2024-20_Fine Paper Supplies_Bid Documents_complete.pdf

Putnam Northern Westchester BOCES

BOARD OF COOPERATIVE EDUCATIONAL SERVICES

200 BOCES Drive

Yorktown Heights, NY 10598-4399

(914) 248- 2398 FAX (914) 245-4540

E-MAIL: Purchasing@PNWBOCES.org

Don Mahler

Purchasing Agent

BEDFORD BREWSTER BRIARCLIFF CARMEL CHAPPAQUA CROTON-HARMON GARRISON HALDANE HENDRICK HUDSON

KATONAH-LEWISBORO LAKELAND MAHOPAC NORTH SALEM OSSINING PEEKSKILL PUTNAM VALLEY SOMERS YORKTOWN

NOTICE TO BIDDERS

Putnam/Northern Westchester BOCES, hereinafter PNW BOCES, hereby invites the submission of sealed bids for the following:

FINE PAPER SUPPLIES

BID# 2024-25

PNW BOCES

200 BOCES Drive School Services Building

Yorktown Heights, NY 10598

Contract Period: October 1, 2025 – September 30, 2026 (with two additional one-year options to renew)

Bid Due Date: August 25, 2025, 11:30 a.m.

At the above stated time and place, all bids will be publicly opened. At the bid opening, only bidder’s names and the first year of the bid will be read. Subsequent years of the bid will not be read, but will be available when the bid summary sheet is prepared. Specifications and bid forms may be obtained from http://www.bidnetdirect.com/

In the event that PNW BOCES Purchasing Office is closed the day of the Bid Opening, the bid(s) will be opened at the same time, on the next day that the PNW BOCES Purchasing Office is open.

All bids received after the date and time stated in the Notice to Bidders will not be considered.

PNW BOCES, reserves the right to accept each bid by individual item, by category, by groups of items or as a whole, or in its discretion, to reject all bids and re-advertise and rebid. PNW BOCES also reserves the right to waive any informality in the bid process if determined to be in the best interest of PNW BOCES.

Bids opened and read shall remain irrevocable for the contract period. The award of contracts, if at all, shall be made as soon as practicable after the bid opening. Any quantities, if shown, are estimates and not guaranteed.

Don Mahler Purchasing Agent

BID #2024-25

Fine Paper Supplies

THIS BID IS IN THREE SECTIONS:

SECTION A -- Requirements Section

SECTION B -- Information Section

SECTION C – Forms

TABLE OF CONTENTS

SECTION A -- REQUIREMENTS SECTION

Purpose

Scope and Reporting Requirements

Qualification of Bidders

Bid procedures and Requirements

SECTION B -- INFORMATION SECTION

Bid General Conditions

Contract Conditions & Specifications

Insurance

SECTION C -- FORMS

Insurance Documents Bid Sheet Piggybacking

Bidder Certification

Bidder Information and Reference Form

Vendor Responsibility Questionnaire

Indemnification Agreement

Hold Harmless Agreement

Non-Collusive Certification

Iran Divestment Statement

General Municipal Law Section 103-g statement

ACH Enrollment Form

W9 Form

SECTION A – REQUIREMENTS SECTION

1. PURPOSE

Through this Request for Bids, PNW BOCES and its Component Districts seek to establish an agreement with a vendor whose primary business is for Fine Paper Supplies.

PNW BOCES/District reserves the right to bid any project that may include these services separately when it is believed to be in the best interest of PNW BOCES/District.

2. SCOPE OF WORK

Fine Paper Supplies are needed at PNW BOCES.

All necessary materials will be provided by the awarded vendor (s) at the cost plus the percent mark-up listed in this bid unless otherwise specified by PNW BOCES/District.

3. QUALIFICATIONS OF BIDDERS

PNW BOCES may make any investigation necessary to determine the ability of the Bidder to fulfill the Contract(s), and the Bidder shall furnish PNW BOCES with all such information for this purpose as PNW BOCES may request.

If, in the opinion of PNW BOCES, the Bidder is not properly qualified or responsible to perform any obligations of the Contract bid upon, PNW BOCES reserves the right to reject its bid.

The following minimum requirements must be met to qualify for bidding:

a) Bidder must possess and demonstrate facilities, knowledge and capabilities to satisfy all requirements of this contract.

b) Bidders shall be able to demonstrate at least (3) years of continuous service for the work and services described. It is understood that the bidder will bid only for the labor in which he/she has expertise. References shall be provided as set forth herein. PNW BOCES reserves the right to request additional documentation or information from the bidders as a means of determining qualifications and/or responsibility.

c) Each bidder must demonstrate that it is a responsible service provider possessing adequate financial resources to accomplish the various services as described herein and that it has a satisfactory record of performance and integrity.

d) Bidder must include a reference list, setting forth the names of all school districts/ BOCES served by it with comparable services during the last five (3) years, and shall further set forth the name and telephone number of each business official or other school district liaison/ individual with respect to this item.

e) Bidder must submit a list of names and addresses of any person or entity owning 10% or more of the company.

Should any person or entity listed have ownership of another company, such information shall be disclosed. If bidder is a publicly traded corporation, the latest annual report listing all officers shall be provided.

f) Bidder must be financially responsible, as demonstrated by:

i. A lack of pending lawsuits or substantive outstanding judgments or liens, including Federal or State tax liens.

ii. A satisfactory credit history as evidenced by a review that may be made by PNW BOCES/School District.

iii. Work performance.

iv. Such other information as PNW BOCES/School District, in its sole discretion, determines is relevant to the responsibility of the bidder.

g) Upon investigation of any references and information submitted by the bidder, PNW BOCES/School District reserves the right to reject any bid where it is found that the bidder’s qualifications are not consistent with the information presented.

h) Contractor must provide copies of all applicable Federal & State licenses required to perform the services in the scope of this bid.

i) Contractor shall submit a resume of experience, list of current clients, key technical staff, principal’s name and telephone number, and references as deemed feasible.

4. BID PROCEDURES AND REQUIREMENTS

I. BID PACKAGE: Bids will be received via physical copy at the location listed in the Notice to Bidders until 11:30 AM on August 25, 2025, at which time they will be publicly opened and the 1st year read aloud.

Bidder must submit with the bid:

• Insurance Documents

• Bid Sheet

• Piggybacking

• Bidder Certification

• Bidder Information & Reference Form

• Vendor Responsibility Questionnaire

• Indemnification Agreement

• Hold Harmless Statement

• Non-Collusive Statement

• Iran Divestment Statement

• Non-Discrimination Statement

• General Municipal Law Section 103-g statement

• ACH Enrollment Form

• W9 Form

The contract period shall be from October 1, 2025, through September 30, 2026. PNW BOCES reserves the right to renew with two additional one-year options if deemed in the best interest of PNW BOCES/District.

Bidder may be required to submit evidence that they possess the necessary equipment, experience and means to satisfactorily perform and render the work and service herein described. PNW BOCES, in its sole discretion, shall determine the adequacy of equipment, experience, and means.

No interpretation of the meaning of the specifications or other contract document will be made to any Contractor orally.

Every request for such interpretation should be made in writing, via PNW BOCES’ solicitation on www.bidnetdirect.com by August 6, 2025 at 12 p.m. Answers will be posted as an addendum on www.bidnetdirect.com on August 8, 2025.

II. DISCREPANCIES: Discrepancies and questions related to the bid documents and specifications must be brought to the attention of the Purchasing Agent by means of a question posted on www.bidnetdirect.com before submission of the bid.

Failure to obtain clarification in writing shall not relieve the Contractor of performing the normal good practice of the industry.

SECTION B – INFORMATION SECTION

1. BID GENERAL CONDITIONS

All invitations to bid issued by PNW BOCES will bind bidders and successful bidders to the conditions and requirement set forth in these general conditions and such conditions shall form an integral part of each contract awarded by PNW BOCES.

A. DEFINITIONS

"PNW BOCES" shall be the legal designation of the Board of

Cooperative Educational Services, Putnam/Northern Westchester Counties.

"Board" The Board of Education.

"Bid" an offer to furnish materials, supplies and/or equipment in accordance with the invitation to bid, the general conditions and the specifications.

"Bid Sheet" the form on which the bidder submits his bid.

"Bidder, Contractor, Vendor" any individual, company or corporation submitting a bid.

"Successful Bidder" any bidder to whom an award is made by BOCES.

"Specification" description of contract work to be done.

B. BIDS

1. The date and time of bid opening will be given in the Notice to Bidders.

2. All bids must be submitted on and in accordance with forms provided by the Board.

3. All bids received after the time stated in the Notice to Bidders will not be considered.

The bidder assumes the risk of any delay in the delivery of their proposal to the Purchasing Department.

4. The submission of a bid will be construed to mean that the bidder is fully informed as to the extent and character of the services, supplies, materials, or equipment required and a representation that the bidder can furnish the services, supplies, materials or equipment satisfactorily in complete compliance with specifications. Furthermore, the Bidder represents it is acquainted with work site conditions under which the contract work is to be performed.

5. Prices and information required, except signature of bidder, should be typewritten or printed clearly. Illegible or vague bids may be rejected. All signatures must be written.

Facsimile, printed, or typewritten signatures are not acceptable.

6. No charge will be allowed for federal, state, or municipal sales and excise taxes since the school District and PNW BOCES are exempt from such taxes.

In all specifications, the words "or equal" are understood after each article giving manufacturer's name or catalog reference, or on any patented article. The decision of PNW BOCES as to whether an alternate or substitution is in fact "equal" shall be final. If bidding on items other than those specified, bidder must in every instance give the trade designation of the article, manufacturer's name and detailed specifications of item he proposes to furnish. Otherwise, bid will be construed as submitted on the identical item as specified

7. Under penalty of perjury, the bidder certifies that:

(a) The bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids and,

(b) The contents of the bid have not been communicated by the bidder, nor to its best knowledge and belief, by any of its employees or agents to any person not an employee or agent of the bidder, or its surety, on any bond furnished herewith prior to the official opening of the bid.

8. All bids must be submitted in physical form per the Notice to Bidders.

9. No interpretation of the meaning of the specifications or other contract document will be made to any bidder orally. Every request for such interpretation should be in writing, addressed to the Purchasing Agent. Notice of any and all such interpretations and any supplemental instructions will be published on www.bidnetdirect.com, in the form of addenda to the specifications. All addenda so issued shall become a part of the contract documents.

10. The Contractor has the burden to provide proof that all insurance certificates, permits, licenses, franchise agreements, etc. have been renewed and are up to date. Failure to do so may disqualify the Contractor from bidding.

C. AWARD

11. PNW BOCES reserves the right to reject all bids. Also, reserved is the right to reject, for cause, any bid in whole or in part to waive technical defects; qualifications;

irregularities, and omissions if in its judgement the best interests of PNW BOCES will be served.

12. PNW BOCES at its discretion, may choose to award all, part, or none of this work as a result of this bid. PNW BOCES reserves the right to award the contract in its entirety or may at its discretion and in its best interest, award to more than one Contractor.

Where a bidder is requested to submit a bid on individual items and also on a total sum or sums, the right is reserved to award bids on individual items or on total sums.

13. PNW BOCES reserves the right to make awards within (60) days after the date of the bid opening during which period bids may not be withdrawn unless the bidder distinctly states in his bid that acceptance thereof must be made within a shorter specified time.

14. If the Contractor, prior to submission of his bid, fails to notify PNW BOCES in writing of the existence of any condition, ambiguity, inconsistency or error in any of the contract documents, or of a conflict between provisions in a contract document and provisions of a State Law or applicable code, their bid will be conclusively presumed to be based upon the interpretation of such ambiguity or inconsistency, or the directions correcting such error or conflict which may subsequently be given.

15. In the event of conflict, ambiguity and/or unclear circumstances between any of the requirements of the Contract Documents, the requirement that is most inclusive and of highest quality, quantity, and/or cost shall govern. The Contractor shall (1) provide the better quality or greater quantity of work and/or (2) comply with the more stringent requirement; either or both in accordance with PNW BOCES Representative’s interpretation. The Contractor herewith agrees that no extra compensation shall be awarded to the Contractor based upon a claim of conflict, ambiguity or unclear circumstances in the Contract.

2. CONTRACT CONDITIONS

1. Each bid will be received with the understanding that the acceptance thereof in writing by Purchase Order or letter by PNW BOCES, to furnish any or all of the items described therein shall constitute a contract between the successful bidder and PNW BOCES. The contract shall bind the successful bidder on his part to furnish and deliver at the prices and in accordance with the conditions of his bid. The contract shall bind PNW BOCES on its part to order from such successful bidder (except in the case of emergency) and to pay for at the contract prices.

2. The placing in the mail of a Notice of Award or Purchase Order to a successful bidder, to the address given in his bid, will be considered sufficient notice of acceptance of contract.

3. If the successful bidder fails to deliver within the time specified, or within reasonable time as interpreted by PNW BOCES, or fails to make replacement of rejected work when so requested, immediately or as directed by PNW BOCES, PNW BOCES may contract with other sources. On all such contracts, the successful bidder agrees to reimburse PNW BOCES promptly for any excess costs.

4. The quality of service, including Contractor records, shall be subject to inspection by PNW BOCES at any time. Should it be found that quality of services being performed is not satisfactory, or that requirements of the specifications are not being met, PNW BOCES may terminate the Contract for cause and employ another Contractor to fulfill the requirements of the Contract.

5. Cancellation of contract for any reason may result in removal of the successful bidder's name from mailing list for future proposals.

6. It is mutually understood and agreed that the successful bidder shall not assign, transfer, convey, sublet, or otherwise dispose of the contract or his right, title, or interest therein, or his power to execute such contracts, to any other person, company, or corporation without the previous written consent of PNW BOCES.

7. The successful bidder guarantees to furnish adequate protection from damage for all work and to repair damages of any kind for which he or his workmen are responsible, to the building or equipment, to his own work, or to the work of other successful bidders.

8. In accordance with Section 220 of the New York Labor Law, the Industrial

Commissioner, Department of Labor, State of New York, the prevailing rates of wages, including supplemental benefits thereto are to be provided to workers, laborers and mechanics employed on public work projects at the time the work is being performed by the successful vendor. A rate schedule for this project is available from the New York State Department of Labor and will also be attached to the award.

9. In accordance with Labor Law 220-h of the New York Labor Law, every worker performing work on a public work contract in excess of $250,000 (two hundred fifty thousand dollars) must be certified as having completed an OSHA 10 safety training course prior to performing any work on the project. All contractors and subcontractors must attach a copy of proof of completion of the OSHA 10 course to the first certified payroll submitted to the contracting agency and on each succeeding payroll where any new or additional employee is first listed. Proof of completion may include but is not limited to copies of a bona fide course completion card, training roster, attendance record, or other documentation from the certified trainer pending issuance of card.

10. Contractor shall assume all obligations to hold the Board of Trustees free and harmless from every expense, liability or payment by reason of any injury to any person or persons, suffered by reason of or through any act or omission of the contractor in the performance of the work and as otherwise set forth and agreed to pursuant to the defense, indemnity and hold harmless agreement attached hereto, which form must be filled out by the contractor and provided with the bid proposal.

11. It is understood that this Contract in no way excludes PNW BOCES/District from using its own forces, or services provided by other School Districts or BOCES, or in any way limits PNW BOCES from using other contractors in performing similar or other services. PNW BOCES reserves the right to furnish parts and materials if it deems it to be in its best interest.

12. Contractor shall be legally responsible for compliance with all state, federal or local laws, regulations or ordinances relating to the job.

13. Contractor shall not subcontract any of the work without prior approval of PNW BOCES. If approved, subcontractors are bound by all of the terms and conditions of this primary contract.

14. All labor shall be performed by the trade person(s) skilled in the trade they are performing. At the time of the bid, the Contractor and the trade person(s) performing the work must possess the appropriate licenses, certifications and training necessary to perform work covered under this contract. Documentation shall be made available to PNW BOCES on request.

15. Contractor shall not employ individuals or means which may cause stoppage or delay in the work under this Contract or that of any Contractor or any work in or about the premises of the buildings or any building or premises under the control of

PNW BOCES.

16. Upon request, PNW BOCES representatives shall be provided with work logs and certified payroll records for all personnel engaged in any contract work during any phase of this agreement.

17. The Contractor shall furnish adequate supervisory and labor personnel to ensure the project is completed according to the agreed upon schedule. PNW BOCES reserves the right to reject and bar from the facility any employee hired by the Contractor.

18. PNW BOCES will not be responsible for receiving deliveries, or for the loss, theft, or damage of materials, supplies or other items belonging to the Contractor. Stored materials shall be the responsibility of the Contractor until they are installed or accepted by PNW BOCES.

19. Work areas shall be clearly delineated and access restricted if necessary in a manner acceptable to PNW BOCES. The Contractor is responsible to protect their work and secure their work area(s) to prevent injury and vandalism.

20. Contractor shall protect all persons and property from odors, dust and other environmental hazards resulting from contract related activities.

21. Contractor shall protect from damage the property upon which the work is to be done as well as surrounding properties and if any damage occurs shall, at contractor’s own expense, repair or otherwise make good such damage to the entire satisfaction of PNW BOCES. Old materials are the property of the Contractor unless otherwise specified.

22. Work performed under this agreement must be scheduled to avoid the interruption of PNW BOCES operations, and contact with students and staff.

23. Contractor shall strictly adhere to work hour restrictions in place at the time of construction. The Superintendent or Designee may stop work at any time in case of emergency or if it is determined that the construction operations are interfering with or causing an unsafe condition, in which case there will be no claim for delay.

24. The Contractor shall agree to establish security procedures and guidelines subject to

PNW BOCES approval. The Contractor shall provide all employees with identification acceptable to the BOCES to be worn at all times while on PNW BOCES property and will confine the movement of its personnel to areas where the work is being performed.

25. The Contractor is required to provide employees with safety training and shall require its personnel to wear the appropriate protective clothing and personal protection equipment as required under applicable laws and best practice, the cost of which shall be included in the labor rates.

26. Guarantees or warrantees of the work performed and materials used shall be provided for a period of one year. If the manufacturer of any materials and/or equipment provides a warranty of more than one year, the Contractor shall provide to PNW BOCES a warranty equal in length to that of the manufacturer’s warranty.

Repair and/or replacement of, in the event of defects, shall be at the sole and total expense of the Contractor.

27. Contractor shall at all times keep the premises free from accumulation of waste materials or rubbish generated by their employees or work. At the end of every day/ shift, work areas shall be cleaned, and materials, tools and equipment stored in a place and manner acceptable to PNW BOCES. At the completion of the work, the

Contractor shall remove all rubbish and surplus material from the site and legally dispose of it, leaving the work area clean and ready for use.

28. Contractors may not utilize any asbestos containing materials and may not disturb any existing asbestos containing material. Prior to working in an area where the Contractor suspects the presence of asbestos, Contract must notify PNW BOCES representative to discuss the procedures to be followed.

29. It is the Contractor’s responsibility to supervise contracted labor. It is the Contractor’s responsibility to receive and store materials unless previously agreed to prior to the start of the project. Materials shall be received and stored by the Contractor. Materials stored on site shall be the responsibility of the Contractor until they are installed and accepted by PNW BOCES/District.

30. Every effort will be made to schedule construction to ensure a continuous operation to the benefit of the Contractor; however, the Superintendent or Designee may stop work at any time in case of emergency or if it is determined that the construction operations are interfering with or causing an unsafe condition for the students and staff, in which case there will be no claim for delay.

3. CONTRACT SPECIFICATIONS

1. Contractor shall comply with all rules, regulations and standards for building code, electrical code and fire safety and of all agencies governing asbestos and mold removal, including but not limited to NYS Department of Labor, the Environmental Protection Agency and the Occupational Safety and Health Administration.

2. Contractor will provide skilled and experienced labor. All personnel must possess the appropriate licenses, certificates and training required by law to perform work under this contract. Documentation shall be made available to PNW BOCES/District upon request.

3. Contractor shall provide prompt service and complete all work within a time frame stipulated by PNW BOCES/District.

4. Contractor shall provide all employees with identification acceptable to PNW BOCES/Districts to be worn at all times while on PNW BOCES/District property and will confine the movements of its personnel to the work areas. Contractor's employees will have no contact with students. No smoking or other tobacco use, consumption of alcoholic beverages, or use of illegal drugs will be permitted anywhere on PNW BOCES/School Grounds. No smoking is permitted within 100 feet of the boundary of any elementary or secondary school.

5. Contractor shall inspect work areas and promptly notify the Director of Facilities & Operations of the existence of any observed unsafe conditions.

6. Contractor shall field verify quantities and conditions prior to quoting each project.

7. Contractor is responsible to receive all deliveries unless previously agreed to prior to the start of the project. Contractor shall, at the time of delivery, unconditionally own all materials delivered to the job site. Materials, equipment, and supplies stored on site shall be in an area designated by PNW BOCES/District and shall be the responsibility of the Contractor.

8. METHOD OF PAYMENT: Payment will be made based on unit prices bid. With prior approval from PNW BOCES/District, time and material rates may be used when unit pricing does not conform to the scope of work. Requests for payment must include a detailed breakdown of labor, material, equipment, and applicable overhead and profit, plus copies of all original materials invoices.

The labor required to provide BOCES/District with an estimate for work, new or amended, is not billable under this contract unless agreed to in writing prior to the site visit.

9. TIME & MATERIALS (T&M) WORK: Prior to the start of work PNW BOCES/ District and Contractor shall develop the exact or estimated cost based on number of hours needed to complete the work times the number of personnel used.

10. Contractor must perform a site visit and provide a cost proposal to be approved by the Director of Facilities and Operations, or designee. If an exact cost cannot be determined at that time, then with the permission of PNW BOCES/District, Contractor may give an estimated cost, but shall only be paid for hours actually worked. All labor, material and equipment furnished under this section shall have a dated work ticket indicating the time, material and equipment furnished on that date. The work ticket shall be signed by a designated PNW BOCES/District employee on the Labor:

(a) The hourly rate bid for labor shall include all overhead costs and profit.

(b) For projects requiring multiple employees, it is expected that a laborer will be used to perform non-journeyman work, at the hourly rate bid.

(c) The only billable time is that in which work is being performed on the site. If the need arises for work to be performed off-site, this work must be approved in advance by PNW BOCES/District. There will be no payment for travel time. The work and billable time is subject to inspection and approval.

11. Materials & Equipment (M&E):

(a) Material payment will be for in-place quantities with reasonable allowance for waste.

(b) Equipment not normally used in the day to day business of the trade maybe considered for additional compensation.

(c) M&E provided to complete the project will be reimbursed on a cost-plus percentage basis for overhead and profit at the rates bid.

(d) The Contractor will exercise due diligence to insure they secure the best value for PNW BOCES/District when purchasing materials.

(e) The purchase or rental cost is what the Contractor actually paid, including discounts that are to be passed on to PNW BOCES/Districts. Applications for payment must be accompanied by the original receipt for these items or services.

Putnam|Northern Westchester

200 BOCES Drive

Yorktown Heights, NY 10598-4399

(914) 245-2700

1 | P a g e R e v . 0 6 / 2 0 2 5

INSURANCE REQUIREMENTS

MAINTENANCE, REPAIR AND SERVICE PROVIDERS

1. Notwithstanding any terms, conditions or provisions, in any other writing between the parties, the contractor hereby agrees to effectuate the naming of Putnam-Northern Westchester BOCES (hereinafter referred to as “PNW BOCES”) as an Additional Insured on the contractor’s insurance policies, except for Workers’ Compensation and NY State Disability insurance.

2. The policy naming PNW BOCES as an Additional Insured shall:

a. Be an insurance policy from an A.M. Best A-rated or better insurer, licensed to conduct business in New York State. A New York licensed and admitted insurer is required.

b. State that the organization’s coverage shall be primary and non-contributory coverage for PNW BOCES, its Board, employees and volunteers with a waiver of subrogation in favor of PNW BOCES for all coverages including Workers' Compensation.

c. Additional insured status shall be provided by standard or other endorsements that extend coverage to PNW BOCES for ongoing operations (CG 20 38) or equivalent and completed operations (CG 20 37) or equivalent. The decision to accept an endorsement rests solely with PNW BOCES. A completed copy of the endorsement must be attached to the Certificate of Insurance to include General Liability, Auto Liability and Umbrella/Excess coverages.

d. There will be coverage restrictions and/or exclusions involving New York State Labor Law statutes or gravity related injuries.

e. No policies containing escape clauses or exclusions contrary to the Owner’s interests will be accepted.

3. a. The maintenance of insurance must describe the services provided by the maintenance, repair or service provider that are covered by the liability policies.

b. At PNW BOCES’ request, the maintenance, service or repair provider shall provide a copy of the declaration page of the liability policies with a list of endorsements and forms. If requested, the maintenance, service or repair provider will provide a copy of the policy endorsements and forms.

4. The maintenance, repair, or service provider agrees to indemnify PNW BOCES for applicable deductibles and self-insured retentions.

200 BOCES Drive

Yorktown Heights, NY 10598-4399

(914) 245-2700

2 | P a g e R e v . 0 6 / 2 0 2 5

5. Minimum Required Insurance:

a. Commercial General Liability Insurance

$1,000,000 per Occurrence/$2,000,000 Aggregate $2,000,000 Products and Completed Operations $1,000,000 Personal and Advertising Injury $100,000 Fire Damage $10,000 Medical Expense The general aggregate shall apply on a per-project basis.

b. Automobile Liability $1,000,000 combined single limit for owned, hired, borrowed and non-owned motor vehicles.

c. Workers' Compensation and NYS Disability Insurance Statutory Workers' Compensation (C-105.2 or U-26.3); and NYS Disability Insurance (DB- 120.1) for all employees. Proof of coverage must be on the approved specific form, as required by the New York State Workers’ Compensation Board. ACORD certificates are not acceptable. A person seeking an exemption must file a CE-200 Form with the state.

The form can be completed and submitted directly to the WC Board online.

d. Umbrella/Excess Insurance $3,000,000 each Occurrence and Aggregate coverage.

$10,000,000 each Occurrence and Aggregate for high risk construction, work at elevation (>1 story or 10 feet) and/or for project values greater than $1,000,000.

Umbrella/Excess coverage shall be on a follow-form basis or provide broader coverage over the General Liability and Auto Liability coverages.

e. Garage Liability & Garagekeepers Insurance (where applicable) $1,000,000 limit for garage operations; minimum of $75,000 per vehicle for Garagekeepers liability. The policy shall include coverage for all garage operations of the service provider, including premises and operations, products and completed operations and Garagekeepers liability coverage.

6. The maintenance, repair or service provider acknowledges that failure to obtain such insurance on behalf of the PNW BOCES constitutes a material breach of contract and subjects it to liability for damages, indemnification and all other legal remedies available to PNW BOCES. The maintenance, service or repair provider is to provide PNW BOCES with a certificate of insurance, evidencing the above requirements have been met. The failure of PNW BOCES to object to the contents of the certificate or the absence of same shall not be deemed a waiver of any rights held by PNW BOCES.

Bid Request Compilation and Vendor Response Form

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSBOND PAPER 8 1/2 X 11 20 LB COCKEL FINISH (25% RAG PAPER) WHITEFNPAPR00001

1.00CSBOND PAPER 8 1/2 X 11 20 LB WATERMARKED #1 SULPHITE-WHITEFNPAPR00002

1.00CSBOND PAPER 8 1/2 X 11 24 LB 25% RAG WHITEFNPAPR00003

1.00CSBlank Vert. Perf, 8 1/2" x 11", 20 lb White, 5/8" from LeftFNPAPR00155

1.00EACARBONLESS UNIVERSAL DIGITAL & OFFSET REV/STR PRECOLLATED, 2PT 8.5 X 11FNPAPR00013

1.00EACARBONLESS UNIVERSAL DIGITAL & OFFSET STRAIGHT PRECOLLATED, 3PT 8.5 X 11FNPAPR00014

1.00EACARBONLESS UNIVERSAL DIGITAL & OFFSETPRECOLLATED, 4PRT 8.5 X 11FNPAPR00015

1.00CSCOPY PAPER 11 X 17 20 LB BLUEFNPAPR00016

1.00CSCOPY PAPER 11 X 17 20 LB BUFFFNPAPR00017

1.00CSCOPY PAPER 11 X 17 20 LB CHERRYFNPAPR00018

1.00CSCOPY PAPER 11 X 17 20 LB GREENFNPAPR00019

1.00CSCOPY PAPER 11 X 17 20 LB IVORYFNPAPR00020

1.00CSCOPY PAPER 11 X 17 20 LB SALMONFNPAPR00028

1.00CSCOPY PAPER 11 X 17 20 LB WHITEFNPAPR00029

1.00CSCOPY PAPER 11 X 17 20 LB YELLOWFNPAPR00030

1.00CSCOPY PAPER 11 X 17 28 LB FINE COLOR COPY, BRIGHT WHITE, ULTRA SMOOTH

1500SHTS/CS

FNPAPR00031

1.00CSCOPY PAPER 11 X 17 32 LB HEAVY WEIGHT ULTRA WHITE (92 BRIGHT) LONG GRAIN, GLOSS

ULTRA SMOOTH FINISH, HIGH RESOLUTION HIGH PERFORMANCE PAPER 1500/CASE

(MUST SEND SAMPLE)

FNPAPR00032

1.00CSCOPY PAPER 11x17 70LB/ 28 #16 TEXT LONG GRAIN WHITE - COUGARFNPAPR00033

1.00CSCOPY PAPER 8 1/2 X 11 20 LB BUFFFNPAPR00037

WinCap Ver. 25.07.31.2361

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSCOPY PAPER 8 1/2 X 11 20 LB CANARYFNPAPR00038

1.00CSCOPY PAPER 8 1/2 X 11 20 LB CHERRYFNPAPR00039

1.00CSCOPY PAPER 8 1/2 X 11 20 LB GOLDFNPAPR00040

1.00CSCOPY PAPER 8 1/2 X 11 20 LB GRAYFNPAPR00041

1.00CSCOPY PAPER 8 1/2 X 11 20 LB GREENFNPAPR00042

1.00CSCOPY PAPER 8 1/2 X 11 20 LB IVORYFNPAPR00043

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON BLUEFNPAPR00044

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON GREENFNPAPR00045

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON ORANGEFNPAPR00046

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON PINKFNPAPR00047

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON REDFNPAPR00048

1.00CSCOPY PAPER 8 1/2 X 11 20 LB NEON YELLOWFNPAPR00049

1.00CSCOPY PAPER 8 1/2 X 11 20 LB ORCHIDFNPAPR00050

1.00CSCOPY PAPER 8 1/2 X 11 20 LB PINKFNPAPR00051

1.00CSCOPY PAPER 8 1/2 X 11 20 LB SALMONFNPAPR00052

1.00CSCOPY PAPER 8 1/2 X 11 20 LB TANFNPAPR00053

1.00CSCOPY PAPER 8 1/2 X 11 20 LB WHITE 3 HOLE PUNCHEDFNPAPR00054

1.00CSCOPY PAPER 8 1/2 X 11 24 LB WHITEFNPAPR00056

1.00CSCOPY PAPER 8 1/2 X 11 32 LB WHITE FOR HIGH SPEED COPIERS,PRINTER & DUPLICATORS

LONG GRAIN3000/CTN

FNPAPR00057

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSCOPY PAPER 8 1/2 X 14 20 LB WHITEFNPAPR00068

1.00CSCOPY PAPER 8 1/2 x 11 20 LB WHITE - SPECIFY BRAND NAMEFNPAPR00034

1.00CSCOPY PAPER 8 1/2 x 11 20 LB BLUEFNPAPR00036

1.00CSCOPY PAPER, 11 X 17 32LB WHITE HEAVY WEIGHT, ULTRA WHITE (92 BRIGHT) LONG

GRAIN ULTRA SMOOTH FINISH, HIGH RESOLUTION, HIGH PERFORMANCE 1500/CASE

FNPAPR00075

1.00CSCopy Paper 12x18 28# White (Finch)FNPAPR00162

1.00CSCopy Paper 12x18 Text 80# uncoated (Lynx)FNPAPR00163

1.00CSDIGITAL COLOR GLOSS COATED 2 SIDED COVER 11 X 17 100 LB WHITEFNPAPR00077

1.00CSDIGITAL COLOR GLOSS COATED 2 SIDED TEXT 11 X 17 100 LB WHITEFNPAPR00079

1.00CSDigital Cover, 100lb, 18x12, Short Grain Cover-LynxFNPAPR00153

1.00CSDigital Gloss text, two sided, 80lb, 11x17 FuturaFNPAPR00149

1.00CSDigital Gloss text,two sided, 80lb., 12x18FNPAPR00148

1.00CSDigital cover, 80lb, 18x12, smooth short grain-LynxFNPAPR00152

1.00CSGLOSS COVER 80 LB 11 X 17 FUTURAFNPAPR00082

1.00CSGLOSS TEXT TWO SIDED 100 LB 12 X 18FNPAPR00084

1.00CSGloss Cover 100# 12x18FNPAPR00164

1.00CSGloss Cover 80# 13x19 WhiteFNPAPR00160

1.00CSGloss Cover, 80lb, 19x13-FuturaFNPAPR00154

1.00CSGloss Text 100# 11x17FNPAPR00165

1.00CSGloss cover, 80lb, 17x11 FuturaFNPAPR00150

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSGloss cover, 80lb, 18x12 FuturaFNPAPR00151

1.00CSINDEX COVER STOCK 11 X 17 65 LB BLUEFNPAPR00089

1.00CSINDEX COVER STOCK 11 X 17 65 LB CANARYFNPAPR00090

1.00CSINDEX COVER STOCK 11 X 17 65 LB GREENFNPAPR00091

1.00CSINDEX COVER STOCK 11 X 17 65 LB IVORYFNPAPR00092

1.00CSINDEX COVER STOCK 11 X 17 65 LB ORCHIDFNPAPR00093

1.00CSINDEX COVER STOCK 11 X 17 65 LB PINKFNPAPR00094

1.00CSINDEX COVER STOCK 11 X 17 65 LB WHITEFNPAPR00095

1.00CSINDEX STOCK 11 X 17 110# OR 65# Cover GoldenrodFNPAPR00159

1.00CSINDEX STOCK 11 X 17 110 LB BLUEFNPAPR00096

1.00CSINDEX STOCK 11 X 17 110 LB BUFFFNPAPR00097

1.00CSINDEX STOCK 11 X 17 110 LB CANARYFNPAPR00098

1.00CSINDEX STOCK 11 X 17 110 LB CHERRYFNPAPR00099

1.00CSINDEX STOCK 11 X 17 110 LB GREENFNPAPR00100

1.00CSINDEX STOCK 11 X 17 110 LB IVORYFNPAPR00101

1.00CSINDEX STOCK 11 X 17 110 LB SALMONFNPAPR00102

1.00CSINDEX STOCK 11 X 17 110 LB WHITEFNPAPR00103

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER BLUEFNPAPR00104

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER GOLDFNPAPR00105

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER GREENFNPAPR00106

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER ORANGEFNPAPR00107

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER PINKFNPAPR00109

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER REDFNPAPR00110

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER TURQUOISEFNPAPR00111

1.00CSINDEX STOCK 11 X 17 65 LB HOT COVER YELLOWFNPAPR00112

1.00CSINDEX STOCK 8 1/2 X 11 65# HOT Cover Neon GreenFNPAPR00158

1.00CSINDEX STOCK 8 1/2 X 11 65# HOT Cover OrangeFNPAPR00156

1.00CSINDEX STOCK 8 1/2 X 11 65# HOT Cover RedFNPAPR00157

1.00CSINDEX STOCK 8 1/2 X 11 110 LB BLUEFNPAPR00113

1.00CSINDEX STOCK 8 1/2 X 11 110 LB BUFFFNPAPR00114

1.00CSINDEX STOCK 8 1/2 X 11 110 LB CANARYFNPAPR00115

1.00CSINDEX STOCK 8 1/2 X 11 110 LB CHERRYFNPAPR00116

1.00CSINDEX STOCK 8 1/2 X 11 110 LB GREENFNPAPR00117

1.00CSINDEX STOCK 8 1/2 X 11 110 LB IVORYFNPAPR00118

1.00CSINDEX STOCK 8 1/2 X 11 110 LB ORCHIDFNPAPR00119

1.00CSINDEX STOCK 8 1/2 X 11 110 LB SALMONFNPAPR00120

1.00CSINDEX STOCK 8 1/2 X 11 110 LB WHITEFNPAPR00121

1.00CSINDEX STOCK 8 1/2 X 11 110 LB NEON BLUEFNPAPR00122

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

1.00CSINDEX STOCK 8 1/2 X 11 110 LB NEON ORANGEFNPAPR00123

1.00CSINDEX STOCK 8 1/2 X 11 110 LB NEON REDFNPAPR00124

1.00CSINDEX STOCK 8 1/2 X 11 110 LB NEON YELLOWFNPAPR00125

1.00CSINDEX STOCK 8 1/2 X 11 110 LB NEON PINKFNPAPR00126

1.00CSINDEX STOCK 8 1/2 X 11 90 LB NEON FUSHIAFNPAPR00128

1.00CSINDEX STOCK 8 1/2 X 11 90 LB NEON GREENFNPAPR00129

1.00CSINDEX STOCK 8 1/2 X 11, 110 LB, NEON GREENFNPAPR00130

1.00CSMatte Cover 80# 13x19 WhiteFNPAPR00161

1.00CSOPAQUE 60 LB 11 X 17 LUNXFNPAPR00131

1.00CSPARCHMENT PAPER-24 LB FOR USE IN HIGH SPEED COPIERS, PRINTERS- NATURAL 8 1/2 X

11-LONG GRAIN

FNPAPR00134

1.00CSTABS, COPIER TABS 1/5 CUT STRAIGHT COLLATED, 90#WHITE INDEX- 3 HOLEFNPAPR00141

1.00CSTABS, COPIER TABS 1/5 CUT STRAIGHT COLLATED, NO HOLES, 90#WHITE INDEX, 9X11

PLAIN

FNPAPR00142

1.00CSVELLUM 8 1/2 X 11 67 LB ORCHIDFNPAPR00143

1.00CSVELLUM 8 1/2 X 11 67 LB IVORYFNPAPR00145

1.00CSVELLUM 8 1/2 X 11 67 LB WHITEFNPAPR00146

TotalBid Item Count: 110

Putnam/Northern Westchester BOCES 02:55:28 pm

August 01, 2025

Bid: FINE PAPER 2024-25 Fine Paper (10/1/25-9/30/26) Vendor Name

Item Number Item Description/Specification

Unit of

Measure

Quantity

Reported Unit Price Total Bid

Vendor

Reference

Selection Criteria

Bid: FINE PAPER 2024-25

Print Only Items With Quantities

Sort By: Item Description

Printed by Donald Mahler

200 BOCES Drive Yorktown Heights, NY 10598-4399

(914) 248-2398 FAX (914) 245-4540

E-MAIL: dmahler@pnwboces.org

Don Mahler Purchasing Agent

BEDFORD BREWSTER BRIARCLIFF CARMEL CHAPPAQUA CROTON-HARMON GARRISON HALDANE HENDRICK HUDSON

KATONAH-LEWISBORO LAKELAND MAHOPAC NORTH SALEM OSSINING PEEKSKILL PUTNAM VALLEY SOMERS YORKTOWN

PIGGYBACKING

The contractor acknowledges that, pursuant to New York General Municipal Law Section 103 (16), Putnam Northern Westchester BOCES, intends to allow all political subdivisions in the State of New York to participate in the contract.

These political subdivisions include, but are not limited to, local governments (villages, towns, etc.), public authorities, public school and fire districts, public and non-profit libraries, and certain other nonpublic/nonprofit organizations.

Such political subdivisions shall participate in this contract by entering into their own separate contracts with the contractor that are based upon, incorporate and honor the terms, conditions, specifications and prices of this bid and contract.

Please Initial Only ONE of the following:

I Agree to Participate in Piggybacking:_______

I Do Not Agree to Participate in Piggybacking: ______

(Person or Business Name) Authorized Signature

Date

Sworn to me on this ___, Day of ___, 20__

Notary Public signature

PUTNAM NORTHERN WESTCHESTER BOCES

200 BOCES Drive

Yorktown Heights, NY 10598

BIDDER CERTIFICATION

PLEASE COMPLETE AND RETURN WITH YOUR BID:

THE BIDDER DECLARES AND CERTIFIES:

THAT THE SAID BIDDER HAS CAREFULLY EXAMINED THE INSTRUCTIONS TO

BIDDERS, SCHEDULES AND SPECIFICATIONS PREPARED UNDER THE DIRECTION OF

THE BOARD OF EDUCATION, AND WILL, IF SUCCESSFUL IN THIS BID, FURNISH AND

DELIVER AT THE PRICES BID AND WITHIN THE TIME STATE, ALL THE MATERIALS,

EQUIPMENT OR SERVICES FOR WHICH THIS BID IS MADE.

THE FULL NAMES AND TITLES OF ALL PERSONS INTERESTED IN THIS BID AS PRINCIPALS ARE AS

FOLLOWS:

DATE: ________________________________________ PHONE NUMBER: __________________________

FIRM: _________________________________________ FAX NUMBER: _______________________________

ADDRESS: _____________________________________

___________________________________________________ NAME: ________________________________________

(CONTACT PERSON FOR BID INQUIRIES)

(IF SAME AS AUTHORIZED, LEAVE BLANK)

AUTHORIZED

SIGNATURE: _____________________________________________________________________________________

TITLE: ____________________________________________________________________________________________

Yorktown Heights, NY 10598

BIDDER INFORMATION AND REFERENCE

Please provide the full name and corporate address of your organization.

Corporation Name:

Corporate Address:

Contact Person: Title:

Phone: Fax:

Email: Website:

REFERENCES: MUST BE PROVIDED FOR BID TO BE CONSIDERED

Contracting firm and its principal officer must be able to prove (5) years of continuous work experience, immediately preceding this quote, in the performance of work substantially equivalent to the scope of this project. References must be from companies in which you have provided same type of product/service.

Company Name: ________________________________________________________________________________________________________

Address: _________________________________________________________________________________________________________________________ Contact Person: _________________________________________________________________________________________________________________ Telephone: ____________________________________________ Email: __________________________________________________________________ Dates of Contract(s): ___________________________________________

Company Name: _________________________________________________________________________________________________________

Address: _________________________________________________________________________________________________________________________ Contact Person: _________________________________________________________________________________________________________________ Telephone: ______________________________________________ Email: ________________________________________________________________ Dates of Contract(s): ___________________________________________

Company Name: _________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________________________ Contact Person: _________________________________________________________________________________________________________________ Telephone: _______________________________________________ Email: _______________________________________________________________ Dates of Contract(s): ___________________________________________

Yorktown Heights, NY 10598

VENDOR RESPONSIBILITY QUESTIONNAIRE

1. VENDOR IS:

PRIME CONTRACTOR

2. VENDOR’S LEGAL BUSINESS NAME 3. IDENTIFICATION NUMBERS

a) FEIN #

b) DUNS #

4. D/B/A – Doing Business As (if applicable) & COUNTY FIELD: 5. WEBSITE ADDRESS (if applicable)

6. ADDRESS OF PRIMARY PLACE OF BUSINESS/EXECUTIVE OFFICE 7. TELEPHONE NUMBER 8. FAX NUMBER

9. ADDRESS OF PRIMARY PLACE OF BUSINESS/EXECCUTIVE OFFICE

IN NEW YORK STATE, if different from above

10. TELEPHONE NUMBER 11. FAX NUMBER

12. AUTHORIZED CONTACT FOR THIE

QUESTIONNAIRE Name

Title Telephone

Number Fax

Number e-mail

13. LIST ALL OF THE VENDOR’S PRINCIPAL OWNERS.

a) NAME TITLE b) NAME TITLE

c) NAME TITLE d) NAME TITLE

A DETAILED EXPLANATION IS REQUIRED FOR EACH QUESTION ANSWERED WITH A “YES,” AND MUST BE PROVIDED AS AN ATTACHMENT TO THE COMPLETED QUESTIONNAIRE. YOU MUST PROVIDE ADEQUATE DETAILS OR DOCUMENTS TO AID THE COUNTY IN MAKING A DETERMINATION OF VENDOR RESPONSIBILITY. PLEASE NUMBER EACH RESPONSE TO MATCH THE QUESTION NUMBER.

14. DOES THE VENDOR USE, OR HAS IT USED IN THE PAST FIVE (5) YEARS, ANY OTHER BUSINESS Yes No NAME, FEIN, or D/B/A OTHER THAN THOSE LISTED IN ITEMS 2-4 ABOVE? List all other business name(s), Federal Employer Identification Number(s) or any D/B/A names and the dates that these names or numbers were/are in use. Explain the relationship to the vendor.

15. WITHIN THE PAST (5) YEARS, HAS THE VENDOR, ANY INDIVIDUALS SERVING IN

MANAGERIAL OR CONSULTING CAPACITY, PRINCIPAL OWNERS, OFFICERS, MAJOR

STOCKHOLDER(S) (10% OR MORE OF THE VOTING SHARES FOR PUBLICLY TRADED

COMPANIES, 25% OR MORE OF THE SHARES FOR ALL OTHER COMPANIES), AFFLITIATE OR

ANY PERSON INVOLVED IN THE BIDDING OR CONTRACTING PROCESS:

a) 1. been suspended, debarred or terminated by a local, state or federal authority in connection with a contract or contracting process;

2. been disqualified for cause as a bidder on any permit, license, concession franchise or lease;

3. entered into an agreement to a voluntary exclusion from bidding/contracting;

4. had a bid rejected on an Putnam County contract for failure to comply with the MacBride Fair Employment Principles;

5. had a low bid rejected on a local, state or federal contract for failure to meet statutory affirmative action or M/WBE requirements on a previously held contract;

6. had status as a Women’s Business Enterprise, Minority Business Enterprise or Disadvantaged Business Enterprise, de-certified, revoked or forfeited;

7. been subject to an administrative proceeding or civil action seeking specific performance or restitution in connection with any local, state or federal government contract;

8. been denied an award of a local, state or federal government contract, had a contract suspended or had a contract terminated for non-responsibility; or

9. had a local, state or federal government contract suspended or terminated for cause prior to the completion of the term of the contract.

b) been indicted, convicted, received a judgment against them or a grant of immunity for any business- related conduct constituting a crime under local, state or federal law including but not limited to, fraud extortion, bribery, racketeering, price-fixing, bid collusion or any crime related to truthfulness and/or business conduct?

Yes

Yes

Yes

No

No

No

16. IN THE PAST THREE (3) YEARS, HAS THE VENDOR OR ITS AFFILIATES 1 HAD ANY CLAIMS, JUDGMENTS, INJUNCTIONS, LIENS, FINES OR PENALTIES SECURED BY ANY

GOVERNMENTAL AGENCY?

Indicate if this is applicable to the submitting vendor or affiliate. State whether the situation(s) was a claim, judgment, injunction, lien or other with an explanation. Provide the name(s) and address(es) of the agency, the amount of the original obligation and outstanding balance. If any of these items are open, unsatisfied, indicate the status of each item as “open” or “unsatisfied.”

Yes No

17. DURING THE PAST THREE (3) YEARS, HAS THE VENDOR…