23137bid_attachment12.docx

35 KB Posted

Attached to
Photovoltaic Systems and Installation Services (Statewide)
Contract number
23137-GR
Issued by
New York

About this file

Written by GovTribe AI ·

This document is an attachment to Solicitation 23137 for Group 05302, a New York State statewide contract for Photovoltaic Systems and Installation Services. The document provides a comprehensive template for contractors and resellers/distributors to document their company information, contact details, and certification status. It appears to be part of a formal procurement process designed to establish a contract vehicle for photovoltaic system procurement across New York State government agencies and potentially other eligible entities.

The solicitation includes provisions for multiple resellers and distributors, with specific sections for documenting company details, contact information, and certifications including MWBE (Minority/Women-owned Business Enterprise) and SDVOB (Service-Disabled Veteran-Owned Business) status. The form allows resellers to be authorized for various functions such as taking orders, shipping directly, and receiving payments, with a requirement that payment-authorized resellers must have a NYS Vendor ID. While specific pricing, contract duration, and exact service scope are not detailed in this attachment, the document suggests a structured approach to establishing a diverse, inclusive contract for photovoltaic systems and related installation services.

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Group 05302 – Solicitation 23137 Photovoltaic Systems and Installation Services (Statewide) Page 1 of 4

Attachment 12

CONTRACTOR and RESELLER/DISTRIBUTOR INFORMATION (for ordering and contract administration purposes)

CONTRACTOR/COMPANY INFORMATION

Company Name:
Address (from first page of bid):
Company Website:
Federal ID #:
NYS Vendor ID #:
Contract Administrator Name:
Title:
Email:
Phone:
Toll Free Phone:

SALES/BILLING (if different from above)

Contact Name:
Title:
Address:
Email:
Phone:
Toll Free Phone:

EMERGENCIES

Contact Name:
Title:
Address:
Email:
Phone:
Cell Phone:

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐ Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

RESELLER/DISTRIBUTOR INFORMATION

Company Name:
Address:
Federal 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 ☐Ship Direct ☐ Receive Payment *
Restrictions Applicable to this Reseller (if any):

*If a Reseller is authorized to accept payment, they MUST have a NYS Vendor ID

23137 Attachment 12

File details come from the government source that posted it. Updated .