REPOST.RFR 2026 DOI 006 CONSULTANT CONTRACTOR MANDATORY SUBMISSION FORM.docx
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- Solicitation number
- BD-27-1027-1FED-1FED-134832
- Issued by
- Massachusetts
About this file
This document is a Consultant Contractor Mandatory Submission Form required by the Commonwealth of Massachusetts for consultant contracts falling within specific object classes (HH, NN, and UU). The form is associated with RFR 2026 DOI 006, a reposted request for a Third Referee Appointee position with a submission deadline of October 26, 2026. This repost replaces the previous bid opportunity BD-27-1027-1FED-1FED-133333. The form requires bidders to provide their company name, the RFR title and number, and documentation of key personnel who will be assigned to the contract performance.
The submission form mandates disclosure of additional income from the Commonwealth of Massachusetts or its political subdivisions during the contract period, identification of all persons with financial interest in the contract or holding more than one percent interest in the contractor's capital stock, and resumes or qualifications statements for all key personnel named in the bidder's response. All information must be certified as accurate under the penalties of perjury by an authorized signatory. The form allows bidders to check "N/A" for sections that do not apply and permits attachment of additional sheets as necessary to accommodate disclosure requirements.
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CONSULTANT CONTRACTOR MANDATORY SUBMISSION FORM
COMPLETE THE FOLLOWING ONLY FOR CONSULTANT CONTRACTS
(Within HH and NN and UU Object Classes)
Bidder: ________________________________________________________________________ RFR Name/Title: ________________________________________________________________ RFR Number: # _________________________________________________________________
Additional Income Disclosure. Pursuant to the provisions of M.G.L. c. 29, s. 29A, the following amounts represent any contracts, grants or other income due from the Commonwealth of Massachusetts, including any political subdivision or public authority, during the period of a contract. You may attach additional sheets as necessary.
|_| Please check if N/A.
Disclosure of Persons with Financial Interest (other than the bidder). Pursuant to the provisions of M.G.L. c. 29, s 29A and c. 7A, s. 6, the following individuals have a financial interest in a contract and/or with more than one percent (1%) interest in the capital stock of the contractor. You may attach additional sheets as necessary.
Key Personnel. Attach a resume or statement of qualifications for all key personnel specifically named in bidder's response to be assigned to the performance of a contract.
The information submitted herein is certified by the bidder to be accurate under the pains and penalties of perjury.
Signature of Authorized Signatory for Bidder: __________________________________________________ Title of Authorized Signatory for Bidder: _____________________________________________________ Date: __________________________________________________________
Updated 11/1/05
File details come from the government source that posted it. Updated .