HomeMy WebLinkAbout20240604110214418floc,4 lk aa-a4l-0ci _Sg0000
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659 SOUTH SECOND AVE.,
PHOENIXVILLE, PA 19460
610-415-0225FAX: 610-935-7808
www.fastshelter.com
Confirmation of Order - May 8, 2015
BUYER: Town of Mansfield SHIP TO: Mansfield Emergency Management
Emergency Management Agency Agency
David Cramer David Cramer
6 Park Row 55 Stearns Ave.
Mansfield MA 02048 Mansfield, MA 02048
508-261-7307 dcramer@mansfieldma.com 508-261-7307000
dcramer@mansfieldma.com
ITEM: Model ERS1020 FAST Shelter
loft wide, 20ft long, 8ft tall (inside dimensions)
EQUIPMENT: Inflatable FAST Shelter with highlights,
One semi -inflated door, One drape door with van connector,
8 tie down straps, inside "floor" cross straps, 2 park -on patches,
Four windows, Two utility duct ports in cover to allow for filtration/heat/AC access, Heavy
Duty vinyl pack -up bag, External blower fan which must remain running to keep shelter
inflated, Instruction manual, Repair kit and One year warranty.
PRICE: $4,175.00 FAST Shelter
$ 575.00 Easy Breeze
$ 425.00 LED Light Kit
$ 175.00 .,. e(I. ti,...ner $ 350.00 Two (2) banner
$ 425.00 Storage Container (42"L x 34"W x 42"H)
$ 175.00 Shipping to 02048
TOTAL: $5;950 00 $ 6125.00
TERMS: Net 30 days with county issued Purchase Order
SHIPPING DATE: Six weeks from receipt of signed confirmation and purchase order
Sign here Dew Dvicectac Davtd l;irawa
Print name Deputy Director David Cramer
The above signature confirms this to be an order for the product listed. Orders cannot be changed or canceled
once order is signed. An invoice showing payment will be emailed to you upon shipment of the FAST Shelter
unit.
Please review, sign and email or fax back to us at 610-935-7808
Mansfield Emergency Management Agency Neal Boldrighini
Director
Six Park Row nboldriehininmansfieldma.com
Mansfield, MA 02048
Tel: 508-261-7307 Deputy Directors
Fax: 508-261-7456 David Cramer
dera merna mansaeld maxom
Allan M. Cox Jr.
PURCHASE ORDER
PO Number: 2015CCP GRANT Date: 10/06/2015
Request Delivery: ASAP
Massachusetts State Tax Exempt Number E046-001-209
To: Fast Shelter
659 South Second Ave.
Phoenixville, PA 19460
610-415-0225
Attn: Brendan
From: David Cramer, EMA Deputy Director,
Model ERS1020 FAST Shelter (Blue)
One semi -inflated door, One drape door with van connector, 8 tie down straps, inside
"floor" cross straps, 2 park -on patches, Four windows, Two utility duct ports in cover to
allow for filtration/heat/AC access, Heavy Duty vinyl pack -up bag, External blower fan
which must remain running to keep shelter inflated, Instruction manual, Repair kit and
One year warranty.
PRICE: $ 4,175.00 FAST Shelter
$ 575.00 Easy Breeze
$ 425.00 LED Light Kit
$ 350.00 Two (2) banner (REHAB, Mansfield EMA)
$ 425.00 Storage Container (42"L x 34"W x 42"H)
$ 175.00 Shipping to 02048
TOTAL: $ 6125.00
Pease invoice to:
Town of Mansfield
Mansfield Emergency Management Agency
David Cramer, Deputy Director
6 Park Row
Mansfield, MA 02048
Authorized Signature 20±0 Pmeerma David t-?" «
m1;mA aoi(o
COMMONWEALTH OF MASSACHUSETTS - STANDARD CONTRACT FORM l
This form is joinfly issued and published by the Executive Office for Adminlsbalion and Finance (ANF1, the Office of the Comptroller (CTand the Operational Services Division (OSDI
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-con0lctlng 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 hyper inks for defnilions, instructions and legal requirements that are incorporated by reference into this
.. . _ _._ .__•_ ___.. _...:_ _.._a_:.,._,................,,,d,.�.,�.,ner r,ananra Fnryandnrs.Fnore nrvnvw.ma,,,nv/osd under OSD Forms.
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CONTRACTOR LEGAL NAME: Town of Mansfield
COMMONWEALTH DEPARTMENT NAME: Massachusetts Emergency Management
(anddibla): Mansfield CERT
Agency
MMARS Department Code: CDA
Legal Address: (W-9, W4,T&C): 6 Park Row, Mansfield, MA 02048
Business Mailing Address: 400 Worcester Road, Framingham, MA 01702
Contract Manager. Chief Neal Bolddghini
Billing Address (if different):
E-Mall: nbolddghinl@mansfieldma.com
Contract Manager: Paula Krumsfek
Phone: 508.261.7490
Fax:
E-Mail: Paula.Kfumsiek@state.ma.us
Contractor Vendor Code: VC6000191867
Phone: 508-820.1424
Fax: 508.820.1468
Vendor Code Address ID (e.g. "AD0011'): AD_
MMARS Doc ID(s1: FYI6CCP1400000MANSF
RFRIProcurementor OlherlD Number: 20148HSPCCPAOF:`
(Note: The Address Id Must be set UP for EFT payments.)
X NEW CONTRACT
_ CONTRACT AMENDMENT
PROCUREMENT OR EXCEPTION TYPE: (Check one option only)
Enter Current Contract End Dale Prior to Amendment__, 20_
Statewide Contract(OSO or an OSD-designated Department)
Enter Amendmen(AmounC$ .(or'no change')
_
Collective Purchase (Attach OSD approval, scope, budget)
AMENDMENT TYPE: (Check one option only. Attach details of Amendment changes.)
_
X_ Iifluent Procurement(includes Slate or Federal grants 815 CMR 2.001
_Amendment to Scope or Budgef(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)
EMDluvee(A88Ch Employment Status Formscope, budget)
_
—Contract Employee (Attach any updates to scope or budget)
_Contract
LegislalNelLegafor Other:(Attach authorizing larguagefjusVicalion, scope and
_ LealslativelLegal or 01her.(Attach authorizing language/Iustifcalion and updated
_
budget)
I 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.
X Commonwealth Terns and Conditions _Commonwealth Terms 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 state accounting system by sufficient appropdagons or other non -appropriated 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 terms and any changes 8 rates or terms are being amended.)
—
X_ Maximum Obligation Contract Enter Total Maximum Obligation for total duration of this Contract (or new Total It Contract is being amended). $ 5,000.00
PROMPT PAYMENT DISCOUNTS (PPP): Commonwealth payments are Issued through EEC 45 days from Invoice recelpt 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. If PPD are left blank, Identify reason: to standard 45 day cycle _ statuloryflegal or Ready Payments IG L c 29 6 23A); —L only Initial
_°k percentages —agree
payment subsequent Payments scheduled to supportslandaul EFT 45 do payment cycle, See Prompt a Discounts Pof
BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT: (Enter the Contract file, purpose, fiscal years) and a detailed description of the scope
of performance of what is being amended for a Contract Amendment Attach all supporting documentation and justi0rallons.) Funding for this grant Is provided through the
FFY2014 State Homeland Security Program grant. The catalogue of Federal Domestic Assistance (CFDA) number is 97.067. The CERT intends to purchase a Fast
Staten lighting and an air mover.
ANTICIPATED START DATE: (Complete ONE option only)The Department and Contractor ceftilyfor this Contract, or Contract Amendment that Contract obligations:
X_ 1. may be Incurred as of the Effective Date (latest signature date below) and no obligations have been snared prior to the Effective Date.
2, maybe incurred as of_, 20_, a date LATER than the Effective Date below and n obligations have been Incurred priorto the Effective Date.
_
were Inured as of 20 a dale PRIOR to the Effective Dale below, and the parties agree that payments for any obligations Incurred prior to the Effective Date are
—3. __,
authorized to be node either as se0lement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are
attached and Into rated Into This Contact Aoee lance of payments forever releases the Commonwealth from further claims related to these obligations,
CONTRACT END DATE: Contract performance shall terminate as of 05.31.16 , with no new obligations being Incurred afar this date unless the Contract IS properly amended,
provided that the terms of this Contract and performance expectations and obligations shall survive its termination for the purpose of resolving any daim or dispute, for completing
any negotiated terns and warranties, to allow any dose out or transition performance, reporting, invoking or final payments, or during any lapse between amendments.
CERTIFICATIONS: Notwithstanding verbal or other representations by the parties, the "Effective Date" of this Contract or Amendment shall be the latest date that this Contract or
Amendment has been executed by an authorized signatory of the Contractor, the Depatmenl, or a later Contract or Amendment Stan Dale specified above, subject to any required
approvals. The Contractor makes all certifications required under the attached Contractor Cedthcations (incorporated by reference 9 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 terns governing performance of this Contract and doing
business In Massachusetts are attached or Incorporated by reference herein according to the folWng hierarchy of document precedence, the applicable Commonwealth Terms and
Conditions this Standard Contract Form including the Instructions and Cgntmctor Certifications the Request for Response (RFR) or other solicitation, the Contractors Response,
and additional negotiated terms, provided that additional negotiated terms will take precedence over the relevant terms in the RFR and the Contractors Response only if made using
the process oufined in $01 CMR 2107, incorporated herein, provided that any amended RFR or Response terms result in best value, lower cords, or a more cost effective Contract.
AUTHORIZING gIPHATURE FOR THE ONTRAC OR: AUTHORIZING SIGNATURE FOR THE COMMONWEALTH:
X: �/-�[� 9 3 /c- X: ' Date: P7/7f—
(Signalure and Date Must andwrthen At Time of Signature) �' (Signature and Date Must Be Handwritten At Time of Signature)
Print Name: Neal A Boldriohinl David A ah
fin III D C of r nisirati a Office
Print Title: Fire ChtefiEmergencv Mamaaomenl Director D _
SEP O 8 2015
pdated 3/21/2014) Page-4 46