Model Statement of Work (SOW).docx
DOCX document 24 KB Posted
- Solicitation number
- BD-25-1022-DMH08-8210C-105732
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Statement of Work (SOW) for the Commonwealth of Massachusetts Department of Mental Health's (DMH) Emergency Transportation Master Agreement. The SOW outlines the details for the transportation of DMH patients, clients, and staff from one location to another in non-medical emergency and non-emergency situations. The SOW specifies the start and end dates of service, pickup and drop-off locations, the number of individuals to be transported, any special transportation needs, and the type of vehicles to be used. The total cost and payment mechanism are also detailed, with the vendor responsible for submitting timely invoices to DMH.
The funding for this engagement is subject to appropriation by the Massachusetts Legislature. Any changes to the scope or terms must be agreed upon in writing by both parties. DMH reserves the right to terminate the engagement without cause or penalty, or in the event of a breach by the vendor, an elimination of appropriation, or an unforeseen public emergency. The SOW requires handwritten or verified electronic signatures from the authorized vendor and DMH representatives.
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Text version
Commonwealth of Massachusetts - Department of Mental Health Statement of Work Under the EMERGENCY TRANSPORTATION Master Agreement Request For Response COMMBUYS Bid#: ____________________; DMH Document#: 2025-DMH-3030-01
DMH Master Agreement Contract MMARS Doc. ID: MA DMH EMERGENTRANSMA25TO35 VL: _______ DMH SOW MMARS Doc ID: MMDMH8220025XXXXXXXX |_| New |_| Amended
Vendor Name:
Contract Manager Name:
Email:
Phone Number:
Department of Mental Health Contract Manager Name:
Email:
Phone Number:
I. Dates of Service:
Start Date: ___________________ End Date: _______________________
II. Locations From: ____________________________________ To: ______________________________________
III. Transportation Details Number of Patients/Clients/Staff to be transported: __________ Luggage or other good to be transported: _________________________________________________________________ Type of vehicle(s) to be used: ____________________________________________________________________________ Special transportations needs of Patients/Clients/Staff: _______________________________________________________
| IV. Cost and Payment Mechanism | |
| Rate: | per Day / Hour Total Cost: ____________________ |
The vendor is responsible to submit timely invoices to DMH.
Invoices should be emailed to: DMH_CO_Vendor_Billing_and_Contracts@MassMail.State.MA.US
V. Additional Terms:
Funding: Funding for this engagement is subject to the appropriation of funds by the Massachusetts Legislature for the year(s) in which services are delivered.
Changes to Scope and/or Terms: Any changes to this engagement must be agreed upon in writing in advance by both parties.
Termination: The Department, upon prior written notice, may terminate this engagement without cause and without penalty, or may terminate or suspend an engagement if the vendor breaches any material term or condition or fails to perform or fulfill any material obligation required by this engagement, or in the event of an elimination of an appropriation or absence of sufficient funds for the purposes of an engagement, or in the event of an unforeseen public emergency mandating immediate department action.
VI. Signatures: Authorized Vendor/DMH Signatures and Dates (Must be handwritten or Verified Electronic Signatures). Typed text in cursive font is not allowable.
Vendor:
Signature Date Print Name Title Department of Mental Health:
Signature Date Print Name Title
File details come from the government source that posted it. Updated .