Earmark FY23 - Alewife Brook Pkwy — File 23-0198

This for as the d attachm Contra referenc Forms a CONTR (and d Legal A Contra E-Mail Contra Vendo (Note: PROC _ Stat __ Co __ De N __ Em __ Co _X_ O spe The S into t Servic COMP in the __ Ra _X_ M PROM identif days _ payme prov imp Broa ANTIC _X_ 1 __ 2. __ 3. a a CONT amen comp CERT Amen appro certific docum incorp Stand by a Contra costs, AUTH X: Print Print rm is jointly issued a default contract for ment (in the form of ctor Certifications, ce herein. Additiona are also posted at O RACTOR LEGAL N /b/a): Address: (W-9, W-4 act Manager: : actor Vendor Code: r Code Address ID The Address ID mu CUREMENT OR EX tewide Contract (O ollective Purchase epartment Procurem Notice or RFR, and R mergency Contract ontract Employee (A Other Procurement ecific exemption or e Standard Contract F his Contract and a ces __ Commonwea PENSATION: (Chec state accounting sy ate Contract. (No M Maximum Obligatio MPT PAYMENT DIS fy a PPD as follows: __% PPD. If PPD ent (subsequent pay vided further plementation  adway in the  CIPATED START D . may be incurred a may be incurred as were incurred as of authorized to be mad attached and incorpo TRACT END DATE ded, provided that t leting any negotiated TIFICATIONS: Notw ndment has been ex ovals. The Contrac cations required und mentation upon req porated by reference dard Contract Form I Department as una actor’s Response on , or a more cost effe HORIZING SIGNATU (Signature and Name: Title: COMMONW and published by the all Commonwealth addendum, engage , the Commonwealt al non-conflicting ter OSD Forms: https://w AME: 4): : (e.g. “AD001”): A ust be set up for EF _X__ NEW C CEPTION TYPE: (C OSD or an OSD-desig (Attach OSD approv ment (includes all G Response or other pr (Attach justification Attach Employment Exception (Attach earmark, and except Form Instructions a re legally binding: alth IT Terms and Co ck ONE option): The ystem by sufficient ap aximum Obligation) on Contract. Enter t SCOUNTS (PPD): : Payment issued w percentages are lef yments scheduled to r, that not les measures to  city of Some DATE: (Complete O s of the Effective Da of , 20 , a , 20 , a d de either as settleme orated into this Cont : Contract perform the terms of this Co d terms and warrant withstanding verbal o xecuted by an autho ctor certifies that the der the Standard Co uest to support com e herein according to Instructions and Con acceptable, and add nly if made using the ctive Contract. URE FOR THE CON Date Must Be Hand WEALTH OF e Office of the Comp Departments when ement letters, contra th Terms and Cond rms may be added b www.mass.gov/lists/o Phone: Fax: AD . FT payments.) CONTRACT Check one option o gnated Department) val, scope, budget) rants - 815 CMR 2.0 rocurement supporti for emergency, sco Status Form, scope authorizing languag tion justification, sco and Contractor Cer (Check ONE option) onditions e Department certifie ppropriations or othe Attach details of al total maximum oblig Commonwealth pa within 10 days __% P ft blank, identify rea o support standard E s than $100,0 improve safe rville  NE option only) The ate (latest signature d date LATER than th date PRIOR to the E ent payments or as a ract. Acceptance of ance shall terminate ontract and performa ties, to allow any clo or other representat rized signatory of th ey have accessed ntract Form Instruct mpliance, and agre o the following hierar ntractor Certification ditional negotiated te e process outlined in NTRACTOR: . Date: dwritten At Time of . . F MASSACH (Updated ptroller (CTR), the E another form is not act forms or invoice ditions for Human by Attachment. Contr osd-forms. only) 00) (Solicitation ng documentation) pe, budget) e, budget) e, legislation with ope and budget) rtifications and the ): _X_ Commonwea s that payments for er non-appropriated l rates, units, calcula ation for total duratio yments are issued PPD; Payment issue son: _X_agree to st EFT 45 day payment 000 shall be e ety for all road Department and Co date below) and no he Effective Date be Effective Date below authorized reimburs f payments forever r e as of June 30 ance expectations a se out or transition p tions by the parties, he Contractor, the D and reviewed all d ions and Contractor ees that all terms g rchy of document pr ns, the Request for R erms, provided that n 801 CMR 21.07, in . f Signature) USETTS ~ S 6/30/20) Page 1 Executive Office for A prescribed by regu e terms) to the term and Social Service ractors are required COMMONWE MMARS Depa Business Ma Billing Addre Contract Man E-Mail: lisa.d MMARS Doc RFR/Procurem Enter Current Enter Amendm AMENDMENT __ Amendme __ Interim Co __ Contract E __ Other Proc scope and e following Commo alth Terms and Cond authorized performa funds, subject to int ations, conditions or on of this contract (o through EFT 45 da ed within 15 days __ tandard 45 day cyc t cycle. See Prompt expended to p d users at the ontractor certify for t obligations have be elow and no obligatio w, and the parties agr ement payments, an eleases the Commo , 2023 , with no n and obligations shal performance, reporti the “Effective Date Department, or a late documents incorpora r Certifications under governing performan ecedence, the appli Response (RFR) or t additional negotiat ncorporated herein, p AUTHORIZI X: (S Print Name: Print Title: STANDARD of 1 Administration and F ulation or policy. Th ms in this published es or the Commonw to access published EALTH DEPARTME artment Code: DCR iling Address: 251 ess (if different): nager: Lisa DeFeo defeo@mass.gov ID(s): 3CTDCR890 ment or Other ID N ___ C t Contract End Date ment Amount: $ T TYPE: (Check one ent to Date, Scope o ontract (Attach justif Employee (Attach an curement Exceptio d budget) onwealth Terms and ditions __ Commonw ance accepted in ac tercept for Commonw terms and any chan or new total if Contra ays from invoice rec _ % PPD; Payment is le __ statutory/legal Pay Discounts Polic perform traffi e intersection his Contract, or Con een incurred prior to ons have been incur ree that payments fo nd that the details an onwealth from furthe new obligations bein l survive its termina ing, invoicing or fina e” of this Contract o er Contract or Amen ated by reference a r the pains and pena nce of this Contrac cable Commonweal other solicitation, th ted terms will take provided that any am ING SIGNATURE F Signature and Date CONTRACT Finance (ANF), and he Commonwealth d form or to the Stan wealth IT Terms an d forms at CTR Form ENT NAME: R 1 Causeway St., Su 00SOMERVILLE Number: CONTRACT AME e Prior to Amendme . (or “no cha e option only. Atta or Budget (Attach u fication for Interim C ny updates to scope on (Attach authorizin d Conditions docum wealth Terms and C ccordance with the te wealth owed debts u nges if rates or terms act is being amende ceipt. Contractors re ssued within 20 day l or Ready Paymen cy.) ic engineerin n of Alewife B ntract Amendment, t o the Effective Date. rred prior to the Effe or any obligations in nd circumstances of er claims related to th ng incurred after th ation for the purpose al payments, or durin or Amendment shall ndment Start Date s as electronically pu alties of perjury, and ct and doing busine lth Terms and Cond e Contractor’s Resp precedence over th mended RFR or Res OR THE COMMON . e Must Be Handwrit