HomeMy WebLinkAbout20240605103532774CHARLES D. BAKER
GOVERNOR
KARYN B. POLITo
LT. GovERNoR
T HOmAs A. T uRco, III
SECRETARY
December 10, 2018
Chief Neal A. Boldrighini
Mansfield Fire Department
10 Plymouth Street
Mansfield, MA 02048-2033
Dear Chief Boldrighini:
tie
M U
r99'8)
I am pleased to inform you that the Man;
state funds from the FY 2019 Student AN
toward repairs of the district's fire safety
Q4&w "eA 0-1776'
'900 C- 'Fax..• �99'8) 567-3-
!aar.naaaa.�ov/r�a
I Fire Department has been a ded $1,500.00 in
less of Fire Education (S.A.F.r) grant to be used
Enclosed please find a Scope of Work, Stadard Contract Form and a Conti actor Authorized
Signatory Form, Please have the contract signed by an authorized signato listed on the
Authorized Signatory Form. This form mu t be signed by the Town Mana er/Mayor, Town
Administrator/City Manager, Legal Staff o—CFO. Please return the original documents to the
attention of Julie Walrath at the Department of Fire Services.
As one of the host communities, you rec<
maintenance or to replace your existing f
and budget worksheet and return it to the
expended'your grant money, please file f
six-month extension, all unexpended funs
Massachusetts unless further extended b}
direct them to Brian Joyce at 978-567-33
Yours truly,
PeterJ. Ostroskey
State Fire Marshal
enclosures
sd FYI S.A.F.E, funding for r( mirs, supplies and
safety house. Please fill out th end -of -year report
)partment of Fire Services. If yc�u have not
i six-month extension. At the c ose of -the single---.-- ---
nust be returned to the Commonwealth of
VS. If you have any programmatic questions please
OSTROSKEY
O; MARSHAL
WE
CHARLEs D. BAKER
GOVERNOR
KARYN E. POLITO
LT. GOVERNOR
THOMAS A. TORco, III
SECRETARY
SCOPE OF WORK -
Fire District Fire
QWw� 0-1775
-3 00 C-P'ac - r 78) 567
Awareness of Fire
House: Host
(S.A.F
This grant is available to municipaliti s who host the regional FireDistrict's Fire Safety
House purchased with Student Aware less of Fire Education Grant I unds to support local
S.A.F.E. programs. Recipient agrees t iat funds awarded through th grant will be used to
repair, maintain, support or replace th district Fire Safety House.
Amounts received with each award w 11 be specified in both the "Ai vard Letter" and on
the Commonwealth of Massachusetts Standard Contract Form issued to the jurisdiction.
Recipient agrees that funds awarded qirough this grant will be used to supplement but not
supplant federal, state or local funds.
Funds must be expended by June 30, �019. Recipients may apply for a one-time 6-month
extension through December 31, 2019. Extension applications must be received with
FT 18 year—end reports by June 30, 2p19.
Any unexpended funds must be
A report of spending of the prior year
of new funds.
Changes to this scope may be made
program
The receipt of funds is subject to ai
in the appropriation of those funds.
as soon as possible after the contract end date.
amount must be submitted °prior to the release
part of the annual legislation (authorizing this grant
of funds and any other1provisions specified
GSTROSKEY
COMMONWEALTH OF MAS
ACHUSETTS - STANDARD
CONTRACT FO
M
This form Is Jolndy Issued and published by the Esac l Office for ml
a d ace the f e Co
C and the e
anotherform Is not prescribed by regula8o
Division 108D) as the default contract for all Commonwealth Departmentwhen
or pocky. Any changes to the offs l
doted
language of this form shall be void, Additional non-confiicling tams may
a added by Attachment Contractors may not req
Are any additional agreements, engag
ment letters, contract
forms or other additional terms as Pad Of this Contract without prior Dope
entapproval. Click onhypedinksfor deflnitlor
InsWctionsand legal r qulremenlsth
Iare Incorporated by
reference Into this Contract. An electronic copy of this form Is available at
ass o under os o e do
artment COMMONWEALTH
- orwww.mass.govlosdunder
NAME: Department of Fire Se
SO
Ices
CONTRACTOR LEGAL NAME: Town of MansBeldlMansileldFire De
MMARSDepartment Code : D
S
Legal Address: 6 Park Row, Mansfield, MA 01852.5909
Business Malllna Address: I
0 Box 1025, State Road, Stow, MA
0775
Contract Monsoon Chief Neal A. Bolddghlnl
Billing Address Of different):
&M: nbolddilliftmansffeidma.com
Contract Manaus : David Cie
nons
P o a: 508-261.7493
Fax:508.261.97
F iffi: David.Clemons@sta
.ma.us
ContractorVendotQLa: VC6000191867
Phone: 978.567.3979
Fax: 978-567.3121
Vendor Code Address ID (e.g. "AD001"): AD001
MMARS Doc ID(s1:
(Note: The Address Id Must be set up for EFT payments.)
RFRJProcuremeritorOt er D
u r: OFS•SAFEHOUSE•19
X NEW CONTRACT
_
CONTRACT AMENDMENT
Amendment .20
PROCUREMENT OR EXCEPTION TYPE: (Check one option only)
Enter Current Contract End DetoP,dorto
�StatewidsContra ct(OSDoranOSDdeslgnatedDepadmenl)
Collective Purchase (AttabifOSDapproval, scope, budget)
Department Procurement (Includes State or Federal grants
2
Enter Amendment Amount:$
AMENDMENTTYPE;(Check cis
(or'nochange°)
optiononly,AttachdetailsofAm
ndmentchanges.)
_X
Lmeadment to Scope or Bi
duat(Affach updated scope and budg
t)
(Attach RFR and Response orother procurement suppbNngdocum
_ Emergencyt(Attach JusU0cationfor emergency, son pa,bugso.
ntatidn)
_IntedmContract(Attach jus
1catlonfor Interim Contract and updat
dsoopefbudget)
_ Contract Employee (Attach Employment Status Form .scope ,budge�)
_ContractEmalovee(ABach
nyupdatestoscbpeorbudget)
_Legislath all-soel orOther. (Abeh authorizing IanguageM4ustiflcetlbo
pe and
_,Lealstativeftegal or Other:
(Attach authorizing Ianguage4usl1floado
i and updated
budget)
scope and budget)
The following COMMONWEALTH TERMS AND CONDITIONS (f&C)
�a9 been executed, filed with CTR and Is into
petaled by reference Into this Contr
oL
$ Commonwealth Terms and Conditions , Commonwealth Terms
end Conditions For Human pod Social Services
COMPENSATION: (Check ONE option): The Department oedlfles that p
ymants for authorized performance accepted in
ccordanoe with the terms of this Conti
totwill be supported
In the state accounting system bysufficient appropriations orother non.
propgated funds, subject toIntercept for Comm
nwealth owed debts under 815CMR9
00.
_Rate Contract (No Maximum Obligation, Attach details of all rates, u
Us, calculations, conditions or terns and any ch
nges If rates or terns are being amend
d.)
l.Maximum Obligation Contract EnterTotalMaximumObligation
rlolet duration ofthis Contract (or newTotalIfC
ntract Is being amended), $1.600.00
PROMPT PAYMENT DISCOUNTS (PPD); Commonwealth payments
ra Issued through ff_T 45 days from invoice r
oetpt Contractors requesting acceler
led payments must
Identity a PPD as follows: Payment Issued within 10 days _% PPD; P
ymant Issued within 15 days _ % PPD; Payme
it issued within 20 days _ % PPD; Pa
yment Issued within
30 days _% PPD. If PPD percentages are left blank, Identify reason:
agree to standard 45 day cycle _ statutoryf
egal or Ready Payments G L 20, 4
2 ; _ only Initial
a ment (subsequent payments scheduled to support standard EFT 45
sy paymentoycle. Sea D s
BRIE DESCRIPTION 0 CO PERFORMANCE or REASON
R M E E : (Enter the Contract #Us, pur
ach all supporting documentation and justificatio
me, fiscal year(s) and a detailed desci
s.)
ption of the scope
of performance orwhat is being amended for a Contract Amendment. A
Fire Safety House Grant FY19.#DFS•SAFEhouse•19,This contract
a for FY19 Grant Funds used to repair the FirSafety
House as needed from the E
tudent Awareness
of Fire Education (S.A.F.E,) Grant Program administered by the Dal
dmentofFire Services.
ANTICIPATED START DATE: (Complete ONE option only) The Depar
ionl and Contractor tartly for this Contract, or C
nigract Amendment, that Contmd obllg
All
1, may be Incurred as of the Effective Date (latest signature date below)
and fig obligations have been Incurred orlor
o the Effective Date.
_ 2, maybe Incurred as of. 20_ a dale LATER than the E
v D e below nti go obligations have been Incurred
r or to the Effective Dale.
_3. were Incurred as of. 20_, a date PRIOR to the
to below, and the padles agree that payments
crony obligations Incurred pdorto the
dive ate are
authorized to be made either as settlement payments or as authod
d reimbursement payments, and that the details
sod circumstances of all obligations un
far this Contract are
attached and Into rated Into this Contract. Aoge tanoes of o me
is forever releasesthe Commonwealth from to
at claims related to these obit ations.
CONTRACT END GATE; Contract performance shall terminate as of
e 02 9 wlih no new obligations being Inca
ed after this date unless the Contract I
property amended,
provided that the terns of this Contract and performance expectations
nd obligations shell survive Its termination forth)
purpose of resolving any cialmor dls
ute, for completing
any negotiated terns and warranties, to allow any dose out or transition
performance, reporting, invoicing or final paymen
, or during any lapse between amend
ants.
CERTIFICATIONS; Notwithstanding verbal or other representations by
is parties, the "Effective Date" of this Contract
or Amendment shall be the latest date
at this Contractor
Amendment has been executed by an authorized signatory of the Contr
ctor, the Department, or a later Contract orAme
dment Start Dale spooUled above, so
Jecl fo any requlred
approvals. The Contractor makes all certifications required under the
attached Contractor Certifications (Incorporated
by reference If not attached hereto)
der the pains and
penalties of perjury, agrees to provide any required documentation upo
request to suppoit compliance, and agrees that
it terms governing performance of this
Contract and doing
business in Massachusetts are attached or incorporated by reference he}eln
according to the following hierarchy of docu
ant precedence, the applicable C
I
Conditions this Standard Contract Form Including the Insinuations and
C�ontrador Certifications. the Request for Respo
is (RFR) or other solicitation, the Co
tractor's Response,
and additional ne oik led toms, provided that additional negotiated lemJs
will take precedence over the relevant terms In
a RFR and the Contractor's Respons
onlyff made using
the processoutili In801CMR21.07.Incorporated herein, provided t
Iany amended RFR orResponse terms result l
best value, lower costs, or a more cos
effective Contract.
AU 0 ! URE FOR THE CONTRACTOR; I
AUTHORIZIN0 S G U R E
X:
-OR THE C.
Date:
X: k IV . Date:
Must Be Handwritten At Time of Sic
(Signs r agA�a r Be HandwrittenAtTlmeofS no.
(Signature and Dal
nature)
Print Name:
Print Name:
PdntTlUe:
PdntTitle:
(issued 6127/2011) Page 1.of 5.
ct
:0
144
ex
RO
.901
VC9
. ivi
COMMONWEALTH
OF M-ASMCHL
Issu, May,
210 4
�SETTS
WNTRIACTOR AV
MORWOOGNATORY b
(STING
*kA4TbRV]NbQRrVVj 'T.OME
ze as, Is
:ing�of WWWaslizwho are Nuthan . 4'
oxitiiilves 4.!ihc� iContretc
g4l representatives
for wfio sign and
k)rlegally. btftftg doburviolits'related to the,
todwpja#6t-may:roqulWgdditlqn#1 proof
authonidliy Df signature (a, ftatsrizod sign auo,
6Atrat on the Corittaotol's behalf
f authorkto signicbrtradts ow b•
that iho bepArtment.oan use
1waxidifidn-to this,,* listing any
half-ofthe Con r,,91roof
o .verify that the s
a0ft Appeat on'Contract or other I6
l document was actatilymade.
y the o.ctor's gutlq 'zed
Oatory_ft4nqtbyg_fop gontative, desi
;a
:orotherindividual)
WOW
MiouddlO.'eko lengii the ewswideoff
»f.4asikoatery..
-&Wb##,RW w4rak'shaft OP.e
valid Cenfra& due to an, alleged
as gmakeof aWdefem g`ky,
lack ofwidimal adthorJOV to
qfivacy purposes" _.D6:NOT ATTACH sty
munt'll.woop, SoQht;swurity nonibers, driyor?is
bves tho-A
doeumentAtion-dontaising- per
licenses; home addresses, . ,.§..
part of
antreloaged.asp.. ai�
si at ri s of
So Q e ow
'nk] WOrm4on, such I.W. 5ank
W som*'Ity,caids t)r.*ay*1hW
ldreoord, the CommouWPalth
'aC tor
'
t .. !thi'Conftetor and as 'an jitiihbrized offs
eittrfied•oq this listing aro ourrant as of, the d,
qr Oixtrgots and alihor j4gqft�, Bhiding.
aisachusotts%on behalf of, the Contractor.
0 llptft; od' t4l otpdoWd and coma
9 Imm. Ra. U updated
4 r1ho 4u*qrfwd sIgnatOTTI.,
:ploy; have the `respensiiilliti'ds chamagod. .
a Gomm" cal W7
w
a' i0hi6f
er of the Contractor I rpp#,Jfy.thst
.6foxemition,bolow and that th,
, opmentO related. tQ,,i.t,!raets
0
4bistsao Od. agree t Con
Wated W aity, state, dopOMMenv
-
abAyp retire. are otherwise to
longer
41fing "Alhok up: iqg beih& A
ate designated.
Date,
IeJ
the OM9.s• of the $dhrl
ft individuals Am. WhOrig
.41h. the CbhVnQf1woAl1h
actor dutYJb 1.,
has kt Iwo
Wilk whiolt the Contractor
mihattd from the CohtrOtOr
#hor* ai sign contracts
- -
1041s
PO tq,
Of-
0
does
Ii.
With:
title" Toloffiquez.
27 xi. )"all
�ft?p(
A AY)
add
A dt?py of thin listing moat be tf.,,' ^A
withoixt•al(-Of Og4twortnatid
0
contra
tU'o "record copy" of a -c
a 06' Oted.j
t �fied )�Atit the diarha 0R.
ep