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Solicitation 23375 STEM/STEAM and Science Laboratory Educational Supplies and Equipment Attachment 14 Request for Product Review (RFPR) Prepared by: <Enter Authorized User Name>
Authorized User Instructions:
This template is provided as an aid to the Authorized User for the completion of a Request for Product Review, and it may be tailored to meet specific needs. Within the template, text fields which are highlighted in yellow must be updated with the information relevant for your organization.
Scope This RFPR is for the following product:
Note: Multiple products may be included in an RFPR. To include information on multiple products, copy the following table as needed.
Product #1
| Bidder’s Part Number: |
| Enter Information |
| Item Description: |
| Enter Information |
| Manufacturer’s Name |
| Enter Information |
| Manufacturer’s Part Number: |
| Enter Information |
| Product Category: |
| Enter Information |
| NYS Net Price: |
| Enter Information |
Product #2
| Bidder’s Part Number: |
| Enter Information |
| Item Description: |
| Enter Information |
| Manufacturer’s Name |
| Enter Information |
| Manufacturer’s Part Number: |
| Enter Information |
| Product Category: |
| Enter Information |
| NYS Net Price: |
| Enter Information |
Key Events/Dates
| Release of RFPR: |
| Enter Date |
| RFPR Response Due Date: |
| Enter Date |
Authorized User Contact Information:
| Primary Contact: |
| Secondary Contact: |
Name Title Address Telephone Number E-mail Address Name Title Address Telephone Number E-mail Address
Requested Information Please provide the following information on the products listed above:
| 1 |
| Enter requested information |
Additional Authorized User Terms and Conditions The following are additional AU terms and conditions that will need to be incorporated into the product’s terms and conditions:
List terms and conditions or provide list of attached reference document(s) containing the terms and conditions
Contractors Response
Product Information The following documents have been provided in response to your request:
Additional Authorized User Terms and Conditions We agree to incorporate the additional Authorized User Terms and Conditions:
☐ Yes
If “No”, Contractor must provide an explanation:
Provide Explanation
Contractor Information:
| Contractor Name: |
| Enter information |
| Contract Number: |
| Enter information |
| Preparer’s Name: |
| Enter information |
| Preparer’s Title: |
| Enter information |
| Preparer’s Phone: |
| Enter information |
| Preparer’s Email: |
| Enter information |