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MASSDOT STANDARD CONTRACT FORM ° Jr
This form Is Issued and published by the Massachusetts Department of Transportation (MassDOT or Department). Any changes to the official printed language of this form shall be
void. Additional nomcon licting (arms may be added by Attachment. Contractors may not require any additional agreements, engagement letters, contract forms or other additional
terms as pad of (his Contract without prior Department approval. Click on hyperllnks(or deftnUfons, Instructions and legal requirements that are Incorporated by reference Into this
Contract. An electronic copy of (his form is available alwww.mass.00vlosc underGuidance For Vendors, .Forms orwww.mass.gov/osd underOSO Forms.
CONTRACTOR LEGAL NAME: Town of Mansfield
DEPARTMENT NAME: Massachusetts Department of Transportation
(and dlbla):
MMARS Denartmenl Code: DOT
Lenal Address; (W 9.W 4,T&C):
Business Mailing Address: 10 Park Plaza, Boston, MA 02116
contract Mananor t S .)Oq6
Billing Address (if different):
yt t C, ,! J , .cow)
Contract Manager, Paul Jey
l9n: — '0 JFOK:' ., P/ •70
9IMgp: PauWay@state,ma.us
Contractor Vendor Code:: VC6060191867
Phone: 857.368.9150
Fax: 857-308.0061
Vendor Code Address ID (e.g. "A0001"): AD.AD001
MMAR$ Doc ID(si; INTF00)(0201550087288
(Note: The Address Id Must beset up Ior EFT payments,)
RFRIProcuremenlor Other ID Numb: WRAP
X NEW CONTRACT
CONTRACT AMENDMENT
PROCUREMENT OR EXCEPTION TYPE: (Check one option only)
Enter Current Contract End Dale Ito Amendment: .20_
Statewide Contracl(OSDoran OSDdesignaled Department)
Enter Amendment Amount: $_.(or'no change')
_Collective Purchase (Attach OSD approval, scope, budget) '
AMENDMENT TYPE: (Check one option only, Attach details of Amendment changes.)
_Department Procurement (Includes Slate or Federal grants 815 CMR 2.00)
_Amendment to Scone or Budget (Attach updated scope and budget)
(Attach RFR and Response or other procurement supporting documentation)
Cmdmct(Attach jusliicaffon for interim Contract and updatedscope/budget)
Emergency (Attach justification talusor Frgencya e,buope, get)
Contract Emgiovee (Allach Emolovmant Status Form, saps, budget)
_Interim
_ Coming( Employee (Attach any updates to scope or budget)
)C_ LepisiativelLertal or Olher.(Attach authorizing languagefjuslificaUon, scope and
_LenisialivelLegal or Other: (Attach authorizing languagefjusiflcallon and updated
budget
scope and budget)
The following MassDOT TERMS AND CONDITIONS (T&C) has been executed, filed with CTR and Is incorporated by reference Into this Contract.
X MassDOT Terms and Conditions _Commonwealth Terms and Condillons 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 slate accounting system by sutOclenl appropriations or other norrapprop bated funds, subject to Intercept for MassDOT/Commonwealth owed debts under 815 CMR 9.00.
Rate Contract (No Maximum Obligallon. Attach details of all rates, units, calculations, conditions or terms and any changes II rates or terms are being amended.)
X Maximum Obligation Contract Enter Total Maximum Obligation for total duration of this Contract (or now Total IfContract Isbeing amended), $111:720.
PROMPT PAYMENT DISCOUNTS (PPOI: Commonwealth payments are Issued through EFT 45 days from Invoice recelpl. Contractors requesting accelerated payments must
Identify a PPD as follows: Payment Issued within 10 days _°A PPD; Payment Issued within 15 days _ % PPD; Payment Issued within 20 days _ % PPD; Payment Issued within
30 days _% PPD. It PPD percentages are left blank, identify reason: _agree to standard 45 day cycle _ statutory/legal or Ready Payments (G.L. c. 29 1123A); x_ only initial
payment (subsequent payments scheduled to support standard EFT 45 day amen) cycle. See Prom Pa Ois trots Polic.
BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT: (Enter the Contract title, purpose, fiscal years) and a detailed description of the scope
of performance orwhat is being amended (or a Contract Amendment. Attach all supporting doamentalion and justiffcations.) This agreement is(or (he Winter Recovery Assistance
Program (WRAP)
ANTICIPATED START DATE: (Complete ONE option only) The Department and Comractor cedify for this Contract, or Contract Amendment, that Contract obligations:
X 1. may be Incurred as of the Effective On (lates(signature dale below) and Ug obligations have been Incurred Prior to (he Effective Date.
_ 2. maybe incurred as of. 20_, a dale LATER than the Effective Dale below and go obligations have been Incurred grlo( to the Effective Date.
3. were Incurred as of ,_, 20_, a dale PRIOR to tha Effective Date below, and Ilia panics agree that. payments for any obligations Incurred prior to the Effective Date 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 the Commonwealth and MassDOT from further claims related 10 these obligations,
CONTRACT. ENO DATA: Contract performance shall terminate as of June 30. 2015, with no new obligations being Incurred after this date unless the Contract Is property
amended, provided that the terms of this Contract and performance expectations and obligations shall survive Its termination for the purpose of resolving any claim of dispute, (of
completing any negotiated terms and warranties, to allow any close out or Vansiion performance, reporting, Invoicing or final payments, or during any lapse between amendments,
CERTIFICATIONS: Notwithstanding verbal or other representations by the parties, the "EBective Date" ofthis Contract or Amendment shall be the latest dale that this Contract or
Amendment has been executed by an authorized signatory of the Contractor, (he Department, or a later Contract or Amendment Start Date spedffed above, subject to any required
approvals. The Contractor makes all certifications required under the aiached Contractor Certification (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 herein according to the following hierarchy of document precedence, the MassDOT Terms and Coin iions, this
Standard Contract Form including the Instructions and Contractor Certifications, the Request for Response (RFR) or other solicitation, the Contrecku's Response, and additional
negotiated terms, provided that additional negotiated terms will take precedence over the relevant terms In the RFR and the Contractor's Response only If made using the process
oullined In 801 CMR 21.07, Incorporated herein, provided (hat any amended RFR or Response (arms result In best value, lower costs, or a more cost effective Contract,
UTH/RR/IN SIG T RE F 7H CONT CTOR• A HORI WO ATUR MassDOT:
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(Signature and Date Must Be and rills 1Ihnao181g lu )--(� (SI Ipelure an 1 Must Be ndwdien At Tlme of Slg lure)
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