Request for Proposals for Caretaker/Tenant for Mordecai Lincoln Caretaker's Cottage

Town of Scituate, Massachusetts
Request for Proposals
#26-01-SB MLP
Caretaker/Tenant of Mordecai Lincoln Cottage
May 6, 2026
PROPOSALS DUE:
June 15, 2026 at 11:00AM
*Late proposals will be rejected
Optional Site Walkthrough:
Thursday, May 28, 2026 11:00AM
James M. Boudreau
Town Administrator
600 Chief Justice Cushing Hwy
Scituate, MA 02066
accounting@scituatema.gov
(781) 545-8741

COVER SHEET
CONTACT INFORMATION:
Name of Proposer: Contact Individual:
Address:
Phone: Alternate Phone:
Email Address: Social Security/Federal Tax Identification Number:
Authorized Signature:

PROPOSER'S CHECKLIST
Submissions:
In one separate, sealed envelope, the Technical Proposal:
Cover Sheet
Proposer's Checklist
Required Certifications (Non Collusion and Tax Compliance)
Certificate of Corporate Bidder (if applicable)
Reference Form
Disclosure of Beneficial Interests Form
Attestations
Plan of Services
In another separate, sealed envelope, the Price Proposal:
Price Proposal Form
Minimum Requirements:
Yes No
1. Compliance with all submission requirements.
2. Proposer must be at least 18 years of age.
3. Complies with all criteria listed in 3.1

PRICE PROPOSAL FORM
The fair market rent for the Mordecai Lincoln Cottage is $2,250 per month. Payments are per
month for twelve (12) months, with the option to renew for up to two additional terms in one-year
increments at an increase of 3% each year by mutual consent.
Proposer agrees to provide the services outlined in this RFP.
Total monthly rent proposal.
$
(in figures) (in words)
*In the event of a discrepancy between figures and words, words will control.
(Signature of Proposer)
(Print Name)
(Date)

REQUIRED CERTIFICATIONS
NON-COLLUSION:
The undersigned certifies under penalties of perjury that this bid or proposal has been made and
submitted in good faith and without collusion or fraud with any other person. As used in this
certification, the word "person" shall mean any natural person, business, partnership, corporation,
union, committee, club, or other organization, entity, or group of individuals.
TAX COMPLIANCE:
Pursuant to M.G.L. c. 62C, 49A, I certify under the penalties of perjury that, to the best of my
knowledge and belief, I am in compliance with all laws of the Commonwealth relating to taxes,
reporting of employees and contractors, and withholding and remitting child support.
(Signature of authorized individual submitting proposal)
(Printed Name)
(Name of Business (if applicable))
(Federal Tax Identification or Social Security Number)

CERTIFICATE AS TO CORPORATE BIDDER (if applicable)
I, certify that I am the of the
corporation named as Bidder in the Bid included herein, that , who signed said
Bid on behalf of the Bidder was then of said corporation, that I
know his signature, that his signature thereon is genuine and that said Bid was duly signed, sealed
and executed for and in behalf of said corporation by authority of its governing body.
(Corporate Seal)
(Secretary-Clerk)
Dated:

REFERENCE FORM
Please provide the name and telephone number of at least three (3) references that can attest to the
proposer's history as a tenant or ability to maintain a building:
REFERENCE 1
Name:
Relationship to
Proposer/Basis of
Reference:
Telephone Number:
Email:
REFERENCE 2
Name:
Relationship to
Proposer/Basis of
Reference:
Telephone Number:
Email:
REFERENCE 3
Name:
Relationship to
Proposer/Basis of
Reference:
Telephone Number:
Email:

DISCLOSURE OF BENEFICIAL INTERESTS FORM
INSTRUCTION SHEET
NOTE: The Division of Capital Asset Management and Maintenance (DCAMM) shall have no
responsibility for insuring that the Disclosure Statement has been properly completed as required by law.
Acceptance by DCAMM of a Disclosure Statement for filing does not constitute DCAMM's approval of
this Disclosure Statement or the information contained therein. Please carefully read M.G.L. c. 7C,
s. 38 which is reprinted in Section 8 of this Disclosure Statement.
Section (1): Identify the real property, including its street address, and city or town. If there is no
street address then identify the property in some other manner such as the nearest cross street and its tax
assessors' parcel number.
Section (2): Identify the type of transaction to which this Disclosure Statement pertains --such as a sale,
purchase, lease, etc.
Section (3): Insert the exact legal name of the Public Agency participating in this Transaction with the
Disclosing Party. The Public Agency may be a Department of the Commonwealth of Massachusetts, or
some other public entity. Please do not abbreviate.
Section (4): Insert the exact legal name of the Disclosing Party. Indicate whether the Disclosing Party is
an individual, tenants in common, tenants by the entirety, corporation, general partnership, limited
partnership, LLC, or other entity. If the Disclosing Party is the trustees of a trust then identify the
trustees by name, indicate that they are trustees, and add the name of the trust.
Section (5): Indicate the role of the Disclosing Party in the transaction by checking one of the blanks. If
the Disclosing Party's role in the transaction is not covered by one of the listed roles then describe the
role in words.
Section (6): List the names and addresses of every legal entity and every natural person that has or will
have a direct or indirect beneficial interest in the real property. The only exceptions are those stated in
the first paragraph of the statute that is reprinted in Section 8 of this Disclosure Statement. If the
Disclosing Party is another public entity such as a city or town, insert "inhabitants of the (name of public
entity)." If the Disclosing Party is a non-profit with no individual persons having any beneficial
interest then indicate the purpose or type of the non-profit entity. If additional space is needed, please
attach a separate sheet and incorporate it by reference into Section 6.
Section (7): Check "NONE" in the box if none of the persons mentioned in Section 6 is employed by
DCAMM or an official elected to public office in the Commonwealth of Massachusetts. Otherwise list
any parties disclosed in Section 6 that are employees of DCAMM or an official elected to public office.
Section (8): The individual signing this statement on behalf of the Disclosing Party acknowledges that
he/she has read the included provisions of Chapter 7C, Section 38 (formerly Chapter 7, Section 40J) of
the General Laws of Massachusetts.

Section (9): Make sure that this Disclosure Statement is signed by all required parties. If the Disclosing
Party is a corporation, please make sure that this Disclosure Statement is signed by a duly authorized
officer of the corporation as required by the statute reprinted in Section 8 of this Disclosure Statement.
DCAMM's acceptance of a statement for filing does not signify any opinion by DCAMM that the
statement complies with applicable law.
This completed and signed Disclosure Statement should be mailed or otherwise delivered to:
Deputy Commissioner for Real Estate
Division of Capital Asset Management and Maintenance
One Ashburton Place, 15th Floor, Boston, MA 02108

The undersigned party to a real property transaction with a public agency hereby discloses and certifies, under
pains and penalties of perjury, the following information as required by law:
(1) REAL PROPERTY:
(2) TYPE OF TRANSACTION, AGEEMENT, or DOCUMENT:
(3) PUBLIC AGENCY PARTICIPATING in TRANSACTION:
(4) DISCLOSING PARTY'S NAME AND TYPE OF ENTITY:
(5) ROLE OF DISCLOSING PARTY (Check appropriate role):
_____Lessor/Landlord _____Lessee/Tenant
_____Seller/Grantor _____Buyer/Grantee
_____Other (Please describe): _______________________________________
(6) The names and addresses of all persons and individuals who have or will have a direct or indirect
beneficial interest in the real property excluding only 1) a stockholder of a corporation the stock of
which is listed for sale to the general public with the securities and exchange commission, if such
stockholder holds less than ten per cent of the outstanding stock entitled to vote at the annual
meeting of such corporation or 2) an owner of a time share that has an interest in a leasehold
condominium meeting all of the conditions specified in M.G.L. c. 7C, s. 38, are hereby disclosed
as follows (attach additional pages if necessary):
NAME RESIDENCE
(7) None of the above- named persons is an employee of the Division of Capital Asset Management and
Maintenance or an official elected to public office in the Commonwealth of Massachusetts, except as
listed below (Check "NONE" if NONE):
NONE