Common use of Certification of Tax Compliance Clause in Contracts

Certification of Tax Compliance. Pursuant to MG c. 62C, § 49A and requirements of the Town of Wellesley, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: By: Date: Corporate Officer (Mandatory, if applicable) Print Name: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN OF WELLESLEY, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That we, (an individual, a partnership, a corporation) organized under the laws of the State of having a usual place of business in as principal, and , a corporation, organized under the laws of the State of and having a usual place of business in , as Surety, are holden and stand firmly bound and obligated unto the Town of Wellesley, Massachusetts, as Obligee, in the sum of: lawful money of the United States of America, to and for the true payment whereof we bind ourselves, and each of us, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

Certification of Tax Compliance. Pursuant to MG c. 62CM.G.L. c.62C, § §49A and requirements of the Town of WellesleyCity, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual (Mandatory) *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: Date: OR Company Name (Corporation, Partnership, LLC, etc.) By: Date: **Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN CITY OF WELLESLEYNEWTON, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTSKnow All Men By These Presents: That we, (an individual, a partnership, a corporation) organized under the laws of the State of having a usual place of business in as principalPRINCIPAL, and , a corporation, organized under the laws of the State of and having a usual place of business in , as SuretySURETY, are holden held and stand firmly bound and obligated unto the Town City of Wellesley, Massachusetts, Xxxxxx as Obligee, in the sum of: lawful money of dollars ($ ) to be paid to the United States of AmericaObligee, for which payments well and truly to and for the true payment whereof be made, we bind ourselves, and each of us, our respective heirs, executors, administrators, successors, successors and assigns, jointly and severally, firmly by these presents.

Certification of Tax Compliance. Pursuant to MG c. 62C, § 49A and requirements of the Town City of WellesleyXxxxxx, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: By: Date: Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN CERTIFICATE OF WELLESLEYFOREIGN CORPORATION The undersigned hereby certifies that it has been duly established, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That weorganized, (an individual, or chartered as a partnership, a corporation) organized corporation under the laws of: (Jurisdiction) The undersigned further certifies that it has complied with the requirements of M.G.L. c. 30, §39L (if applica- ble) and with the requirements of M.G.L. c. 156D, §15.03 relative to the registration and operation of foreign corporations within the Commonwealth of Massachusetts. Name of person signing proposal Signature of person signing proposal Name of Business (Please Print or Type) Affix Corporate Seal here City of Xxxxxx Mayor Xxxxxxxx Xxxxxx Purchasing Department Xxxxxxxx Xxxx Chief Procurement Officer 0000 Xxxxxxxxxxxx Xxxxxx Xxxxxx Xxxxxx, XX 00000-1449 xxxxxxxxxx@xxxxxxxx.xxx Telephone (000) 000-0000 Fax: (000) 000-0000 TDD/TTY (000) 000-0000 Date Vendor Re: Debarment Letter for Invitation For Bid 20-89 As a potential vendor on the above contract, the City requires that you provide a debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. Certification can be done by complet- ing and signing this form. PART 2 - Debarment: Federal Executive Order (E.O.) 12549 “Debarment and Suspension“ requires that all contractors receiving in- dividual awards, using federal funds, and all sub-recipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government. I hereby certify under pains and penalties of perjury that neither I nor any principal(s) of the State Company identified be- low is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from partic- ipation in this transaction by any federal department or agency. (Name) (Company) _ (Address) (Address) PHONE FAX EMAIL Signature Date . If you have questions, please contact Xxxxxxxx Xxxx, Chief Procurement Officer at (000) 000-0000. X Name CONTRACT FORMS The awarded bidder will be required to complete and submit documents substantially similar in form to the following. These forms may need to be modified on account of having a usual place of business in as principalchanged circumstances, and , a corporation, organized under the laws of the State of and having a usual place of business in , as Surety, are holden and stand firmly bound and obligated unto the Town of Wellesley, Massachusetts, as Obligee, in the sum of: lawful money of the United States of America, to and provided for the true payment whereof we bind ourselves, and each of us, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.informational purposes only. CITY-CONTRACTOR AGREEMENT INDEX

Certification of Tax Compliance. Pursuant to MG c. 62CM.G.L. c.62C, § §49A and requirements of the Town of WellesleyCity, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual (Mandatory) *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: Date: OR Company Name (Corporation, Partnership, LLC, etc.) By: Date: **Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN ATTACHMENT F CERTIFICATE OF WELLESLEYFOREIGN CORPORATION The undersigned hereby certifies that it has been duly established, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That weorganized, (an individual, or chartered as a partnership, a corporation) organized corporation under the laws of: (Jurisdiction) The undersigned further certifies that it has complied with the requirements of M.G.L. c. 30, §39L (if applicable) and with the requirements of M.G.L. c. 156D, §15.03 relative to the registration and operation of foreign corporations within the Commonwealth of Massachusetts. Name of person signing proposal Signature of person signing proposal Name of Business (Please Print or Type) Affix Corporate Seal here ATTACHMENT G City of Xxxxxx Mayor Xxxxxxxx Xxxxxx PURCHASING DEPARTMENT XXXXXXXX XXXX CHIEF PROCUREMENT OFFICER 0000 Xxxxxxxxxxxx Xxxxxx Xxxxxx Xxxxxx, XX 00000-1449 xxxxxxxxxx@xxxxxxxx.xxx Telephone (000) 000-0000 Fax: (000) 000-0000 TDD/TTY (000) 000-0000 Date Vendor Re: Debarment Letter for Invitation For Bid #21-59 As a potential vendor on the above contract, the City requires that you provide a debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. Certification can be done by completing and signing this form. Debarment: Federal Executive Order (E.O.) 12549 “Debarment and Suspension“ requires that all contractors receiving individual awards, using federal funds, and all sub-recipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government. I hereby certify under pains and penalties of perjury that neither I nor any principal(s) of the State Company identified below is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (Name) (Company) (Address) (Address) PHONE FAX EMAIL Signature Date . If you have questions, please contact Xxxxxxxx Xxxx, Chief Procurement Officer at (000) 000-0000. ATTACHMENT H Name X ATTACHMENT I / Approved School Calendar FY 2022 ATTACHMENT J NPS Map of having a usual place School Locations CONTRACT FORMS The awarded bidder will be required to complete and submit documents substantially similar in form to the following. These forms may need to be modified on account of business in as principalchanged circumstances, and are provided for informational purposes only. CITY – CONTRACTOR AGREEMENT FOR SUBSTITUTE TEACHER & TEACHER AIDE STAFFING SERVICES FOR NPS This Agreement is entered into by and between , (hereinafter the "Contractor") and the City of Xxxxxx, a corporationmunicipal corporation acting by and through its Human Resources Executive Director but without personal liability to him (hereinafter the "City"); collectively, organized under the laws of the State of and having a usual place of business in , as Surety, are holden and stand firmly bound and obligated unto the Town of Wellesley, Massachusetts, as Obligee, in the sum of: lawful money of the United States of America, to and for the true payment whereof we bind ourselves, and each of us, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents"parties".

Certification of Tax Compliance. Pursuant to MG c. 62CM.G.L. c.62C, § §49A and requirements of the Town of WellesleyCity, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: By: Date: Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN CITY OF WELLESLEYNEWTON, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTSKnow All Men By These Presents: That we, (an individual, a partnership, a corporation) organized under the laws of the State of having a usual place of business in as principalPRINCIPAL, and , a corporation, organized under the laws of the State of and having a usual place of business in , as SuretySURETY, are holden held and stand firmly bound and obligated unto the Town City of Wellesley, Massachusetts, Xxxxxx as Obligee, in the sum of: lawful money of dollars ($ ) to be paid to the United States of AmericaObligee, for which payments well and truly to and for the true payment whereof be made, we bind ourselves, and each of us, our respective heirs, executors, administrators, successors, successors and assigns, jointly and severally, firmly by these presents.

Certification of Tax Compliance. Pursuant to MG c. 62C, § 49A and requirements of the Town City of WellesleyXxxxxx, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: By: Date: Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN CERTIFICATE OF WELLESLEYFOREIGN CORPORATION The undersigned hereby certifies that it has been duly established, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That weorganized, (an individual, or chartered as a partnership, a corporation) organized corporation under the laws of: (Jurisdiction) The undersigned further certifies that it has complied with the requirements of M.G.L. c. 30, §39L (if applica- ble) and with the requirements of M.G.L. c. 156D, §15.03 relative to the registration and operation of foreign corporations within the Commonwealth of Massachusetts. Name of person signing proposal Signature of person signing proposal Name of Business (Please Print or Type) Affix Corporate Seal here City of Xxxxxx Mayor Xxxxxxxx Xxxxxx Purchasing Department Xxxxxxxx Xxxx Chief Procurement Officer 0000 Xxxxxxxxxxxx Xxxxxx Xxxxxx Xxxxxx, XX 00000-1449 xxxxxxxxxx@xxxxxxxx.xxx Telephone (000) 000-0000 Fax: (000) 000-0000 TDD/TTY (000) 000-0000 Date Vendor Re: Debarment Letter for Invitation For Bid 20-89 As a potential vendor on the above contract, the City requires that you provide a debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. Certification can be done by complet- ing and signing this form. PART 1 - Debarment: Federal Executive Order (E.O.) 12549 “Debarment and Suspension“ requires that all contractors receiving in- dividual awards, using federal funds, and all sub-recipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government. I hereby certify under pains and penalties of perjury that neither I nor any principal(s) of the State of having a usual place of business Company identified be- low is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from partic- ipation in as principalthis transaction by any federal department or agency. (Name) (Company) _ (Address) (Address) PHONE FAX EMAIL Signature Date . If you have questions, and please contact Xxxxxxxx Xxxx, a corporation, organized under the laws of the State of and having a usual place of business in , as Surety, are holden and stand firmly bound and obligated unto the Town of Wellesley, Massachusetts, as Obligee, in the sum of: lawful money of the United States of America, to and for the true payment whereof we bind ourselves, and each of us, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.Chief Procurement Officer at (000) 000-0000. X Name CITY OF XXXXXX PURCHASING DEPARTMENT FORM FOR SUB-BID* Bid#20-89 To all Filed Sub Bidders:

Certification of Tax Compliance. Pursuant to MG c. 62CM.G.L. c.62C, § §49A and requirements of the Town of WellesleyCity, the undersigned acting on behalf of the Contractor certifies under the penalties of perjury that the Contractor is in compliance with all laws of the Commonwealth relating to taxes including payment of all local taxes, fees, assessments, betterments and any other local or municipal charges (unless the Contractor has a pending abatement application or has entered into a payment agreement with the entity to which such charges were owed), reporting of employees and contractors, and withholding and remitting child support.* **Signature of Individual (Mandatory) *** Contractor's Social Security Number or Corporate Contractor (Mandatory) (Voluntary) or Federal Identification Number Print Name: Date: OR Company Name (Corporation, Partnership, LLC, etc.) By: Date: **Corporate Officer (Mandatory, if applicable) Print Name: Date: * The provision in this Certification relating to child support applies only when the Contractor is an individual. ** Approval of a contract or other agreement will not be granted until the Town City receives a signed copy of this Certification. *** Your social security number may be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. TOWN CERTIFICATE OF WELLESLEYFOREIGN CORPORATION The undersigned hereby certifies that it has been duly established, MASSACHUSETTS PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That weorganized, (an individual, or chartered as a partnership, a corporation) organized corporation under the laws of: (Jurisdiction) The undersigned further certifies that it has complied with the requirements of M.G.L. c. 30, §39L (if applicable) and with the State requirements of having M.G.L. c. 156D, §15.03 relative to the registration and operation of foreign corporations within the Commonwealth of Massachusetts. Name of person signing proposal Signature of person signing proposal Name of Business (Please Print or Type) Affix Corporate Seal here Xxxxxxxx Xxxxxx Mayor Purchasing Department Xxxxxxxx Xxxx🏵 Chief Procurement Officer 0000 Xxxxxxxxxxxx Xxxxxx Xxxxxx Xxxxxx, MA 02459-1449 xxxxxxxxxx@xxxxxxxx.xxx Telephone (000) 000-0000 Fax: (000) 000-0000 TDD/TTY Date Contractor Re: Debarment Letter for Bid #22-98 Dear: As the awarded Contractor on the above contract, the City requires that you provide a usual place of business debarment/suspension certification indicating that you are in as principalcompliance with the below Federal Executive Order. Certification can be done by completing and signing this form. Debarment: Federal Executive Order (E.O.) 12549 “Debarment and Suspension“ requires that all contractors receiving individual awards, using federal funds, and all sub-recipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government. Your signature certifies that neither you nor your principal(s) is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (Name) (Company) (Address) (Address) PHONE -- FAX EMAIL Signature Date . If you have questions, please contact me at (000) 000-0000. Sincerely, Xxxxxxxx Xxxx Chief Procurement Officer Business Category Information Form* IFB No. 22-98 Supply & Install Furniture, Fixtures & Equipment to NECP Business Type Categories* Select All That Apply MBE: Minority-Owned Business Enterprise WBE: Women-Owned Business Enterprise VBE: Veteran Business Enterprise SDVOBE: Service-Disabled Veteran-Owned Business Enterprises DOBE: Disability-Owned Business Enterprise LGBTBE: Lesbian, Gay, Bisexual, Transgender Business Enterprise *Information is being collected as part of a corporation, organized under the laws of the State of and having a usual place of business in , as Surety, are holden and stand firmly bound and obligated unto the Town of Wellesley, Massachusetts, as Obligee, in the sum of: lawful money of the United States of America, City initiative to and open contract opportunities to underrepresented vendors. 🗆 I do not wish to complete this form. There is no penalty for the true payment whereof we bind ourselvespersons who do not complete this Form, and each of uswhether or not the Form is completed will not be taken into consideration in awarding a bid. I certify that the foregoing information is true and correct. By: Date: Project Manual #22-98 Supply & Install Furniture, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.Fixtures & Equipment Xxxxxx Early Childhood Program