RFR 2026 DOI 006 CONSULTANT CONTRACTOR MANDATORY SUBMISSION FORM.docx
DOCX document 27 KB Posted
- Attached to
- RFR 2026 DOI 006 THIRD REFEREE APPOINTEE
- Solicitation number
- BD-27-1027-1FED-1FED-133333
- Issued by
- Massachusetts
About this file
This is a Consultant Contractor Mandatory Submission Form for the Commonwealth of Massachusetts, Department of Interior (DOI), related to Request for Response (RFR) 2026 DOI 006 for a Third Referee Appointee position. The form applies to consultant contracts falling within object classes HH, NN, and UU. Bidders must complete this mandatory submission form as part of their response to the RFR. The form requires identification of the bidder, RFR name and number, and documentation of key personnel qualifications through resumes or statements of qualifications for all individuals specifically named in the bidder's response who will be assigned to perform work under the contract. The form was last updated on November 1, 2005.
The form requires disclosure of additional income from any contracts, grants, or other compensation due from the Commonwealth of Massachusetts, its political subdivisions, or public authorities during the contract period. Bidders must also disclose all individuals with financial interest in the contract or holding more than one percent (1%) interest in the contractor's capital stock, in accordance with Massachusetts General Law Chapter 29, Section 29A and Chapter 7A, Section 6. The bidder's authorized signatory must certify that all submitted information is accurate under the penalties of perjury. Bidders may attach additional sheets as necessary to address disclosure requirements, and individual sections may be marked as "N/A" if not applicable to the bidder's circumstances.
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Other files
| File | Type | Posted |
|---|---|---|
| RFR 2026 DOI 006 MEMO OF UNDERSTANDING FIRE.doc | DOC document | |
| RFR 2026 DOI 006 EVALUATION CRITERIA.docx | DOCX document | |
| RFR 2026 DOI 006 SUBMISSION CHECKLIST.docx | DOCX document | |
| RFR 2026 DOI 006 PROMPT PAY DISCOUNT FORM.pdf | ||
| RFR 2026 DOI 006~1.docx | DOCX document | |
| RFR 2026 DOI 006 CONTRACTOR AUTHORIZED SIGNATORY LISTING FORM.pdf | ||
| RFR 2026 DOI 006 ESTIMATED PROCUREMENT CALENDAR.docx | DOCX document | |
| RFR 2026 DOI 006 ENVIRONMENTAL PRACTICES FORM.xlsx | XLSX spreadsheet | |
| RFR 2026 DOI 006 COST PROPOSAL FORM.docx | DOCX document | |
| RFR 2026 DOI 006 BUSINESS REFERENCE FORM.docx | DOCX document | |
| RFR 2026 DOI 006 COMMONWEALTH TERMS AND CONDITIONS.pdf | ||
| RFR 2026 DOI 006 MEMO OF UNDERSTANDING AGENT CONTRACT.doc | DOC document | |
| RFR 2026 DOI 006 W-9 FORM.pdf | ||
| RFR 2026 DOI 006 STANDARD CONTRACT FORM.pdf |
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Text version
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 .