Springfield Boiler Replacement - Certificate on Non-Collusion.pdf
PDF 37 KB Posted
- Attached to
- Roderick Ireland Courthouse - Boiler Replacement
- Solicitation number
- BD-27-1107-FREG5-ACCOU-132832
- Issued by
- Hampden County, Massachusetts
About this file
This is a Certificate of Non-Collusion and Tax Compliance Certification for the Roderick Ireland Courthouse Boiler Replacement project in Massachusetts. The document serves as a formal attestation by the bidder that their bid or proposal is submitted in good faith without collusion or fraud with any other party, and that they are in compliance with all Massachusetts tax laws, employee reporting requirements, and child support withholding obligations.
The certification requires the authorized representative submitting the bid to provide a signature, date, printed name, business name, and either a Social Security Number or Federal Identification Number. The document notes that this information may be furnished to the Massachusetts Department of Revenue to verify tax filing and payment obligations, and that providers failing to correct any tax filing deficiencies or delinquencies will not have a contract issued, renewed, or extended. This certification is a standard compliance requirement for state contract opportunities in Massachusetts.
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Text version
CERTIFICATE OF NON-COLLUSION AND TAX COMPLIANCE CERTIFICATION
The undersigned certifies under penalties of perjury that this bid or proposal is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this certification, the word "person" shall mean any natural person, joint venture, partnership, corporation, union, committee, club, or other organization, entity, business, group of individuals or legal entity.
Pursuant to M.G.L. c. 62C, §49A, I certify under the penalties of perjury that, to the best of my knowledge and belief, I am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting child support.
Signature of authorized person submitting bid or proposal Date
Printed name of authorized individual signing above
Name of business
*Social Security Number or Federal Identification Number
*Your social security number and or federal identification number may be furnished to the
Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended.
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