23054i_attachment13.pdf

STATE OF NEW YORK

EXECUTIVE DEPARTMENT - OFFICE OF GENERAL SERVICES

PROCUREMENT SERVICES GROUP

Corning Tower – 38th Floor Empire State Plaza

Albany, New York 12242

CONTRACT UPDATE FORM

OGS CONTRACT NO.:__________________ DATE OF

SUBMISSION:______________________

CONTRACT PERIOD:

From: January 1, 2018 To: December 31, 2023

GROUP NO. & DESCRIPTION: 40061 –

Protective Outerwear (Firefighting, Emergency/Rescue, and Safety) (Stateside)

VENDOR CONTACT:

NAME:______________________

PHONE NO:__________________

FAX NO.:____________________

E-MAIL:_____________________

NOTE: Submission of this FORM does not constitute acceptance by the State of New York until approved by the appropriate New York State representative(s).

INSTRUCTIONS:

1. This form is to be used for all contract updates. The form is to be completed and submitted to the OGS Procurement

Services Group for final approval. Contractor shall complete and sign where indicated, and attach this form to a cover letter written on standard company letterhead for the request. Any submission that is not complete or signed may be rejected.

2. Contractor may be required to submit the product and price information for the update in an Excel spreadsheet format on electronic media (i.e. CD, thumb drive or flash drive) to the OGS Contract Management Specialist. DISKETTES AND HARD COPIES ARE NOT ACCEPTABLE. Contractor may send via email with advance permission from OGS.

3. The Manufacturer’s current published commercial price list (i.e. a suggested retail price list, suggested list price or a commercial price list). Price List must be dated and include the name of the Price List (e.g. ABC Company’s 2017 Consumer Price List, effective 3/1/17).

4. OGS reserves the right to request links to other state, federal, or other contracts held by the contractor for the same manufacturer’s products, or other acceptable documentation to justify reasonableness of price.

COMPLETE STATEMENTS 1 THROUGH 8 BELOW:

1. The intent of this submittal is to:

_____Add new products _____Delete products _____Increase pricing _____Reduce pricing _____Amend Reseller list

2. All terms and conditions of the contract shall apply to this request.

_____Agree _____Disagree

3. All discounts as agreed to in the contract shall apply.

_____Agree _____Disagree

4. All discounts are:

_____From Manufacturer’s (MFG) list _____Most Favored Nation*

*Prices offered are the lowest offered to any similarly situated entity.

5. Attached documentation includes:

_____Manufacturer’s Price List _____Links to other state, federal, or other contracts _____Other

This form must be signed by an individual given the authority to perform this action by the contractor.

Signature of Authorized Vendor Representative Date

FOR STATE USE ONLY

OGS APPROVAL:

Approved______ Approved as amended______ Disapproved______

Name:____________________________________ Title:_______________________________________ Date_______________