RFP for Fiancial Services - FIN-27-01.pdf

MUNICIPAL FINANCIAL RECOVERY &

REVIEW SERVICES

FIN-27-01

TISBURY, MASSACHUSETTS

Joseph LaCivita

Town Administrator / Chief Procurement Officer

October 4, 2026

NOTICE OF ADVERTISEMENT

The Town of Tisbury is seeking qualified professional services of a certified public accounting firm, which services shall include municipal accounting remediation, financial system stabilization, internal control implementation, review and revisions of financial policies and procedures, staff training and audit readiness.

Copies of the Request for Proposals (RFP) are available at the Town Administrator’s Office during regular business hours or via email jlacivita@tisburyma.gov. The RFP and accompanying documents can also be accessed on the Town of Tisbury’s webpage at https://www.tisburyma.gov/

The RFP is intended to provide a common and uniform set of instructions to guide applicants through the development of proposals. The Town will award a contract to the firm offering the best value, considering price and all evaluation criteria.

The Town of Tisbury reserves the right to cancel this RFP and/or reject any and all proposals if it is in the

Town's best interest to do so.

General Requirements for Submissions of Proposals:

The applicant shall submit an original and five copies of the proposal in a sealed envelope marked as "RFP for Municipal Finance Recovery and Review Services.”

All submissions shall be addressed to:

Town Administrator

Town Hall Annex

115 High Point Lane

Vineyard Haven, MA 02568 responses must be received no later than 3:00 p.m. Tuesday October 27th, 2026

Late proposals will not be accepted.

NOTE: Submissions will not be accepted via email

• Proposals must include the signature of the authorized representative of the applicant.

• Questions regarding this RFP shall be directed to Town Administrator, Joseph LaCivita, via email at jlacivita@tisburyma.gov no later than 3:00 p.m. on Friday October 16th, 2026.

Responses to submitted questions will be answered via an addendum to the RFP.

• An addendum will be issued if any changes are made to this RFP or if the Town deems it appropriate to respond to questions received from applicants. Any addenda modifying the RFP or responding to written questions from applicants will be filed on CommBuys, Central Registry and Town website.

However, it is the sole responsibility of each applicant to confirm that it has received all addenda.

mailto:jlacivita@tisburyma.gov https://www.tisburyma.gov/

Background:

The Town of Tisbury recently approve Article 12 at their Annual Town Meeting regarding the procurement of professional services. These services were unanimously approved by the voters in order to help stabilize and improve the Town’s financial capabilities. This article was in direct response to the findings of the

University of Massachusetts, Edward J. Collins Center of Public Management, a copy of which is available for review at the following link: https://www.tisburyma.gov/m/newsflash/Home/Detail/39.

1. Introduction

The Town of Tisbury invites sealed proposals from qualified certified public accounting firms to provide professional accounting and related services. The Town seeks expertise in municipal financial remediation, stabilization, and revenue optimization.

2. Scope of Services

The selected proposer(s) will perform the following services:

Financial Remediation and Stabilization Municipal accounting remediation and reconciliation

• Financial system stabilization and process improvement

• Implementation of internal controls

• Review and revision of financial policies and procedures

• Staff training in municipal finance best practices

• Audit readiness preparation

3. Contract Deliverables

• Written work plan and timeline – all work to be completed within 150 days of contract execution

• Interim progress reports – every thirty (30 days)

• Final comprehensive report with actionable recommendations

• Presentation to the Select Board and/or Finance Committee

4. Proposal Submission Requirements

Proposals must include:

• Cover letter summarizing qualifications and interest

• Detailed description of approach and methodology

• Staffing Plan

• Resumes of key personnel

• List of all similar financial services performed for municipal government in Massachusetts over the past five years (with current contact information)

• Cost proposal (use form included in this RFP)

• Proof of insurance and applicable licenses

• Any other information required elsewhere in this RFP to be included with the proposal and necessary to demonstrate satisfaction with the Minimum Qualifications set forth below https://www.tisburyma.gov/m/newsflash/Home/Detail/39

5. Evaluation Criteria

Proposals will be evaluated based on:

• Demonstrated experience in furnishing similar services, municipal finance and

Massachusetts law compliance

• Quality and clarity of proposed approach and methodology

• Qualifications of assigned personnel

• References from similar projects

• Cost/price

6. Price Response Evaluation

Price will be evaluated as part of the Evaluation Criteria, as noted above. While the Town of Tisbury seeks to hire the most qualified firm and minimize costs, the selection of a winning Proposal will be made on a best-value basis, as further explained below.

Basis of Award: Best Value Proposal

Applicants are advised that the Town of Tisbury is not bound to accept the lowest priced Response.

The selection will be made on a best-value basis, evaluating price along with the other evaluation criteria. For purposes of this procurement, all evaluation criteria other than price, when combined, are more important than the lowest price criterion. Therefore, the Town of Tisbury may decline to select the lowest-priced, technically acceptable Proposal, if the Town of Tisbury determines that another, higher-priced Proposal demonstrates sufficient additional evaluation merit to justify the additional cost.

In order to make a selection, the Town of Tisbury will determine first whether the Responses are responsive. Next, the Town will evaluate responsive proposals using the Evaluation Criteria, and assign an overall Evaluation Proposal Score.

The Town of Tisbury reserves the right to accept or reject, at its sole discretion, any or all Responses in full or in part.7. Contract Work Completion Period

The Town Administrator is authorized to enter into a contract for the services.

The completion date for the financial services project shall be no more than 150 days from execution of agreement, subject to extension, if necessary, at the Town’s election.

8. Legal Compliance

The Town reserves the right to reject any or all proposals, waive informalities, and award in the best interest of the Town.

9. Recommendation and Final Report he selected consultant(s) shall provide a comprehensive written Final Report in both printed and digital formats (PDF and editable Word/Excel files) that includes, six (6) copies of a bound written report based on the described scope of services at a minimum:

A. Executive Summary

• Concise overview of findings, key issues, and recommended actions.

• Summary of methodology and data sources used.

B. Financial Remediation & Stabilization Findings

• Detailed assessment of current municipal accounting practices and systems.

• Identification of deficiencies, risks, and compliance gaps.

• Documentation of internal control implementation and improvements made.

• Updated and revised financial policies and procedures.

• Summary of staff training conducted, including materials and attendance records.

• Audit readiness checklist and recommendations.

D. Implementation Plan

• Prioritized action steps with timelines.

• Resource requirements (staffing, technology, legal review).

• Estimated costs and potential revenue impacts.

E. Appendices

• Data tables, charts, and supporting calculations.

• Copies of revised policies, procedures, and training materials.

• References to applicable statutes, regulations, and best practice guidelines.

10. Minimum Qualifications

To be considered responsive, proposers must meet the following minimum qualifications at the time of submission:

1. Municipal Finance Experience

At least five (5) consecutive years (immediately preceding submission of proposal) of substantial, demonstrated experience providing professional financial services to

Massachusetts municipalities and comparable Massachusetts public entities.

2. Regulatory Knowledge

Proven working knowledge of Massachusetts General Laws applicable to municipal finance, including municipal tax classification, and residential exemption provisions.

3. Professional Credentials

Key personnel assigned to the project must hold relevant professional certifications or licenses (e.g., CPA, CGFO, MPA, or equivalent).

4. Project References

Successful completion of at least three (3) projects similar in size and scope within the past five years, with references from municipal clients.

5. Insurance Requirements

Evidence of current professional liability insurance and general liability insurance meeting or exceeding the Town’s requirements.

The successful proposer(s) shall, at their own expense, obtain and maintain for the duration of the contract (and any extensions thereof) the following minimum insurance coverage from insurers licensed to do business in the Commonwealth of Massachusetts:

A. Commercial General Liability Insurance

• Coverage: Bodily injury, personal injury, and property damage.

• Minimum Limits: $1,000,000 per occurrence / $2,000,000 aggregate.

• Insurance must be written on an occurrence basis, be primary and non-contributory, and be endorsed to name the Town as an additional insured with the same liability protect as the named insured.

B. Professional Liability (Errors & Omissions) Insurance

• Coverage: Acts, errors, or omissions arising out of professional services.

• Minimum Limits: $1,000,000 per claim / $2,000,000 aggregate.

• Coverage must be on an occurrence basis or, if written on a claims-made basis, the coverage must maintained for at least three (3) years following contract completion or earlier termination.

C. Workers’ Compensation & Employers’ Liability

• Statutory coverage in compliance with M.G.L. c. 152.

• Employers’ Liability Minimum Limits: $500,000 each accident / $500,000 disease policy limit / $500,000 disease each employee.

D. Automobile Liability Insurance (if applicable)

• Coverage for all owned, non-owned, and hired vehicles used in connection with the contract.

• Minimum Limits: $1,000,000 combined single limit.

E. Additional Requirements

1. Certificates of Insurance must be provided to the Town prior to contract execution and must name the Town of Tisbury as an Additional Insured on the Commercial General

Liability policy.

The Certificate Holder section of the Certificate of Insurance (Form Accord 25) shall read precisely:

Town of Tisbury

51 Spring Street

Certificates of insurance confirming that the Town of Tisbury is named as additional insured and acceptable to the Town of Tisbury shall be addressed to and filed with the

Town of Tisbury prior to commencement of the work. Renewal certificates shall be addressed to and filed with the Town of Tisbury at least thirty (30) days prior to the expiration date of the required policies. The failure of the insurance policies to name the

Town of Tisbury as an additional insured will constitute a breach of the contract and will be a defense to any claim against the Town for payments under the contract.

2. Policies shall provide for 30 days’ written notice to the Town prior to cancellation or material change.

3. The Town reserves the right to require higher limits or additional coverage based on the scope of work.

11. Confidentiality Requirements

1. Confidential Information Definition

For the purposes of this contract, “Confidential Information” includes, but is not limited to:

• Non-public financial records, tax data, and personnel information.

• Internal policies, procedures, and security protocols.

• Any proprietary or sensitive information disclosed by the Town in the course of the project.

2. Non-Disclosure Obligation

The Contractor shall not, without prior written consent of the Town Administrator, disclose, publish, or disseminate any Confidential Information obtained in connection with the performance of services under this contract, except as required by law.

3. Use Limitation

Confidential Information shall be used solely for the purpose of fulfilling the obligations of the contract and shall not be used for the Contractor’s own benefit or for the benefit of any third party.

4. Data Security

The Contractor shall implement reasonable administrative, technical, and physical safeguards to protect Confidential Information from unauthorized access, disclosure, alteration, or destruction.

5. Return or Destruction of Materials

Upon completion or termination of the contract, the Contractor shall promptly return to the Town or securely destroy all Confidential Information, including all copies, whether in physical or electronic form, and certify such destruction in writing if requested.

6. Public Records Law Compliance

The Contractor acknowledges that the Town is subject to the Massachusetts Public Records Law

(M.G.L. c. 66, §10) and that certain documents may be subject to public disclosure unless exempt under law. The Town will make the final determination regarding disclosure. All documents made and received by Contractor for the work shall be provided to the Town upon completion of the work.

7. Survival of Obligation

The confidentiality obligations set forth herein shall survive the termination or expiration of the contract.

8. Capacity and Availability

• Demonstrated ability to commence work within 30 days of contract execution and to meet project deadlines.

9. Conflict of Interest Compliance

• No existing conflicts of interest with the Town of Tisbury, and compliance with all applicable state ethics laws.

Evaluation Criteria The following criteria will be used to evaluate proposals. Each criterion will be given a rating as follows:

No. Criteria Weight

1 COMPANY HISTORY, STAFFING 30

Project approach, methodology, and workplan with Milestones 20

Qualifications of staff team designated to work on this project – educational, professional and practical

2 PRIOR EXPERIENCE 30

Depth of similar experience in Massachusetts 15

Depth of relevant experience of staff 15

3 REFERENCES 20

Positive references from past clients. 20

4 COST 20 20

Questions, Addendum or Proposal Modification

Prospective applicants who have any questions regarding the RFP should contact:

Town Administrator, Joseph LaCivita

Town Annex

115 High Point Lane jlacivita@tisburyma.gov

All questions must be sent no later than Friday October 16th, 2026

Any answers to questions submitted by applicants and any changes to the RFP shall be issued in the form of written Addenda via to the state COMMBUYS system and Town website and shall, once issued, be a part of the RFP.

General and Special Provisions

1. The Town of Tisbury reserves the right to reject any and all proposals, waive informalities in proposals, and to award contracts as may be in the best interests of the Town.

2. The applicant selected shall be expected to comply with all applicable federal and state laws in the performance of services.

3. The consideration of all proposals and selection of an applicant shall be made without regard to race, color, sex, age, handicap, religion, political affiliation or national origin.

4. Services provided by the successful applicant shall be rendered through a professional services contract, which shall be the document presented by the Town and substantially in the form included in Exhibit B to this RFP. The successful applicant will be an independent contractor, solely responsible over the means and methods of its work, and shall not be considered an employee of the Town and will not, therefore, receive any benefits of any employee.

TOWN OF TISBURY

FINANCIAL SERVICES

FIN 27-01

EXHIBIT A

Cost Proposal and Staffing Plan

Applicants are required to quote current rates that are charged, per staff member, for services as identified within Scope of Work. The titles identified below are stated as an example and may not be applicable to your organization. Please submit to match your organization

Include additional Titles/Roles if appropriate.

Staffing Plan

1. Provide an organization chart that details account management and available resources for each of the functions in the Scope of Work, as applicable.

2. Detail how resources will be identified and assigned to specific Tasks.

3. Describe the roles, responsibilities, credentials, and experience of all subcontractors that the

Applicant proposes to use any Tasks.

1. Applicant’s Organization and Project Staff

a. Organizational Chart with Key Personnel

• The Project Lead and any additional key personnel whom the applicant anticipates will be involved in the project; their titles and placement within the applicant’s organizational hierarchy and their functional titles/responsibilities relative to this project

• The applicant’s management structure for project oversight; and

• Any parts of the project for which the applicant intends to use a subcontractor.

• Personnel Résumés

The chart may include a narrative describing the assumptions, limitations and constraints on which the organizational chart is based.

The applicant must provide résumés for each individual proposed as key personnel for this project. The résumés should include a brief narrative describing the relevant experience of each named key personnel and how his/her particular experience relates to the proposed role on this project.

A. Programmatic Response

It is anticipated that appropriate elements of the applicant’s Programmatic Response, informed by any negotiated modifications, will be incorporated into the Scope of Services for this project.

1. Time Estimate

Each financing agreement shall be produced as promptly as possible. Each applicant should provide an estimate of the amount of time it believes it would take for it to perform the general services identified in the RFR, assuming that all required information is available.

2. Description of Proposed Staffing

Each applicant should provide a description of how it proposes to staff this engagement. This proposed staffing plan, as identified in Section 3.B.4, should specifically address how the applicant intends to handle the likely scenario of being requested to provide resource-intensive services in a high quality and timely manner.

Left Blank Intentionally

B. Cost Response

The applicant must include with its response an estimate of the total fee for the project.

Name of Applicant: ____________________________________________________________

DBA: _____________________________________________________________________

Name of Applicant’s Primary Contact: _____________________________________________

Email Address: _____________________________________________________________

Telephone Number: _________________________________________________________

Fax Number: _______________________________________________________________

Street Address: _____________________________________________________________

City: _______________________State :______________ Zip Code:____________________

Federal ID Number:__________________________________________________________

Applicants must provide pricing as outlined below, or their proposal will be rejected as non-responsive.

Pricing of any optional items will not be included in the evaluation of this Cost Proposal, unless determined necessary by the Procurement Management Team (PMT).

Since the full extent of any future, proposed contract is not known, and the Division of Insurance (“Division”) may enter into multiple contracts with contractors on an as-needed basis, the Division recognizes that it is impossible for any applicant to determine its total price for services for this RFR response. Thus, for purposes of evaluation, the price comparison will be on hourly rates for line items 1 through 9.

Applicants who are ultimately awarded contracts, if requested by the contractor, and agreed upon by both parties, may be able to increase the amount of specific fees and/or rates or any other compensation, only if both of the following apply:

1. It is a contract renewal date; and

2. The increase sought is no greater than the increases in the Consumer Price Index, All Urban

Consumers, for the Boston Massachusetts area as measured by the U.S. Bureau of Labor Statistics, since the relevant fees or rates were last determined.

The Applicant shall list each hourly rate for all staff levels proposed in this response, from the President/Principal level to the secretarial support level. The Applicant must also list the professional/educational levels attained at these staffing levels where pertinent. The staff levels and hourly rate must be at the levels and amounts that the Applicant will contract to charge under this RFR.

COST SCHEDULE

For purposes of evaluation, the price will be evaluated by adding the hourly rates for line items 1 though 9 together. Add lines as needed based on your submission

Title Professional

Designations

Per Hour

Cost

Total # of

Hours

Total per

Individual

Example: Vice President and Principal e.g. AIE, CFE, CIE, MCM, FLMI

$ 125.00 15 $1,875.00

1.

2.

3.

4.

5.

6.

7.

8.

9.

Total of Per Hour Costs, Lines 1-9

Total Estimated Hours for Scope of work ________________

Estimated Fee for Services based on Scope of work $_______________

By signing below, applicant certifies under penalties of perjury:

1. its Proposal was made and submitted in good faith and without collusion or fraud with any person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.

Submitted by ___________________________________

Signature

Printed Name ___________________________________

Title/Position _________________________________

Date __________________

EXHIBIT B

CONTRACT FORM

(Follows this Page)

AGREEMENT FOR GOODS AND SERVICES

This Agreement is made as of __, 2026 (“Effective Date”) between the Town of Tisbury, MA, (“Town”) and ____________ (“Contractor”). The Town and Contractor may also each be referred to as a “Party” and collectively as the “Parties.”

In consideration of the mutual covenants contained herein and for other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

ARTICLE 1: SCOPE OF SERVICES; STANDARDS OF PERFORMANCE

The Contractor shall perform all work and furnish all goods, services, and deliverables set forth in and reasonably inferable from the Town’s Request for Proposals (“RFP”) and Contractor’s proposal (“Proposal”), attached hereto as Exhibit A and Exhibit B, respectively, and all services incidental thereto (all such services, the “Services”). Contractor shall perform all Services with reasonable care and in accordance with all applicable federal, state, local laws, regulations, orders, standards, permits and approvals; prudent industry practices; and the terms and conditions of any local, state, or federal grant used to fund the Services, all of which are incorporated herein by reference.

ARTICLE 2: TIME OF PERFORMANCE

The Contractor shall fully perform the Services commencing _____________, 2026, and complete the Services no later than ______________, subject to reasonable extensions of time to account for delays arising through no fault of Contractor or persons for whom it is responsible.

Time is of the essence.

ARTICLE 3: COMPENSATION

The Town shall pay the Contractor for the performance of the Services that amount(s) and in the manner set forth in Exhibit B. The Contractor shall submit monthly invoices to the Town for

Services performed the preceding month. The Town shall pay all undisputed amounts within 30 days of receipt.

ARTICLE 4: AGREEMENT

The following documents form the Agreement and all are as fully a part of the Agreement whether attached or incorporated by reference:

1. Amendments, or other changes mutually agreed upon between the parties.

2. This Agreement.

3. All exhibits to the Agreement.

Each of the foregoing documents is complementary, such that what is required by one shall be deemed required by all. In the event of a conflict among the provisions of the various documents, the conflict shall be resolved by giving precedence to the documents in the order in which they appear above, i.e., amendments to the Agreement first; this Agreement second; and exhibits third. If the conflict is not resolved thereby, the conflict shall be resolved by giving precedence to those provisions most favorable to the Town, as reasonably determined by the Town, shall govern.

ARTICLE 5: CONTRACT TERMINATION

Either Party may terminate this Agreement if the other Party commits a material breach of the Agreement upon 30 days’ written notice to the non-breaching Party, unless such Party cures the breach within the 30-day notice period. The Town may also terminate this Agreement at any time without cause and for any reason (or no reason), upon 30 days’ written notice. Upon receipt of any notice of termination from the Town, the Contractor shall cease incurring expenses under the

Agreement. For a termination without cause (only), the Contractor shall be entitled to compensation for all satisfactory Services completed prior to the termination date as determined by the Town.

Such payment shall not exceed the fair value of the services provided hereunder, as determined by the Town.

ARTICLE 6: INDEMNIFICATION

In addition to and not in limitation of any other rights and remedies available to the Town, the Contractor shall indemnify and, for third party claims, defend the Town and its officers, agents, and all employees from and against any and all losses, liabilities, damages, claims, costs, and expenses, including reasonable attorneys’ fees, and including third party claims, arising from this

Agreement or the Services to the extent caused, directly or indirectly, in whole or in part, by the acts and/or omissions of the Contractor, its employees, officers, agents, subcontractors, and other persons for whom it is responsible.

ARTICLE 7: AVAILABILITY OF FUNDS; LIABILITY

Notwithstanding anything to the contrary in this Agreement, the compensation provided by this Agreement is subject to the availability and appropriation of funds; under no circumstances will the Town be liable for indirect, consequential, or special damages, regardless of whether the damages were foreseeable as of the Effective Date; and claims against the Town shall be subject to the provisions of G.L. c.258, as applicable, and the Town reserves all rights, remedies and defenses thereunder.

ARTICLE 8: APPLICABLE LAW

This Agreement shall be governed by and construed in accordance with the law of the

Commonwealth of Massachusetts without application of conflicts-of-law principles. Any litigation arising hereunder shall be brought solely and exclusively in the state courts of the Commonwealth, to whose jurisdiction Contractor assents, waiving all objections to forum or venue.

ARTICLE 9: ASSIGNMENT

The Contractor shall not make any assignment of this Agreement or monies due hereunder without the prior written approval of the Town, in the Town’s sole discretion.

ARTICLE 10: AMENDMENTS

All amendments or any changes to the provisions specified in this Contract can only occur when mutually agreed upon by the Town and Contractor in a writing signed by officials with authority to bind the Town. No amendment or change to the contract provisions shall be made until after the written execution of the amendment or change to the Contract by both parties.

ARTICLE 11: INDEPENDENT CONTRACTOR

The Contractor acknowledges and agrees that it is acting as an independent contractor for all Services rendered pursuant to this Agreement and shall not be considered an employee or agent of the Town for any purpose. It is agreed that the Services will be performed without the direction and control of the Town; the Services are outside the usual course of the Town’s business; and that

Contractor conducts its own, independent business or trade performing work similar to the

Services.

ARTICLE 12: INSURANCE

In addition to Contractor’s other obligations hereunder, the Contractor and each subcontractor shall maintain insurance meeting the following minimum requirements.

• General Liability: $1,000,000 per occurrence; $3,000,000 aggregate. Coverage to include personal injury, bodily injury, property damage and completed operations.

• Umbrella Liability: $2,000,000 per occurrence; $2,000,000 aggregate.

• Automobile Liability: $1,000,000 combined single limit. Coverage to include owned, non-owned, hired, rented, and leased vehicles.

• Workers’ Compensation Insurance: Coverage for all employees in accordance with

Massachusetts General Laws and including Employers’ Liability Insurance coverage in the amount of $1,000,000 per accident.

• Professional Liability Insurance: $1,000,000 per claim; $3,000,000 aggregate.

This insurance is only required if the Services includes professional services insurable under a liability policy.

The foregoing policies shall be issued by insurers qualified to do business in Massachusetts.

All liability policies shall be written on an occurrence (not claims-made) basis and. other than the professional liability policy, shall be primary and non-contributory; shall include a waiver of subrogation; and shall name the Town as an additional insured. Prior to commencement of any

Services under this Agreement, the Contractor shall provide the Town with certificates of insurance and, upon request, the insurance policies and any applicable endorsements.

ARTICLE 13: SEVERABILITY

If any term or condition of this Agreement or any application thereof shall to any extent be held invalid, illegal or unenforceable by the court of competent jurisdiction, the validity, legality, and enforceability of the remaining terms and conditions of this Agreement shall not be deemed affected thereby unless one or both parties would be substantially or materially prejudiced.

ARTICLE 14: ENTIRE AGREEMENT

This Agreement, including all documents incorporated herein by reference, constitutes the entire integrated agreement between the parties with respect to the matters described. This

Agreement supersedes all prior agreements, negotiations and representations, either written or oral, and it shall not be modified or amended except by a written document executed by the parties hereto.

ARTICLE 15: COUNTERPARTS

This Agreement may be executed in any number of counterparts, each of which shall be deemed to be a counterpart original.

ARTICLE 16: CERTIFICATIONS

By signing below, the Contractor certifies under the pains and penalties of perjury that

Contractor has complied with all laws of the Commonwealth of Massachusetts relating to taxes, reporting of employees and contractors, and withholding and remitting child support; and that its bid or proposal for this Agreement was made and submitted in good faith and without collusion or fraud with any other person (as used in this certification, the word ''person'' shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals).

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed on the day and year first above written.

CONTRACTOR

By

Printed Name and Title

TOWN OF __________________

by its _____________________