RFR 224330 Anatomic Pathology Laboratory Services Cover Sheet.doc
DOC document 48 KB Posted
- Solicitation number
- BD-22-1031-LSH00-LSH01-65720
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a cover sheet for a Request for Response (RFR) from the Massachusetts Department of Public Health Lemuel Shattuck Hospital for Anatomic Pathology Laboratory Services. The RFR seeks proposals from vendors to provide a Master Service Agreement for these services. Bidders must complete and upload the cover sheet along with their proposal, which should address RFR Section 5 items 5.1, 5.2, and 5.3. Additional required forms include a W-9, EFT Authorization, Contractor Authorized Signatory Listing, Business Reference Forms, Business Associate Agreement, and Prompt Payment Discount Form.
The RFR has a contract term that may include renewals, but the specific length is not provided. Pricing terms, set-asides, incumbents, funding sources, and other salient commercial details are not included in this cover sheet. Bidders must be registered with the Massachusetts State Comptroller to be eligible for this contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| INFO Contractor Authorized Signatory listing 2021~8.docx | DOCX document | |
| INFO Standard Contract Form revised 7-2020~32.docx | DOCX document | |
| READ Standard Required Information revised 10-31-19~25.docx | DOCX document | |
| REQ Prompt Pay Discount Form new~14.doc | DOC document | |
| REQ Business Reference Form~51.doc | DOC document | |
| RFR 224330 Anatomic Pathology Laboratory Services.doc | DOC document | |
| COMPREQ Mass-W9 revised 3-12-2020~27.pdf | ||
| INFO Business_Associate_Agreement_Revised_7_15~27.doc | DOC document | |
| RFR 224330 Anatomic Pathology Laboratory Services award notice.doc | DOC document | |
| READ How to Create a Quote in Commbuys 07 2 20~25.pdf | ||
| COMREQ EFT Form~22.pdf |
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Text version
Massachusetts Department of Public Health
Lemuel Shattuck Hospital
Cover Sheet RFR 224330 Anatomic Pathology Laboratory Services Master Service Agreement Bidder Contact Information
Organization Name: _______________________________________________________ Federal Employee Identification Number (FEIN): #________________________________
Address: _________________________________________________________________ City/Town_________________________________________________________________ ZIP Code: ___________________
Contact Name: _____________________________________________________________
Phone: ( ) ____________________ext.________
Fax: ( ) ___________________E-mail address: _______________________________
Signature: __________________________________________ Print Name: _________________________________________ Date: ______________________________________________ You must upload this cover sheet and your proposal (RFR Section 5, items 5.1, 5.2 and 5.3) into COMMBUYS.
The following 2 forms are required if you are not already registered with the Massachusetts State Comptroller.
( Massachusetts W-9 (return with original signature) ( EFT Authorization (required for payment) The following completed documents will be required before a contract can be executed. Upon acceptance of your proposal, a Standard Contract Form will be sent to you.
( Contractor Authorized Signatory Listing (CASL) ( Business Reference Form (3) ( Business Associate Agreement ( Prompt Payment Discount Form (PPD) (please return completed, signed form) ( Current Price List
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