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2. Contract Specifics
4. Contract Type*
   -- Select One --Designer ContractShort Form AgreementStandard Service Agreement (SSA)State Contract Confirmatory Agreement (SCCA)Confirmatory Agreement for Use of a Cooperative ContractTerms and Conditions of Order (TCO)Other Contract Approved by Town Counsel
6. Town Contract #*
8. Contract Title*
10. Vendor Name*
12. Contract Expires*
14. Contract Amount*
15. $ 00,000.00
17. Did an Authorized Representative for the Vendor sign the Contracts?*

    1. Yes
    2. No
19. # of Original Copies*
21. Is the Massachusetts Tax Compliance section of the Contract signed by the Vendor?*

    1. Yes
    2. No
23. Department*
    -- Select One --Building Design & ConstructionDPW - General Fund Operating Budget All DivisionsDPW - General Fund Capital Project All DivisionsDPW - Sewer Operating & CapitalDPW - Water Operating & CapitalFinance Department - GeneralFinance Department - TechnologyFire DepartmentHuman ResourcesHealth and Human ServicesBuilding DepartmentLibraryPark & RecreationPlanning & Community DevelopmentPolice DepartmentTown Clerk Town CounselTown Manager
25. Contract Attachments
27. Please indicate which documents have been attached to the contracts.
29. Vendor's Bid/Quote*

    1. Yes
    2. No
31. List of Bidders Filed with the Central Register*

    1. Yes
    2. Not Applicable
33. Town Specifications (including addenda)*

    1. Yes
    2. Not Applicable
35. Prevailing Wage Schedule*

    1. Yes
    2. Not Applicable
37. Certificate of Insurance*

    1. Yes
    2. Not Applicable
39. Payment Bond*

    1. Yes
    2. Not Applicable
41. DCAM Certification*

    1. Yes
    2. Not Applicable
43. Performance Bond*

    1. Yes
    2. Not Applicable
45. OSHA Certification*

    1. Yes
    2. Not Applicable
47. Certificate of Authority*

    1. Yes
    2. Not Required
49. Procurement Documentation
51. 
    
53. Procurement Method*
    -- Select One --Sound Business PracticesWritten Request for QuotesInvitation for Bid (IFB)Request for Proposal (RFP)State ContractUse of an Approved Cooperative ContractContract via Prequalification ProcessSpecial Circumstance - Exempt (Cite Exemption)Special Circumstance - Sole Source (Written Approval Required)Special Circumstance - Emergency (Documentation Required)
55. Who Authorized the Method of Procurement?*
57. Who conducted this procurement?*
59. Legal Notice (https://hometownweekly.net)*

    1. Yes
    2. Not Applicable
60. Publication Date
62. COMMBUYS (commbuys.com)*

    1. Yes
    2. Not Applicable
63. Publication Date
65. Central Register (https://www.sec.state.ma.us/spr/cenreg.htm)*

    1. Yes
    2. Not Applicable
66. Publication Date
68. Goods and Services (https://www.sec.state.ma.us/spr/goodsserv.htm)*

    1. Yes
    2. Not Applicable
69. Publication Date
71. Town Web Page (https://www.needhamma.gov/bids.aspx)*

    1. Yes
    2. Not Applicable
72. Publication Date
74. Persons Receiving Bidding Documents Filed with Central Register*

    1. Yes
    2. Not Applicable
75. Publication Date
77. Contract Award Central Register Posting*

    1. Yes
    2. Not Applicable
78. Publication Date
80. 
    
82. Was there a Pre-bid Meeting?*

    1. Yes
    2. No
84. Pre-Bid Attendance Sheets*

    1. Yes
    2. Not Applicable
86. Town Specifications Distribution List*

    1. Yes
    2. Not Applicable
88. Bid Tabulation Sheets*

    1. Yes
    2. Not Applicable
90. Bid Opening Attendees List*

    1. Yes
    2. Not Applicable
92. Award Recommendation Letter*

    1. Yes
    2. Not Applicable
94. Date Bids/Quotes Due*
95. Number of Bids/Quotes Received*
97. 
    
99. Accounting Details
101. 
     
103. Who was the Project Lead?*
105. W-9 Form*

     1. Yes
     2. No
107. If the Vendor provided an updated W-9 form, please forward the form to directly to accounting.
109. 
     
111. Certification of Funds Required?*

     1. Yes
     2. No
113. Is the total contract amount to be encumbered?*
     -- Select One --YesNo - more than one Operating Budget yearNo - not a guaranteed contractNo - on-call onlyOtherNot Applicable
115. Indicate below the account number(s)and amount(s) to be encumbered for this contract (please check your math).
117. 
     
119. Account #
120. $ Amount
122. Account #
123. $ Amount
125. Account #
126. $ Amount
128. 
     
130. If more than three accounts are to be encumbered for this contract, please upload the file.
132. Reserved
134. Were the bid deposits turned over to the Treasurer for safe keeping?*
     -- Select One --YesNoBid Deposits Not Required
136. 
     
138. Authorization Code*
140. Additional Information

142. rev 08/22/2011; 06/29/2013; 06/11/2014; 11/10/2014; 11/23/2015; 08/20/2016; 08/25/2017; 01/26/2019; 03/11/2019; 03/18/2019; 12/17/2019; 08/17/2021; 10/08/2022

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