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Compliance
Thecompliancedocumentsinthissectionmustbecompleted,signedand
returnedwithyourbidpackage.
PurchasingDepartment
CityofWaltham
610MainStreet
Waltham,MA02452
Failuretosubmitthecompleteddocumentswillcausethedisqualificationof
theproposal.
SectionIndex
CheckwhenComplete
NoncollusionformandTaxComplianceform………………………………… _____
CorporationIdentificationForm…………………………………………………….. _____
CertificateofVoteAuthorization……………………………………………………. _____
CORIbackgroundCheck.................................................................... _____
CertificateofInsurance(showingalllimitsofWC&GL).................... _____
Three(3)References……………………………………………………………………… _____
5%)BidBondorCertifiedCheck..………………………………..………………… _____
DebarmentCertificate………………………………………………………………….. _____
PrevailingWageCertificate……………………………………………………………. _____
RighttoknowLaw………………………………………………………………………… _____
OSHA10CertificateforallAssignedEmployees(MGLch30,§39MandCh149) ______
BeforethecommencementoftheJob,thecontractormustprovidetotheaboveoffice:
PerformanceBondfor100%ofthecontractvalueandnamingtheCityofWaltham
(Lettermustbeincludedwithyourresponse)
YourCompany’sName:___________________________________________________
ServiceorProductBid_____________________________________________________
NOTE: Failuretosubmitanyoftherequireddocuments,inthisorinothersections,withyourbid
responsepackagemaycausethedisqualificationofyourproposal.
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