2300023273att10-contractorresellerdistributorinfosheet.pdf
PDF 310 KB Posted
- Attached to
- Miscellaneous Office Supplies (Statewide)
- Contract number
- 23273
- Issued by
- New York
About this file
This document is Attachment 10 from Phased Solicitation 23273, a statewide contract for Miscellaneous Office Supplies under Group 23000, issued by New York State. The attachment is a form designed to capture detailed information about contractors, resellers, and distributors participating in the contract, including their business details, contact information, and certification status for Minority and Women-owned Business Enterprises (MWBE), Service-Disabled Veteran-Owned Businesses (SDVOB), and Small Business Enterprises (SBE).
The form allows for multiple resellers and distributors to be listed, with specific fields to indicate their capabilities such as taking orders and receiving payments, shipping directly, and their specific business certifications. A key requirement is that for an authorized user to receive credit for MWBE or SDVOB participation, the reseller must be able to both take orders and receive payments, and must be entered into the State Financial System (SFS) with their own New York State Vendor ID. The document provides a standardized template for capturing comprehensive vendor information to support diverse and small business participation in the statewide office supplies contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2300023273att05-bidderinformationquestionnaire.xlsx | XLSX spreadsheet | |
| 2300023273att08-reportofcontractusage.xlsx | XLSX spreadsheet | |
| 2300023273att09-certificationundereo16.pdf | ||
| 2300023273att11-distributorscertificate.pdf | ||
| 2300023273p01.pdf | ||
| 2300023273p02.pdf | ||
| 2300023273_inquiry-responses.pdf | ||
| 2300023273att06-biddersubmissionchecklist_rev_112123_0.xlsx | XLSX spreadsheet | |
| 2300023273HowToUse.pdf | ||
| 2300023273a.pdf | ||
| 2300023273p03.pdf | ||
| 2300023273att01-office-supplies-workbook_rev_112123.xlsx | XLSX spreadsheet | |
| 2300023273att02-nysrequiredcertifications.pdf | ||
| 2300023273att03-encouraginguseofnys-businesses.pdf | ||
| 2300023273att04-insurance_rev_112123.pdf | ||
| 2300023273att07-bidderquestionsform.xlsx | XLSX spreadsheet | |
| 2300023273i_phased-solicitation_rev_112123.pdf | ||
| 2300023273p.pdf |
Show all 18
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Text version
Group 23000 - Phased Solicitation 23273 - Miscellaneous Office Supplies (Statewide)
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
23273_Attachment 10_Contractor_Reseller_Distributor_Information
ATTACHMENT 10
CONTRACTOR and RESELLER/DISTRIBUTOR INFORMATION
(for ordering and contract administration purposes)
CONTRACTOR/COMPANY INFORMATION
Company Business Name:
D/B/A – Doing Business As (if applicable):
Address:
Company Website:
Federal Tax ID #:
NYS Vendor ID #:
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
23273_Attachment 10_Contractor_Reseller_Distributor_Information
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
23273_Attachment 10_Contractor_Reseller_Distributor_Information
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
23273_Attachment 10_Contractor_Reseller_Distributor_Information
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
RESELLER/DISTRIBUTOR INFORMATION
Company Business Name:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification: ☐ NYS Certified Women Owned ☐ NYS Certified Minority
Owned ☐ SDVOB SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
| CONTRACTORCOMPANY INFORMATION: |
| Company Business Name: |
| DBA Doing Business As if applicable: |
| Address: |
| Company Website: |
| Federal Tax ID: |
| NYS Vendor ID: |
| RESELLERDISTRIBUTOR INFORMATION: |
| Company Business Name_2: |
| Address_2: |
| Federal Tax ID_2: |
| NYS Vendor ID_2: |
| Contact Name: |
| Title: |
| Email: |
| Hours of Availability: |
| Phone: |
| MWBE andor SDVOB Certification: |
| NYS Certified Women Owned: Off |
| NYS Certified Minority: Off |
| SDVOB: Off |
| SBE: |
| NYS Small Business Enterprise selfidentified: Off |
| Take Orders AND Receive Payment: Off |
| Ship Direct: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any: |
| RESELLERDISTRIBUTOR INFORMATION_2: |
| Company Business Name_3: |
| Address_3: |
| Federal Tax ID_3: |
| NYS Vendor ID_3: |
| Contact Name_2: |
| Title_2: |
| Email_2: |
| Hours of Availability_2: |
| Phone_2: |
| MWBE andor SDVOB Certification_2: |
| NYS Certified Women Owned_2: Off |
| NYS Certified Minority_2: Off |
| SDVOB_2: Off |
| SBE_2: |
| NYS Small Business Enterprise selfidentified_2: Off |
| Take Orders AND Receive Payment_2: Off |
| Ship Direct_2: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_2: |
| RESELLERDISTRIBUTOR INFORMATION_3: |
| Company Business Name_4: |
| Address_4: |
| Federal Tax ID_4: |
| NYS Vendor ID_4: |
| Contact Name_3: |
| Title_3: |
| Email_3: |
| Hours of Availability_3: |
| Phone_3: |
| MWBE andor SDVOB Certification_3: |
| NYS Certified Women Owned_3: Off |
| NYS Certified Minority_3: Off |
| SDVOB_3: Off |
| SBE_3: |
| NYS Small Business Enterprise selfidentified_3: Off |
| Take Orders AND Receive Payment_3: Off |
| Ship Direct_3: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_3: |
| RESELLERDISTRIBUTOR INFORMATION_4: |
| Company Business Name_5: |
| Address_5: |
| Federal Tax ID_5: |
| NYS Vendor ID_5: |
| Contact Name_4: |
| Title_4: |
| Email_4: |
| Hours of Availability_4: |
| Phone_4: |
| MWBE andor SDVOB Certification_4: |
| NYS Certified Women Owned_4: Off |
| NYS Certified Minority_4: Off |
| SDVOB_4: Off |
| SBE_4: |
| NYS Small Business Enterprise selfidentified_4: Off |
| Take Orders AND Receive Payment_4: Off |
| Ship Direct_4: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_4: |
| RESELLERDISTRIBUTOR INFORMATION_5: |
| Company Business Name_6: |
| Address_6: |
| Federal Tax ID_6: |
| NYS Vendor ID_6: |
| Contact Name_5: |
| Title_5: |
| Email_5: |
| Hours of Availability_5: |
| Phone_5: |
| MWBE andor SDVOB Certification_5: |
| NYS Certified Women Owned_5: Off |
| NYS Certified Minority_5: Off |
| SDVOB_5: Off |
| SBE_5: |
| NYS Small Business Enterprise selfidentified_5: Off |
| Take Orders AND Receive Payment_5: Off |
| Ship Direct_5: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_5: |
| RESELLERDISTRIBUTOR INFORMATION_6: |
| Company Business Name_7: |
| Address_7: |
| Federal Tax ID_7: |
| NYS Vendor ID_7: |
| Contact Name_6: |
| Title_6: |
| Email_6: |
| Hours of Availability_6: |
| Phone_6: |
| MWBE andor SDVOB Certification_6: |
| NYS Certified Women Owned_6: Off |
| NYS Certified Minority_6: Off |
| SDVOB_6: Off |
| SBE_6: |
| NYS Small Business Enterprise selfidentified_6: Off |
| Take Orders AND Receive Payment_6: Off |
| Ship Direct_6: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_6: |
| RESELLERDISTRIBUTOR INFORMATION_7: |
| Company Business Name_8: |
| Address_8: |
| Federal Tax ID_8: |
| NYS Vendor ID_8: |
| Contact Name_7: |
| Title_7: |
| Email_7: |
| Hours of Availability_7: |
| Phone_7: |
| MWBE andor SDVOB Certification_7: |
| NYS Certified Women Owned_7: Off |
| NYS Certified Minority_7: Off |
| SDVOB_7: Off |
| SBE_7: |
| NYS Small Business Enterprise selfidentified_7: Off |
| Take Orders AND Receive Payment_7: Off |
| Ship Direct_7: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_7: |
| RESELLERDISTRIBUTOR INFORMATION_8: |
| Company Business Name_9: |
| Address_9: |
| Federal Tax ID_9: |
| NYS Vendor ID_9: |
| Contact Name_8: |
| Title_8: |
| Email_8: |
| Hours of Availability_8: |
| Phone_8: |
| MWBE andor SDVOB Certification_8: |
| NYS Certified Women Owned_8: Off |
| NYS Certified Minority_8: Off |
| SDVOB_8: Off |
| SBE_8: |
| NYS Small Business Enterprise selfidentified_8: Off |
| Take Orders AND Receive Payment_8: Off |
| Ship Direct_8: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_8: |
| RESELLERDISTRIBUTOR INFORMATION_9: |
| Company Business Name_10: |
| Address_10: |
| Federal Tax ID_10: |
| NYS Vendor ID_10: |
| Contact Name_9: |
| Title_9: |
| Email_9: |
| Hours of Availability_9: |
| Phone_9: |
| MWBE andor SDVOB Certification_9: |
| NYS Certified Women Owned_9: Off |
| NYS Certified Minority_9: Off |
| SDVOB_9: Off |
| SBE_9: |
| NYS Small Business Enterprise selfidentified_9: Off |
| Take Orders AND Receive Payment_9: Off |
| Ship Direct_9: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_9: |
| RESELLERDISTRIBUTOR INFORMATION_10: |
| Company Business Name_11: |
| Address_11: |
| Federal Tax ID_11: |
| NYS Vendor ID_11: |
| Contact Name_10: |
| Title_10: |
| Email_10: |
| Hours of Availability_10: |
| Phone_10: |
| MWBE andor SDVOB Certification_10: |
| NYS Certified Women Owned_10: Off |
| NYS Certified Minority_10: Off |
| SDVOB_10: Off |
| SBE_10: |
| NYS Small Business Enterprise selfidentified_10: Off |
| Take Orders AND Receive Payment_10: Off |
| Ship Direct_10: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_10: |
File details come from the government source that posted it. Updated .