READ DMH TRAINING MA SOW FORM.docx

Commonwealth of Massachusetts Department Mental Health Statement of Work Training Services Master Agreement

Unit Rate or Fixed Cost/Project Based Master Agreement ID: DMHTRAININGMA26TO3601 Vendor Code: Vendor Line #:

DMH Contract Number:

☐ New ☐ Amendment

THIS STATEMENT OF WORK IS SUBJECT TO THE TERMS OND CONDTIONS OF THE VENDOR’S MASTER SERVICE CONTRACT

Vendor Name:

Contact Name:

Email:

Phone Number:

Sponsor Name:

Sponsor Email:

Contract Contact Name:

Contract Contact Email:

DATES OF SERVICE

SOWs must be executed annually. If a project needs to cover multiple fiscal years, DMH and the Vendor must negotiate and sign multiple Statements of Work, one for each applicable fiscal year.

FUNDING

Funding for this engagement is subject to the appropriation of funds by the Massachusetts Legislature or the Federal Government for the year(s) in which services are delivered.

Funding Not To Exceed:

SCOPE OF SERVICES

Scope of Services: ☐ See Narrative below ☐ Attachment provided(Specific details must be provided such a who, what, when and where)

For Continuation ONLY ☐: Scope of Services amended ☐ No Change to Scope of Services

VENDOR ATTESTATION OF REGISTRATION & LIABILITY INSURANCE

☐ Vendor is registered with and in good standing with the Commonwealth of Massachusetts Board of Registration in the Vendor’s field of practice as stated in the Training Services Master Agreeement.

☐ Vendor holds professional liability (malpractice) insurance, covering Services performed under the SOW. The coverage shall be written subject to limits no less than $1,000,000 per occurrence and $3,000,000 aggregate unless agreed to by DMH or the Vendor is a state entity. Proof of current coverage shall be provided to DMH upon request and maintained throughout the term of the SOW.

PAYMENT TERMS

Select the appropriate Payment Mechanism:

☐ Unit Rate: The unit rate will be all inclusive (i.e., all related fringe benefit costs; profit (as allowable); other direct, clerical, administration, indirect, overhead and incidental costs, such as travel, accommodations, meals, non-deliverable related printing, equipment, and supplies).

Rate: Billable Unit_ (e.g. per hour, per session, etc.) Maximum Billable Units:

☐ Fixed Cost/Project Based: List deliverables and milestones, timelines, dues dates and acceptance criteria. Specify when payments are to be made (e.g., per deliverable or deliverables, etc.) and the amount of each payment.

INVOICING

Invoices must provide enough details and documentation to support: the deliverables that are billed (Fixed Cost) or the number of Units that are billed (Unit Rate).

Invoices MUST reference the DMH Contract Number at the top of this form.

Vendor shall email all invoices to by the 10th day of the month following the month in which the deliverable was completed and accepted, or the services rendered.

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 given written notice to the vendor, may terminate this SOW without cause and without penalty, or may terminate or suspend the SOW if the vendor breaches any material term or condition or fails to perform or fulfill any material obligation required by this SOW, or the Master Service Agreement identified above, 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. Also, this SOW shall terminate immediately upon the termination of vendor’s Maser Agreement Contract.

Signature Date Print Name Print Title Signature Date Print Name Print Title

Revised 2/13/2026