Required Forms.pdf

Required Forms - RFR BD-25-1043-DAO01-32500-108881

Collection and Analysis of Wage Transparency Data / COMMBUYS Bid# BD-25-1043-DAO01- 32500-108881

Required Forms Responses to this RFR must contain the following documents:

Check if applicable

Form/Document Notes/Instructions

☒ Request for Taxpayer Identification Number & Certification (Massachusetts Substitute W-9 Form)

Electronic Submission

☒ Standard Contract Form (SCF) and Instructions

Electronic Submission

☒ Contractor Authorized Signatory Verification

Electronic Submission

☒ Electronic Funds Transfer Sign Up Form

Electronic Submission

☒ Prompt Payment Discount Form Electronic Submission

☒ Certificate of Unemployment Insurance

Electronic Submission

☒ DOR Certificate of Good Standing Electronic Submission

☒ Business Response and Cost Templates

Electronic Submission

The above top 5 forms are available in COMMBUYS as part of the Bid record.

Instructions for completion of Required Contract Forms

• Request for Taxpayer Information Number and Certification (Massachusetts Substitute W-

9 Form): The Massachusetts Substitute W-9 Form must be completed and submitted by the Bidder.

• Commonwealth of Massachusetts Standard Contract Form (SCF): This form must be executed and returned as part of the Bidder’s RFR Response. By executing the Commonwealth of Massachusetts Standard Contract Form, the Bidder certifies, under the pains and penalties of perjury, that it has submitted a Response to an RFR issued by EOLWD/DAS and that this

Response is the Bidder’s offer as evidenced by the signature execution by the Bidder’s authorized signatory, that the Bidder’s Response may be subject to negotiation by EOLWD/DAS, and that the terms of the RFR, the Bidder’s Response and any negotiated terms shall be deemed accepted by EOLWD/DAS and included as part of the Contract upon execution of the Commonwealth of Massachusetts Standard Contract Form by the EOLWD/DAS authorized signatory. By signing this form when requested to do so, the Bidder agrees to comply with all applicable Massachusetts and federal laws and regulations and to perform the Contract in accordance with the Commonwealth Terms and Conditions. If the Bidder is a State agency or a Massachusetts Community or State College, this form is not required. State agencies or a Massachusetts Community or State College must complete the Interdepartmental Service Agreement form.

• Contractor Authorized Signatory Listing: This form must be completed, executed and returned as part of the Bidder’s RFR Response. The completed form, executed by the President, CEO, Chief Financial Officer, Corporate Clerk or Legal Counsel for the Bidder, provides a certified listing of those individuals who are authorized to sign contracts and other legally binding documents related to the contract on the Bidder’s behalf.

• Commonwealth of Massachusetts Electronic Funds Transfer Sign Up (EFT): Bidder must complete and return this form. All Bidders responding to this RFR must agree to participate in the Agency’s Electronic Invoicing Program to receive payments for services rendered. This program is a benefit to both bidders and the Agency because it eliminates postal and mailing expenses; it’s a more efficient use of technology and resources; turn-around for questions and issues is faster, and the response to invoicing requirements is quicker, resulting in speedier receipt of payments and paper reduction, The method used for electronic invoicing is via e-mail.

Instructions on how to enroll in the program will be provided upon contract award

• A Certificate of Unemployment Insurance Compliance from the Office of Unemployment Insurance. The fastest and easiest way to obtain a DUA Certificate is to apply online at Request certificate of compliance - Unemployment Services for Employers | Mass.gov Self-insured or reimbursable employers can get certificates of compliance from DUA via your UI Online account. PLEASE NOTE: THE INSTRUCTIONS FOR SUBMITTING A CERTIFICATE OF

UNEMPLOYMENT INSURANCE MAY CHANGE DURING THE PENDENCY OF THIS RFR/GRANT

OPPORTUNITY. IF REQUIRED, ADDITIONAL INFORMATION WILL BE PROVIDED VIA AN

AMENDMENT TO THE RFR.

• Certificate of Good Standing - Bidder must provide the Agency with a Certificate of Good Standing (Certificate), issued by the Massachusetts Department of Revenue evidencing that an individual, partnership, corporation or other organization is in good standing with respect to any and all returns due and taxes payable to the Commonwealth. Per G.L. c. 62C, § § 51 and 52, G.L. c. 138, § 64 and G.L. 156D, § 15.32, the Commissioner of the Massachusetts Department of Revenue is authorized to issue tax compliance certificates to eligible taxpayers.

The fastest and easiest way to obtain a Certificate is via the online application. The issuance of a Certificate of Good Standing may take more than two (2) weeks. Bidders should indicate in their request to the Department of Revenue that the Certificate is sought in connection with a Commonwealth solicitation (include the deadline date). If the Bidder does not supply the requested Certificate of Good Standing with the Response, the Bidder must submit documentation verifying that the appropriate application has been filed. A Bidder that has not https://unemployment.mass.gov/Employers/_/#1 https://unemployment.mass.gov/Employers/_/#1 https://www.mass.gov/info-details/dor-certificate-of-good-standing-andor-corporate-tax-lien-waiver-faqs provided the Certificate of Good Standing shall provide the Certificate within seven (7) business days after submitting their Response to the Agency. The Agency reserves the right to reject/disqualify and/or deem unresponsive a Bidder that does not provide the required Certificate within the established specified timeframe. NOTE: The Certificate of Good Standing must have an issue date by DOR within six months from the RFR due date. DOR Website:

https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver.

DOR Assistance: If you need further assistance, please contact the Department of Revenue by calling (617) 887-6400, or toll free in Massachusetts at (800) 392-6089.

• Business Response Template: see separate attachment

• Cost Template: see separate attachment https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver