Fillable DCAMM - Applicant Checklist for DCAMM Online Contractor Certification Prime/General Certification

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DCAMM - Applicant Checklist for DCAMM Online Contractor Certification Prime/General Certification

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☐ Supplier Diversity Office (SDO) Certificate, if applicable
☐ Primary Contact information for your company and your company’s business address. Include a
separate mailing address, if applicable
☐ Federal Employer Identification Number (FEIN)
☐ For corporations and LLCs, your company’s most recent annual report filed with the Secretary of
State Corporations Division Click this link to access the Secretary of State's Corporation Division
☐ For unincorporated businesses, a business certificate filed with the applicable city or town
☐ For Corporations or LLCs applying for DCAMM certification online for the first time, your
company’s Articles of Incorporation or Articles of Organization
☐ Resumes of Principals, Management and Supervisory Personnel
☐ Copies of all applicable Licenses in the Category(s) of Work for which your company is seeking
Certification
☐ Information for up to twenty (20) of your company’s most recent construction projects of at least
$80,000 completed within the past five (5) years. Also required for projects in progress
☐ Bonding commitment letter addressed to DCAMM containing single project and aggregate work
limits for your company
☐ Most recent annual CPA-audited or CPA-reviewed Financial Statement, including balance sheet,
income statement, statement of cash flows, notes. CPA Letter stating highest 12 month volume
☐ Workers’ Compensation Policy Information Page showing coverage in Massachusetts and your
Experience Modification Rating (EMR)
☐ If your Policy Information Page does not include your EMR, or if your company does not qualify
(DNQ) for an EMR, a verification document from your insurance agent is required
☐ Division of Unemployment Assistance (DUA) Certificate of Compliance dated within thirty (30) days
of application submission. Certificates may be obtained at Click this link to access DUA Quest
☐ Authorized Signatory listing. If your company does not maintain a list of authorized signers, you
may use the Authorized Signatory Listing
on the Contractor Certification Applications page.
APPLICANT CHECKLIST FOR DCAMM ONLINE CONTRACTOR CERTIFICATION
PRIME/GENERAL CERTIFICATION
DCAMM Contractor Certification Office
Phone: 617-727-4050 x31305
Fax: 617-727-8284
Email: Certification.DCAMM@state.ma.us
Website: www.mass.gov/dcamm/certification
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DCAMM - Applicant Checklist for DCAMM Online Contractor Certification PrimeGeneral Certification

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Completed 15 May 2020

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