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COMMONWEALTH OF MASSACHUSETTS —STANDARD CONTRACT FORM
This form is jointly issued and published by the Executive Office for Administration and Finance fANF) the Ohio of the Comomiler(CTRl andtheOperabonal
Sprites Damsion (OSO) as the default contradfor all Commonwealth Departments when another form is not prescribed by regulation or policy. Anydhargestothe
o8¢ial pdnled language of Oils form shall be void. Additional rromconOicUng terms may be added by Attachment. Contractors may not require any additional agreements, engagement
letters. correct forms or other additional tons as pad of [his Contmd without prior Department approval, Click on hyperlinks for definitions, Instructions and legal requirements that are
incorporated by reference Into this Contract An electronic copy of this form is available at www.mam,l ovlost under Guidance For Vendors - Forms or www, mass.nov/osd under OSD
Forms.
CONTRACTOR LEGAL NAME: TOW❑ of Mansfield, MA
COMMONWEALTH DEPARTMENT NAME: Slale9il Department
(anddlbla): Mansfield Police Department
MMARSDgluir nlCode: EPS
Legal Address: (W•9, WA,T&C): 50 West St., Mansfield, MA 02048
Business Maillna Address; 1380 Bay Street, Building C, Taunton, MA 02700
ConlreG Manaaer: U. Samuel F. Thompson Jr.
Bililnn Address (if different):
E•Mail: sthom sonCTmansfteldma.com
Contract Manaaer: c 1 n
Phone: 508-261-7301 X61222 IF= 508-339-1031
9--mall: g17DeoMmalsfrus[at.maus
Contrador Vendor Code: VC6000191867
Phone: 508.821,7299 1 Fax: 508.820.2585
Vendor Code Address l0(e.g."AD001"): ADQQ(
MMAR$Doc ID(s): CT EPS ORNT -
(Note: The Address Id Must be set up for EEFT payments.)
RFRIProcuremenlor Other lO Number; FY16 Traintg!EMCIRegulalory Compliance Grant
X NEW CONTRACT
_ CONTRACT AMENDMENT
PROCUREMENT OR EXCEPTION TYPE: (Checkone option only)
Enter Current Contract End Date Prior to Amendment _, 20_,
_Statewide Contract(OSD or an OSOdesignaled.Department)
Enter Amendment Amount: $_(or'no chengel
_Collective Purchase(Attach OSD approval, scope, budget)
AMENDMENT TYPE: (Check one option only. Attach details ofAmendmenlchanges.)
X Department Procurement(includes Slate or Fedefaigumis; 816 CMR 2.001
_Amendmentto3cooeor Bul t(Attach updated scope and budget)
(Attach RFR and Response or other procurement supporting documentation)
. Interim ComrW(Attach jusbficanonfor lnledm Contract and updated scopetbudgel)
^_
_ Emergency Contract (Attach)uslAwlion tot emergency, scope, budget)
Contract Employee (Attach any updates to scope or budget)
_ Contract Employee (Attach Employment Status formscope, budget)
—LealslaliveiLegal or Other; (Attach authorizing languagefjustfication and updated
_LenislelivelLegalorOthet(Atach authorizing languagaiiusuicalion, scope and
scope and budget) -
budget)
The following COMMONWEALTH TERMS AND CONDITIONS (T&C) has been executed, filed with CIR and is Incorporated by reference Into this Contract.
_L Commonwealth Terms and Conditions Commonwealth Terms and Conditions For Human and Social Services
COMPENSATION: (Check ONE option): The Department cerbtles that payments for authorized performance accepted in accordanoo with the terms of this Contend will be supported
In the stale accounting system by sufficient appropria8ons or other nomapproprialed funds, subject to intercept for Commonwealth owed debts under 815 CMR 9.00,
Rate Contract (No Maximum Obligation. Attach details of all rates,units, calailabons, conditions of terms and any changesifrales or terms a re bemgamended)
�,
%Maximum Oblination Conract tEnter Total Maximum Obligation for total durallon of this Contract (of new Total if Contract is being amended).$
PROMPT PAYMENT DISCOUNTS IPPDI: Commonwealth payments are issued through ff T 45 days from Involce receipt. Contractors requesting accelerated payments must
Identify a PPD as follows: Payment Issued within 10 days _%" PPD; Payment issued within 15 Hays _ %PPD; Payment issued within 20 days _ %PPD; Payment Issued within 30
days _1. PPD. If PPD percentages am left blank, Identify lesson: gagree to standard 45 day cycle _ statlorydegal or Ready Payments (G.L. c. 29, 4 23A); _ only Initial
payment(subsequent payments scheduled to support standard EFT 45 day payment cycle. See Promnl Pav Discounts Polmy.)
BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT: (Enter the Contract Due, purpose, fiscal year($) and a detailed descdplion of the scope of
pedomnnce orwhal is being amended for a Contract Amendment. Attach all supportng documentation and jusg8cabans.) Contract is for the reimbursement of funds under the
Stale flit Department FY2016 Training and EMDIRegulatory Compliance Grant as authorized and awarded In compliance with grant guidelines and grantee's approved
application. 1
ANTICIPATED STARTDATE: (Complete ONE option only) The Department ana Contractor certily for fhlg Contract, or Contacl Amendment, that Contract obligations:
X1. may beincurred asof the Effective Date (latest signature dale how) andno obligations have beefilreuffedoffertothe EffectiveDale,
_2. maybe incunedasof_,20_, adate LATER than the Effective Dale belowand Nobfigalions have been incurred Brigto the Effective Data.
_3. were incurred as of_ 20_ , a dale PRIOR to the Effective Dale below, and the parties agree hal paymenls for any obligations incurred poor to the Effective Date are
authorized to be made either as se!temenipayments 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 Commpnwealh from further claims related to these obligations.
CONTRACT END DATE: Contract performance shall terminate as of June 30.2016.with'no newobl'gatims being incurred after this dale unless the Conked is property amended
provided that the leans of this Contract and peffcumance expectations and obligations shall survive its terAllnaton (or the purpose of resolving any claim or dispute, for completing any
negotiated (arms 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,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 Contactor, the Department or a later Contract or Amendment Shad Date specified above, subject to any required
approvals. The Contractor makes all eadlicatous required under the attached Caqtractof 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 toms governing performance of this Contact and doing
business in Massachusetts are attached orincorporated by reference herein nocording to the following hierarchy of document precedence. the applicable Commonwealth Terms and
Condition this Standard Contract Form Including the Instructions and Contractor Cenlfic igg he Request for Response (RFR) or other solicitation, the Contractors Response, and
additional flagellated leans. provided that additional negotiated lens will lake precedence over the relevant terms in the RFR and the Contractors Response only if made using the
processoulfinedin 801 CMR 21,07, Incorporated herein, provided that any amended RFR or Response Wmaresull In best value, favor costs, or a more cost effective Conrad.
AUTHORIZING SIGf TU F R THE CONTRACTOR: -1 q�� UT IZIN AT E R THE COMMONWEAU �j
X: �`� Dale: 1 Ja � X: 4 � � .Date: z
I
(Sig eture fndD le t�l Handwrillen At Time of Ignal re)—�ature Ad Date Must Be Handwritten Al Time of Signalura)
Print Name: Ronald A. Sellon Print Name:_ Frank Poznlak
Print Tifie: Chief of Police Print TNle: Exicuilve Director
i n
,
The Commonwealth of Massachusetts
* EXECUTIVE OFFICE OF PUBLIC SAFETY AND SECURITY
STATE 911 DEPARTMENT
1380 Bay Street, Building C - Taunton, MA 02780-1088
Tel: 508-828-2911 - TTY.• 508-828-4572 - Fax: 508-828-2585
www.mass.gov/e911
CHARLES D. BAKER
Governor
September 2, 2015
Chief Ronald A. Sellon
Mansfield Police Department
50 West Street
Mansfield, MA 02048
Dear Chief Sellon,
EMIACENOM
91-101
roue.. arr..errts
DANIEL BENNETT
Secretary of Public Safety
and Security
FRANK POZNIAK
Executive Director
The Commonwealth of Massachusetts, State 911 Department would like to thank you for participating In
the FY 2016 State 911 Department Training Grant and EMD / Regulatory Compliance Grant program.
For your files, attached please find a copy of the executed contract. Please note your contract start
date Is September 2, 2015 and will run through June 30, 2016. Please keep in mind that there shall be
no reimbursement for costs incurred prior to the effective date of the contract and all goods and
services MUST be received on or before June 30, 2016.
Reimbursement requests should be submitted to the Department within thirty (30) days of the date on
which the cost is incurred. We have made the request for payment forms available on our website
www.mass.gov/e911. For any questions related to this process, please contact Michelle Hallahan at
508-821-7216. Please note that funding of reimbursement requests received more than three (3)
months after the close of the fiscal year under which costs were incurred cannot be guaranteed,
If, in the future, you would like to make any changes to the authorized signatory, the contract manager,
and/or the budget worksheet, please e-mail those proposed changes to 911DeotGrantsColstate.ma.us.
Grantees are strongly encouraged to submit final, year-encl budget modification requests on or before
April 30, 2016,
Sin rely,
Frank P. Pozniak
Executive Director
cc: FY 2016 Training Grant and EMD / Regulatory Compliance Grant File
John Stanbrook
From: Sam Thompson
Sent: Monday, September 14, 2015 10:11 AM
To: John Stanbrook
Subject: FW: FY16 Award Letter & Contract
Attachments: S35C-415090214412.pdf
John,
Attached is a copy of the FY16 911 Dispatch Training grant award letter. We have received $10,190. 1 will begin sending
dispatchers for their training and putting in for reimbursement. When the reimbursement packets are sent, I will
forward you a copy. Will the account number be the same as last year?
Respectfully,
Lieutenant Samuel F. Thompson Jr.
Mansfield Police Department
50 West St.
Mansfield, MA 02048
508-261-7301 X61222
Fax:508-261-7344
FBINA Session 232
When responding, please be advised that the Town of Mansfield and the Office of the Secretary of State has determined that email
could be considered a public record.
From: 911DeptGrants (EPS) [mailto:911deptgrants0state.ma.us]
Sent: Wednesday, September 02, 2015 2:51 PM
To: Ronald Sellon
Cc: Sam Thompson
Subject: FY16 Award Letter & Contract
Attached you will find a scanned copy of your award letter and contract for your FY2016 Training Grant and
EMD/Regulatory Compliance Grant.
Please be sure to make a copy of the award letter and contract for your grant file, one will not be mailed.
Your effective contract start date is: September 2, 2015
■ There shall be no reimbursement for costs incurred prior to the Effective Date of the
Contract.
All goods and services SHALL be received on or before June 30, 2016 to be eligible for
reimbursement.
Reimbursement requests should be submitted to the Department within thirty
(30) days of the date on which the cost is incurred. Reimbursement requests must include
', I
expenditure and activity reports as well as supporting documentation, including but not limited
to, copies of receipts, proof of payment and/or payroll records. All requests for
reimbursement shall be submitted by September 30, 2016.
If you have any questions, please feel free to contact me.
Cindy Reynolds I Grants Specialist
State 911 Department
1380 Bay Street — Bldg. C
Taunton, MA 02780
DIRECT: 508.821.7299
FAX: 508.828.2585:'
E-Mail 911DeptGrants@state.ma.us
Forms Applications EMD Resources Approved Trainings www.mass.gov/E911
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