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Home My WebLink AboutCOAr�1e (iA'Aiq,7%T% COMMONWEALTH OF MASSACHUSETTS — STANDARD CONTRACT FORM 64 as �t3 sa ' 4� F This form is jointly issued and published by the Executive Office for Administration and Finance (ANF), the Office of the Comptroller (CTR) and the Operallonal Services Division (OSD)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 ofthis f .rhh-.,�; °'gym shall be void. Additional non-conl icting terms may be added by Attachment Contractors may not require any additional agreements, engagement letters, contract forms or other additional terms as pad of this Contract without prior Department approval. Click on hypedinks for definitions, Instructions and legal requirements that are incorporated by reference into this Contract An electronic copy of this form is available at www.mass.goviosc under Guidance For Vendors - Forms or www.mass.govlosd under OSD Forms. CONTRACTOR LEGAL NAME: COMMONWEALTH DEPARTMENT NAME: Executive office of Elder Affairs TOWN OF MANSFIELD MMARS Department Code: ELD e PARXROw NANSFIECIT,Business Malfino Address: i Ashburton Place Room 517, Boston, MA, 02108 Contract Manager: Gate 1. Farrugia Rilllna Address (if different): � Mail: 9rsss91a@MMsseumawm Contract Manager. Not Petroceili Phone: 508-261-7368 FaX: E•Mail: nett pehacellicastate.ma.us _ Contractor Vendor Code: VC6000191867 hone;1-617-222-7427 Fax:1-617-727.9360 Vendor Code Address 10 (e.g. "AD001"): AD001 . MMARS Doc IO(sl; CT ELD 15COA 167000000002015 RFRIPracuremenl or Other 10 Number: Grant Award (Note: The Address Id Must be set up for EFT payments.) XX NEW CONTRACT _ CONTRACT AMENDMENT PROCUREMENTOREXCEPTION TYPE :(Check one option only) Eider Current Contract End Date 5t[taAmendment 20_, Statewide Contract (OSD or an OSD-designated Department) Enter Amendment 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 8IS CMR 2.00)]and Amendment to Scope or Budget (Attach updated scope and budget) (Attach RFR and Response or other procurement supporting documentation)^Interim Contract (Attach justification for lnterin Contract and updated scopeibudget) Emergency Contract (ABach justification for emergency, scope, budget)4Contract Contract Employee (Attach Emol2oent Status Form. scope, budget) — Employee (Attach any updates to scope or budget) , X Leaisialive/Legal or Other: (Attach authorizng languageriusUfcation, scope_ Leaislative/Leaaf or Other: (Attach authorizing languagoijus6fication and updated budget) scope and budget) The following COMMONWEALTH TERMS AND CONDITIONS (T&C) has been executed, filed with CTR and is Incorporated by reference Into this Contract. CommornwealthTemrs and Conditions x Commonwealth Terms and Conditions For Human and Social Services COMPENSATION; (Chart iorized performance accepted in accordance with the terns of this Contract will be supported �inthesbete accc '; i's. subject to intercept for Commonweafth owed debts under 815 CMR 9.00- - Rate Cont fa �� iconditions or tons and any changes if rates or terms are boino amended.) $19,789.90 XX Maximum0 r.,,-� ch ✓7 his Contract(or newTotal'd Contract is being mended). PROMPT PAY M {'' ldon* a PPD as 1(f(r •' gh .EIRT 45 days from invoice receipt- Contractors requesting accelerated payments must tin 15 days Payment issued within 20 days %PPD; Payment issued within 30 days PPD. e i —%PPD; _ ud 45 day cycle_ stalutoryAegal or Ready Payments (G.L. c. 29, 4 23A); — only initial _°7o ��- g gmenl subse /'V� 0411 ; See Prompt Pav Discounts Policy.) formula to the Councils Aging of the 8 I F DESC ip zA �,- 6 ' L; This contract is to locally distribute a grant award on available funding. Funds may support Council on Ageing activities as municipalities of ,,.. / allocation of grant (�� . identified in the an �i0 -� 1-6104 � nod for this award is 71112014-61301'2015. The municipality will complete a final fiscal repo accountin 1 /" ST!^'.^ nt fundingis contingent on satisfactoryprior year performance. r certify for this Contract, or Contract Amendment that Contract obligations: ANTICIPATED may 5 u �-E el � have been incurred R!tgr to the Effective Date . 2may curz /�0 y t :Ito obligations have been incurred prior to the �bpliva Dale. .XX 3. were incurr{ A4V the parties agree that payments for any obligations incurred prior to the Effective Date are authorized to bl (/% lyments,and that the details and circumstances of all obligations under this Contract are attached and in • he Commorreallh from fudher claims related to these obligations. ��,Dl-�� T END D �.1!' qgN-amended, with no now obligations being incurred after this date unless the. Contract is property provided 1 lions shall survive its termination for the purpose of resolving army claim or dispute, for completing any nego ,vr transition performance,reporting, invoicing or final payments, or during any lapse between amendments. QERTIFICATIONS: Notwithstanding verbal or other representationsby the parties, the "Effective Date" of this Contractor Amendment shall be the latest date that this Contractor .Amendment has been executed by an authorized signatory of the Contractor, the Department or a later Contract or Amendment Stan Dale specified above, subject to any required approvals. The Contractor makes all cer6hcafions required under the attached Contractor Certifications (incorporated by reference if not attached hereto) under the pains and penalties of perjury, agrees to provide any required documentation upon request to support compliance, and agrees that all terms governing performance of this Contract and doing :business in Massachusetts are attached or incorporated by reference hereto according to the following hierarchy of dooument precedence, the applicable Commonwealth Terms and Conditions this Standard Contract Form including the Instructions and Contractor Cerlthealions, the Request for Response (RFR) or other solicitation, the Contractor's Response, and additional negotiated terms, provided that additional negotiated terms will lake precedence over the relevant terns in the RFR and the Contractors Response only ifmade using the process oullined in 801 CMR 21.07, incorporated herein, provided that any amended RFR or Response tens result in best value, lower costs, of a more cost effective Contract - AUTHORIZING SIGNATURE FOR THE CONTRACTOR: AUTHORIZING SIGNATURE FOR THE COMMONWEALTH: X; �i-��. Date:'� X: Date: (Signaattture and Dat Musett Be Handwritten At Time of Signatu e) (Signature and Date Must Be Handwritten At Time of Signature) Print Name: ee—ok / i E Print Name: Peter J. Tiernan ,r��%f Print Title; /�Y-^J�i' l�/��i!r.--w s`L Print Title: Director of Administration and Finance (Updated 3/21/2014) ROCKLAND TOWN OF MANSFIELD 6 PARK ROW MANSFIELD, MA 02048-2433 Effective Date 01/09/2015 Department Advice of Credit Account Number XXXXXX2771 Originating Company COMM OF MASS Reference Identification DEPARTMENTOFELDERAFFAIRS617 PRCELD01071 -727-7760 hburtonPiace 01109t2015 Amount SFY15COAFORMULAGRANTP $19,789.96 YMT Total: $19,789.96