Contract Specifics

Contract Type*

Designer Contract Short Form Agreement Standard Service Agreement (SSA) State Contract Confirmatory Agreement (SCCA) Confirmatory Agreement for Use of a Cooperative Contract Terms and Conditions of Order (TCO) Other Contract Approved by Town Counsel

Town Contract #*

Contract Title*

Vendor Name*

Contract Expires*

Contract Amount*

$ 00,000.00

Did an Authorized Representative for the Vendor sign the Contracts?*

Yes

No

# of Original Copies*

Is the Massachusetts Tax Compliance section of the Contract signed by the Vendor?*

Yes

No

Department*

Building Design & Construction DPW - General Fund Operating Budget All Divisions DPW - General Fund Capital Project All Divisions DPW - Sewer Operating & Capital DPW - Water Operating & Capital Finance Department - General Finance Department - Technology Fire Department Human Resources Health and Human Services Building Department Library Park & Recreation Planning & Community Development Police Department Town Clerk Town Counsel Town Manager

Contract Attachments

Please indicate which documents have been attached to the contracts.

Vendor's Bid/Quote*

Yes

No

List of Bidders Filed with the Central Register*

Yes	Not Applicable

Town Specifications (including addenda)*

Yes	Not Applicable

Prevailing Wage Schedule*

Yes	Not Applicable

Certificate of Insurance*

Yes	Not Applicable

Payment Bond*

Yes	Not Applicable

DCAM Certification*

Yes	Not Applicable

Performance Bond*

Yes	Not Applicable

OSHA Certification*

Yes	Not Applicable

Certificate of Authority*

Yes	Not Required

Procurement Documentation

Procurement Method*

Sound Business Practices Written Request for Quotes Invitation for Bid (IFB) Request for Proposal (RFP) State Contract Use of an Approved Cooperative Contract Contract via Prequalification Process Special Circumstance - Exempt (Cite Exemption) Special Circumstance - Sole Source (Written Approval Required) Special Circumstance - Emergency (Documentation Required)

Who Authorized the Method of Procurement?*

Who conducted this procurement?*

Legal Notice (https://hometownweekly.net)*

Yes	Not Applicable

Publication Date

COMMBUYS (commbuys.com)*

Yes	Not Applicable

Publication Date

Central Register (https://www.sec.state.ma.us/spr/cenreg.htm)*

Yes	Not Applicable

Publication Date

Goods and Services (https://www.sec.state.ma.us/spr/goodsserv.htm)*

Yes	Not Applicable

Publication Date

Town Web Page (https://www.needhamma.gov/bids.aspx)*

Yes	Not Applicable

Publication Date

Persons Receiving Bidding Documents Filed with Central Register*

Yes	Not Applicable

Publication Date

Contract Award Central Register Posting*

Yes	Not Applicable

Publication Date

Was there a Pre-bid Meeting?*

Yes

No

Pre-Bid Attendance Sheets*

Yes	Not Applicable

Town Specifications Distribution List*

Yes	Not Applicable

Bid Tabulation Sheets*

Yes	Not Applicable

Bid Opening Attendees List*

Yes	Not Applicable

Award Recommendation Letter*

Yes	Not Applicable

Date Bids/Quotes Due*

Number of Bids/Quotes Received*

Accounting Details

Who was the Project Lead?*

W-9 Form*

Yes

No

If the Vendor provided an updated W-9 form, please forward the form to directly to accounting.

Certification of Funds Required?*

Yes

No

Is the total contract amount to be encumbered?*

Yes No - more than one Operating Budget year No - not a guaranteed contract No - on-call only Other Not Applicable

Indicate below the account number(s)and amount(s) to be encumbered for this contract (please check your math).

Account #

$ Amount

Account #

$ Amount

Account #

$ Amount

If more than three accounts are to be encumbered for this contract, please upload the file.

Reserved

Were the bid deposits turned over to the Treasurer for safe keeping?*

Yes No Bid Deposits Not Required

Authorization Code*

Additional Information

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