MRCHCAP Att. 4 -- Manual Submission Justification Form.docx
DOCX document 11 KB Posted
- Attached to
- MRC HomeCare Assistants
- Solicitation number
- BD-19-1071-AO-CON01-31976
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Home Care Assistant Manual Submission Justification Form for a state and local contract opportunity in Massachusetts, specifically in Suffolk County and the City of Boston. The solicitation is for independent (individual) care providers who are selected by MRC consumers, and not for organizations. The applicant must provide a justification for manual submission, including details on the reason for the manual submission rather than an electronic one. The signature of the applicant and the date are required at the end of the form.
The contract opportunity, named "MRC HomeCare Assistants," does not provide any additional details on pricing terms, set asides, incumbents, funding requirements, or other salient information beyond the scope of work and the jurisdictions involved.
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| Form W9~3.doc | DOC document | |
| MRCHCAP RFR Posted~1.doc | DOC document | |
| Commonwealth Terms and Conditions.doc | DOC document | |
| Electronic Funds Transfer Sign Up Form~8.pdf | ||
| MRCHCAP Att. 1 -- Guide to Universal Precautions.docx | DOCX document | |
| MRCHCAP Att. 3 -- Qualifications Response.docx | DOCX document | |
| MRCHCAP Att. 2 -- CoverPage.docx | DOCX document | |
| Standard Contract Form~2.doc | DOC document | |
| Supplier Diversity Program Plan Form for POS~3.xlsx | XLSX spreadsheet | |
| Commonwealth Terms and Conditions for Human and Social Services~3.pdf | ||
| CORI Acknowledgement Form - updated Oct17.docx | DOCX document | |
| Contractor Authorized Signatory form~3.rtf | RTF text file | |
| DOR Certificate of Good Standing~4.docx | DOCX document | |
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Text version
ATTACHMENT 4
HOME CARE ASSISTANT
MANUAL SUBMISSION JUSTIFICATION FORM
Name of Applicant: _______________________________________
Address of Applicant: ______________________________________
Justification for Manual Submission:
Signature of Applicant: _______________________________ Date: ____________
File details come from the government source that posted it. Updated .