.docx). Fill out all sections as appropriate, sign and return.

· 7. Statement Affirming RID Membership (RID Membership Affirmation.docx). Complete and return with a copy of the RID Membership card.

· 8. Statement Affirming COMMBUYS Vendor Registration (COMMBUYS Registration Affirmation.docx). Complete, sign and return.

· 9. Affirmation that the MCD06 Contract for American Sign Language Interpreters and Transliterators for the Deaf and Hard of Hearing Was Reviewed & Authorization to Use Interpreter Photo (MCD06 Affirmations and Approvals.docx). Complete, sign and return.

· 10. SUNSHINE POLICY - MCD06 CONTRACTORS (mcd06 sunshine policy.docx). Following instructions on form, list all family members employed by the Commonwealth of Massachusetts. If none, write “none.” Sign and date form and return.

Mandatory Documents to Determine Your Rate: Complete and Return to MCDHH:

· 11. Copy of RID certificate or RID letter with date of exam: This is needed to determine your rate

Forms to Complete and Return only if applicable:

· 12. Change of Address Form (COA_form.docx): If the address MCDHH has in its records is not your current address, complete this form and return.

· 13. Change of Name Form (CON_form.docx): If the name MCDHH has in its records is not your current name, complete this form, append a copy of your marriage license or court document verifying your name change and/or a copy of your new Social Security card reflecting your name change, and return.

· 14. Prompt Payment Discount Form (prompt-pay-frm.docx). If you are offering a Prompt Payment Discount, complete and return with your document package

Please review your package for completeness before mailing it to us. All of the documents listed above are required to make a complete contract. Partial or incomplete contracts cannot be processed. You will not be eligible for bookings or jobs after July 1, 2018 unless you have a complete and executed MCD06 Contract.

Send all MCD06 contract packages to:

Massachusetts Commission for the Deaf and Hard of Hearing MCD06 Contract Office 600 Washington Street Boston, MA 02111

Also, please email Lori Novak at Lori.Novak@state.ma.us to notify her that your contract packet is in the mail.

CONTRACT PACKAGES ARE DUE TWO WEEKS AFTER YOU DOWNLOAD DOCUMENTS FROM THE COMMBUYS SITE. DOCUMENTS MUST BE RECEIVED AT MCDHH BY JUNE 1, 2018 FOR YOU TO BE ELIGIBLE FOR BOOKINGS IN JULY.

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