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Home My WebLink AboutMEMA (2)U l_ )Vi /) COMMONWEALTH OFAASSACHUSETTS - STANDARD CONTRACT FORM This form is jointly issued and published by the Executive Office for Administration and Finance (ANF), the Office of die Core troller ICTR) and the Ocerational Services Division IOSD) as the default contract for all Commonwealth Departments when another form is not prescribed by regulation or policy. Any changes to the official printed language of this form shall be void. Additional non conflicting terms may be added by Attachment. Contractors may not require any additional agreements, engagement letters, contract fors or other additional terms as pad of this Conbacl without prior Department approval. Click on hyperlinks for definitions, instructions and legal requirements that are incorporated by reference Into this Contract. An electronic cony ofthis form Is available at www.mass.govlosc under Guidance For Vendors Forms or www.massAoy/osd under OSD Forms. CONTRACTOR LEGAL NAME: COMMONWEALTH DEPARTMENT NAME: Massachusetts Emergency Management (and dibla): Mansfield (Town oQ Agency MMARS Department Code: COA Leval Address: (W-9, W-4,T&C): 6 Park Row Mansfield, MA 02048 Business Mailing Address: 400 Worcester Road, Framingham, MA 01702 Contract Manager: William Ross Billing Address (if different): E•Malb wross@mansfreldma.com Contract Manager. Pam Rlordan hone: 508.261.7371 Fez: 506.261.1083 E-Mall: pamela.s.rlordan@slate.ni r Contractor Vendor Code:VC6000191867 Phone: 508-820.1406 Fax: 508-820.1404 - Vendor Code Address ID (e.g. "AD001'): AD_ MMARS Doc IDIs1:CTFEMA4214MANSF00170 RFRIPmcurement or Other ID Number: FEMA•4214•DR•MA (Note: The Address Id Must beset up for EFT payments.) _ NEW CONTRACT CONTRACT AMENDMENT PROCUREMENT OR EXCEPTION TYPE: (Check one option only) Enter Current Contract End Date Prior to Amendment: _, 20_, _ Statewide Contract (OSD or an OSD-designated Department) EnterAmendmenl Amount: S . (or'no change*) —Collective Purchase (Attach OSD approval, scope, budget) AMENDMENT TYPE: (Check one option only. Attach details of Amendment changes.) _ Department Procurement (Includes State or Federal grants 815 CMR 2.00) _Amendment to Scope or Budget (Attach updated scope and budget) (Attach RFR and Response or other procurement supporting documentation) Interim Contract (Attach justification for Interim Contract and updated scopelbudget) Emergency Contract (Attach justification for emergency, scope, budget) Contract Employee (Attach Employment Status form, scope; budges) — _Contract Employee (Attach any updates to scope or budget) x Lenlslat valLenal or Other: (Attach authorizing languageljuslifardon, scope and - '_ LegislalivelLegal or Other: (Attach authorizing languageljustfication and updated budget) scope and budget) The following COMMONWEALTH TERMS AND CONDITIONS (T&C) has been executed, Bled with CTR and is Incorporated by reference Into (his Contract. z Commonwealth Tens and Conditions Commonwealth Tens and Conditions For Human and Social Services COMPENSATION: (Check ONE option): The Department certifies that payments for authorized performance accepted in accordance with the terms of this Contract will be supported in the stale accounting system by sufficient appropriations or other nonrvappreprialed funds, subject to intercept for Commonwealth owed debts under 815 CMR 9.00. _ Rate Contract (No Maximum Obligation, Attach details of all rates, units, calculations, conditions or tens and any changes it rates or terms are being amended.) z Maximum Obligation Contract Enter Total Maximum Obligation for total duration of (his Contract for new Total if Contract is being ended) $3,750.00 PROMPT PAYMENT DISCOUNTS (PPD): Commonwealth payments are Issued through EFT 45 days from Invoice receipt. Contractors requesUng accelerated payments must identify a PPD as follows: Payment issued within 10 days _lc PPD; Payment Issued within 15 days _ %PPD; Payment issued within 20 days _%PPD; Payment Issued within 30 days _% PPD. If PPD percentages are tell blank, Identify reason: _agree to standard 45 day cycle _ slatutoryllegal or Ready Payments (G.L. c. 29, § 23A); _L only initial payment (subsequent payments scheduled to support standard EFT 45 day payment cycle. See Prompt Pay Discounts Policy.) BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT: All work Is subject to the Stafford Act and all requirements ol'Aflachmenl A' are incorporated under this contmeL Reference CFDAff 97,036 PW.00170 To reimburse for FEMA 4214 January 26.28w Blizzard Public Library at ANTICIPATED START DATE: (Complete ONE option only) The Department and Contractor certify for this Contract, or Contract Amendment, that Contract obligations: _ 1. maybe incurred as of the Effective Date (latest signature dale below) and no obligations have been Incurred rioror to the Effective Data _2. maybe incurred as of_, 20_. a date LATER (ban the Effective Date below and no obligations have been incurred prior to the Effective Dale. X_3. were Incurred as of 01.26.2015 a date PRIOR to the Effective Date below, and the parties agree that payments for any obligations incurred prior to the Effective Dale are authorized to be made either as settlement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are attached and Incorporated into this Contract. Acceptance of payments forever releases (he Commonwealth from further claims related to these obligations. CONTRACT END DATE: Contract pedonance shall terminate as of613012016 with no now obligations being incurred after this date unless the Contract is properly amended, provided that the tens of this Contract and performance expectations and obligations shall survive Its termination for the purpose of resolving any claim or dispute, forcompieling any negotiated terms and warranties, to allow any dose out or transition performance, reporting. Invoicing or final payments, or during any lapse between amendments. CERTIFICATIONS: Notwithstanding verbal or other representations by the parties, tho "Effective Date" of this Contract or Amendment shall be the fates( dale that this Contract or Amendment has been executed by an authorized signatory of the Contractor, the Department, or a later Contract or Amendment Staff Date specified above, subject to any required approvals. The Contractor makes all certifications required under the attached Contractor Certifications (Incorporated by reference if not attached hereto) under the pains and penallies of perjury, agrees to provide any required documenThpo upon, request to sup.pod,cpmpliance, and agrees. that all terms governing performance of this Contract and doing business in Massachusetts are attached or Incorporated byre efence herein accordingto the following hierarchy of document precedence, the applicable Commonwealth Tens and Conditions, this Standard Contract Form Including the Instructions and Contractor Codifications, the Request for Response (RFR) or other solicitation, the Conlractofs Response, and additional negotiated terms, provided that additional negotiated lens will take precedence over the relevant terms In the RFR and the Conlractofs Response only If made using the process outlined In 801 CMR 21.07, incorporated herein, provided that any amended RFR or Response terms result in best value, lower costs, or a more cost effective Conbacl AUTHORI ING SIGNATURE FO THE CONTRACTOR: AUTHORIZING SIGNATURE FOR THE COMMONWEALTH: //.,� ' X , ! /6W (/%i7�` i' .Date: _ _ ' ' (Signature and Must Be Handwritten At Time of Signature) X: _( Data: Print Name: �h( 11 f� YYY r • r'`d`�ff 5 (Signature and Date Must Be Handwritten At Time of Signature) .,, Print Name: David Mohr Print Title: Chief Administrative Officer t) (Updated 3/21/2014) Page 1 of 5