Fillable File Review 071117 DCAMM Letterhead

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File Review 071117 DCAMM Letterhead

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BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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Contractor Certification Office February 25, 2016
The Commonwealth of Massachusetts
Executive Office for Administration and Finance
Division of Capital Asset Management and Maintenance
One Ashburton Place
Boston, Massachusetts 02108
Tel: (617) 727-4050
Fax: (617) 727-8284
CHARLES D. BAKER
MICHEAL J. HEFFERNAN
GOVERNOR
SECRETARY
ADMINISTRATION & FINANCE
KARYN E. POLITO
CAROL W. GLADSTONE
LIEUTENANT GOVERNOR
COMMISSIONER
This will confirm that the undersigned has received the following file(s) from the Division of
Capital Asset Management & Maintenance Contractor Certification Office:
Contractor Name(s)
The undersigned acknowledges that the Update Statement, Contractor Certification
Application, and related application materials, including financial statements, are not public
records. The undersigned agrees not to disclose any information obtained from the contractor
certification file, except to the awarding authority on whose behalf the examination is being
conducted solely for the purpose of determining the contractor’s qualifications.
Signature
Date
Name
In Person File Review
Affiliation
Electronic File Review
Awarding Authority
Contractor Evaluations Only
Project Bid Number
Project Name
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File Review 071117 DCAMM Letterhead

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Completed 14 May 2020

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