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. 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: 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. KNOW ALL MEN BY THESE PRESENTS: That weThe undersigned hereby certifies that it has been duly established, (an individualorganized, or chartered as a partnership, a corporation) organized corporation under the laws of: Xxxxxxxx Xxxxxx Mayor Xxxxxxxx Xxxx🏵 Chief Procurement Officer Telephone (000) 000-0000 Fax: (000) 000-0000 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 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: 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. (Address) PHONE -- FAX EMAIL Signature Date . If you have questions, please contact me at (000) 000-0000. Sincerely, Xxxxxxxx Xxxx 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 the State of having a usual place of business in as principalCity initiative to open contract opportunities to underrepresented vendors. 🗆 I do not wish to complete this form. There is no penalty for persons who do not complete this Form, and , whether or not the Form is completed will not be taken into consideration in awarding a corporation, organized under bid. I certify that the laws of the State of foregoing information is true 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 ofcorrect. By: 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.Date:

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. 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 *** 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. 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. KNOW ALL MEN BY THESE PRESENTSXxxxxxxx Xxxx Chief Procurement Officer Telephone (000) 000-0000 Fax: That we(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, (an individual, the City requires that you provide a partnership, a corporationdebarment/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: I hereby certify under pains and penalties of perjury that neither I nor any principal(s) organized under the laws 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. _ (Address) EMAIL . 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. Name

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: 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. KNOW ALL MEN BY THESE PRESENTS: That weATTACHMENT F The undersigned hereby certifies that it has been duly established, (an individualorganized, or chartered as a partnership, a corporation) organized corporation under the laws of: ATTACHMENT G City of Xxxxxx Mayor Xxxxxxxx Xxxxxx PURCHASING DEPARTMENT XXXXXXXX XXXX CHIEF PROCUREMENT OFFICER 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. 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. EMAIL . If you have questions, please contact Xxxxxxxx Xxxx, Chief Procurement Officer at (000) 000-0000. ATTACHMENT H Name 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 having a usual place of business in as principal, and 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. 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. KNOW ALL MEN BY THESE PRESENTSXxxxxxxx Xxxx Chief Procurement Officer Telephone (000) 000-0000 Fax: That we(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, (an individual, the City requires that you provide a partnership, a corporationdebarment/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: I hereby certify under pains and penalties of perjury that neither I nor any principal(s) organized under the laws 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. _ (Address) EMAIL . 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. Name 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: 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. 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.