23222i_attachment-08-report-of-contract-usage.xlsx

XLSX spreadsheet 37 KB Posted Oct 8, 2021

Attached to: Personal Protective Equipment (PPE) and Related Items (Statewide)
Contract number: 23222
Issued by: New York

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Written by GovTribe AI · Jul 10, 2025

This document is a New York State Quarterly Report of Contract Usage template for Contract Award 23222, specifically focused on Personal Protective Equipment (PPE) and Related Items. The contract involves multiple state and local entities including New York State government agencies, State University of New York (SUNY) campuses, City University of New York (CUNY) institutions, various state authorities, and numerous state departments such as Agriculture and Markets, Civil Service, Corrections and Community Supervision, and Environmental Conservation.

The contract covers a comprehensive range of PPE items across multiple lots, including PAPRs, clear view masks, goggles, nitrile and vinyl gloves, coveralls, boot covers, hand sanitizer, disinfectant wipes, and fit test kits. The reporting template requires detailed tracking of contract usage, including invoice numbers, purchase orders, quantities, unit prices, manufacturer details, and reseller information. The contract also emphasizes supplier diversity, with dropdowns to identify Minority/Women-owned Businesses (M/WBE), Service-Disabled Veteran-Owned Businesses (SDVOB), and Small Business Enterprises (SBE), indicating a commitment to supporting diverse business participation in state procurement.

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Other files

File	Type	Posted
23222i_appendix-d-fema-terms-and-conditions.docx	DOCX document	Oct 8, 2021
23222i_attachment-09-manufacturercertificate.docx	DOCX document	Oct 8, 2021
23222i_revised20210204.pdf	PDF	Oct 8, 2021
23222i_attachment-02-nys-required-certifications.docx	DOCX document	Oct 8, 2021
23222i_attachment-03-encouraging-use-of-nys-business.docx	DOCX document	Oct 8, 2021
23222i_response-to-bidders-inquiries.pdf	PDF	Oct 8, 2021
1015023222ra.pdf	PDF	Oct 8, 2021
23222i_attachment-06-bidder-submission-checklist_20200204.xlsx	XLSX spreadsheet	Oct 8, 2021
23222i_attachment-07-bidder-questions-form.xlsx	XLSX spreadsheet	Oct 8, 2021
23222i_appendix-b-04-16.pdf	PDF	Oct 8, 2021
23222i_Attachment01Pricing.xlsm	XLSM spreadsheet	Oct 8, 2021
23222i_appendix-a-10-19.pdf	PDF	Oct 8, 2021
23222i_attachment-04-insurance-requirements.docx	DOCX document	Oct 8, 2021
23222i_attachment-10-contractor_reseller_distributor_-infosheet_20210204.docx	DOCX document	Oct 8, 2021
23222i_Attachment11.xlsm	XLSM spreadsheet	Oct 8, 2021
23222p5.pdf	PDF	Oct 8, 2021
1015023222ContractorInfo.pdf	PDF	Oct 8, 2021
23222i_appendix-c-01-17.docx	DOCX document	Oct 8, 2021
23222i_attachment-05-bidder-information-questionnaire_20210204.xlsx	XLSX spreadsheet	Oct 8, 2021
1015023222p.pdf	PDF	Oct 8, 2021

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Instructions

NEW YORK STATE

Quarterly Report of Contract Usage

Award 23222

Enter your Contact information in the cells below. The information entered below will be prepopulated on the Contract Usage tab.

Contractor Name:

NYS Contract Number:

Contract Reporting Quarter (Dates):

A Contractor must complete all non-shaded cells on the worksheet. The shaded cells perform automatic calculations of the data entered and are locked or provide the Contractor with additional information in a read-only format. All other cells are read-only. Only those cells provided for entering Sales information are to be accessed by the Contractor.

Contract Usage Sheet
Contractor's Invoice #	Invoice number on Contractor's invoice to ordering entity
Invoice Date	Date on Contractor's invoice to ordering entity
Ordering Entity PO#	Number on ordering entity's Purchase Order
Lot # (Drop Down)	Lot # of the Item
Item Description (Drop Down)	Description of the Item
Authorized User Type (Drop Down)	Authorized User placing purchase order with Contractor (STATE, SUNY, CUNY, OTHER)
Authorized User Name (Drop Down)	Authorized User placing purchase order with Contractor (ie. DOT, OGS, Albany County, etc.)
Authorized User Name for 'Other' (Manual Entry)	Authorized User placing purchase order with Contractor that is not STATE, SUNY, or CUNY
Manufacturer Name	Manufacturer of the Item
SKU #	Manufacturer's SKU # assigned to the Item. Examples include Product Order Codes, ID Numbers, Model Numbers, Catalog Numbers, etc.
Quantity	Quantity purchased by the Authorized User for the term of the reporting period
Unit of Measure	Packing size of Item
NYS Contract Price (Unit Price)	Unit Price of the Item that an Authorized User will be invoiced
Contract Extended Price (Auto calculation)	The Multiplied Value of Quantity and NYS Contract Price
Reseller/Distributor/Dealer	Name of the Approved Reseller/Distributor/Dealer that sold a Contract Item to an Authorized User.
NYS Certified M/WBE (Drop Down)	Contractor to select if Reseller/Distributor/Dealer is a NYS Certified MBE/WBE/MWBE/NA
SDVOB (Drop Down)	Contractor to answer "Yes/No" if Reseller/Distributor/Dealer is a SDVOB
SBE (Drop Down)	Contractor to answer "Yes/No" if Reseller/Distributor/Dealer is a SBE

&10 10150 Personal Protective Equipment (PPE) and Related Items &10Page &P of &N

&10 23222i_Attachment 08_Report of Contract Usage

ContractUsage

Contractor Name:

Contract Reporting Period (Dates):

Contract Number:

	Contractor's Invoice #	Invoice Date	Ordering Entity PO #	Lot #
(Drop Down)	Item Description (Drop Down)	Authorized User Type

(Select)

If 'Other,' skip Column G and manually enter Authorized User name in Column H.	Authorized User Name - State, SUNY, CUNY
(Selection)	Authorized User Name for 'Other' in Column F
(Enter Manually)	Manufacturer Name	SKU #	Quantity	Unit of Measure	NYS Contract Price
(Unit Price)	Contract Extended Price	Reseller/Distributor/Dealer (if applicable)	Minority or Women Owned Business?
(MBE, WBE, MWBE, NA)	Service Disabled Veteran Owned Business? (SDVOB)
(Y/N)	Small Business Enterprise?

(SBE)

(Y/N)

Sample: ABC123	10/1/20	12-12345	Lot_4	Boot Covers	STATE	Erie County Fiscal Stability Authority	Acme Co.	4567B	2	each	$ 13.50	$ 27.00	Road Runner Inc.	NA	Yes	Yes
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&10Group 10150 Personal Protective Equipment (PPE) & Related Items &10Page &P of &N

&10 23222i_Attachment 08_Report of Contract Usage &P of &N

Drop Down

State Entity Name	SUNY Name	CUNY Name	Lot_1	Lot_2	Lot_3	Lot_4	Lot_5	Lot_6	Lot_7	Lot_8	Lot_9
511 New York	Alfred State College of Technology	Baruch College	PAPRs	Clear View Masks	Goggles	Nitrile Gloves	Coveralls	Boot Covers	Hand Sanitizer	Disinfectant Wipes	Fit Test Kit
Adirondack Park Agency	Binghamton University	Borough of Manhattan Community College	N95s	Non-sterile 3-ply masks	Face Shields	Vinyl Gloves	Isolation Gowns	Hair Covers
Authorities Budget Office	Buffalo State College	Bronx Community College		Sterile 3-ply masks
Battery Park City Authority	Cayuga Community College	Brooklyn College		Surgical Mask
Buffalo Fiscal Stability Authority	Clinton Community College	City College of New York
Central Pine Barrens Joint Planning and Policy Commission	College at Brockport, the	City University of New York (CUNY)
Commission of Correction	Columbia Greene Community College	College of Staten Island
Commission on Judicial Conduct	Corning Community College	Craig Newmark (CUNY) Graduate School of Journalism
Corcraft Products (Department of Correctional Services, Division of Industries)	Dutchess Community College	CUNY Graduate School of Public Health & Health Policy
Council on Children and Families	Erie Community College	CUNY School of Law
Department of Agriculture and Markets	Farmingdale State College	CUNY School of Professional Studies
Department of Civil Service	Fashion Institute of Technology	Graduate Center, the
Department of Corrections and Community Supervision	Finger Lakes Community College	Guttman Community College
Department of Education	Fulton-Montgomery Community College	Hostos Community College
Department of Environmental Conservation	Herkimer County Community College	Hunter College
Department of Financial Services	Hudson Valley Community College	John Jay College of Criminal Justice
Department of Health	Jamestown Community College	Kingsborough Community College
Department of Labor	Jefferson Community College	LaGuardian Community College
Department of Motor Vehicles	Mohawk Valley Community College	Lehman College
Department of Public Service	Monroe Community College	Macaulay Honors College
Department of State	Nassau Community College	Medgar Evers College
Department of State, Division of Consumer Protection	Niagara County Community College	NYC College of Technology
Department of Taxation and Finance	North Country Community College	Queens College
Department of Transportation	NYS College of Agriculture & Life Sciences at Cornell University	Queensborough Community College
Developmental Disabilities Planning Council	NYS College of Ceramics at Alfred University	York College
Division of Criminal Justice Services	NYS College of Human Ecology at Cornell University
Division of Homeland Security and Emergency Services	NYS College of Veterinary Medicine at Cornell University
Division of Human Rights	NYS School of Industrial & Labor Relations at Cornell University
Division of Military and Naval Affairs	Onondaga Community College
Division of Tax Appeals and Tax Appeals Tribunal (TAX)	Orange County Community College
Division of the Budget	Purchase College
Division of Veterans' Affairs	Rockland Community College
Dormitory Authority of the State of NY	Schenectady County Community College
Empire State Development	Stony Brook University
Environmental Facilities Corporation	Suffolk County Community College
Erie County Fiscal Stability Authority	Sullivan County Community College
Financial Control Board	State University of New York (SUNY)
Gaming Commission	SUNY Adirondack (Adirondack Community College)
Geographic Information Systems (GIS) Clearinghouse	SUNY Broome Community College
Governor's Office of Employee Relations	SUNY Canton
Governor's Traffic Safety Committee	SUNY Cobleskill
Higher Education Services Corporation	SUNY College of Environmental Science and Forestry
Homes and Community Renewal	SUNY College of Optometry
Housing Finance Agency/State of NY Mortgage Agency	SUNY Cortland
Hudson River Park Trust	SUNY Delhi
Hudson River Valley Greenway	SUNY Downstate Medical Center
Jacob K Javits Convention Center	SUNY Empire State College
Joint Commission on Public Ethics	SUNY Fredonia
Justice Center for the Protection of People with Special Needs	SUNY Genesee Community College
Metropolitan Transportation Authority	SUNY Geneseo
Metropolitan Transportation Authority (MTA) Inspector General	SUNY Maritime College
Nassau County Interim Finance Authority	SUNY Morrisville
New York Assembly	SUNY New Paltz
New York City 311	SUNY Old Westbury
New York Liquidation Bureau	SUNY Oneonta
New York Power Authority	SUNY Oswego
New York State Board of Elections	SUNY Plattsburgh
New York State Bridge Authority	SUNY Polytechnic Institute
New York State Council on the Arts	SUNY Potsdam
New York State Energy Research and Development Authority	SUNY Ulster
New York State Insurance Fund	Tompkins Cortland Community College
New York State Law Revision Commission	University at Albany
New York State Liquor Authority	University at Buffalo
New York State Police	Upstate Medical University
New York State Senate	Westchester Community College
NYS Canal Corporation
NYS Teachers' Restirement System
NYS Thruway Authority
Office for New Americans
Office for People With Developmental Disabilities
Office for the Aging
Office for the Prevention of Domestic Violence
Office of Alcoholism and Substance Abuse Services
Office of Attorney General
Office of Children and Family Services
Office of Counter Terrorism (DHSES)
Office of Emergency Management (DHSES)
Office of Fire Prevention and Control (DHSES)
Office of General Services
Office of Information Technology Services
Office of Interoperable and Emergency Communications (DHSES)
Office of Medicaid Inspector General
Office of Mental Health
Office of Parks, Recreation and Historic Preservation
Office of State Comptroller
Office of Temporary and Disability Assistance
Office of the Governor
Office of the Inspector General
Office of the Welfare Inspector General
Office of Victim Services
Olympic Regional Development Authority
Port Authority of New York and New Jersey
Roosevelt Island Operating Corporation of the State of New York
South Shore Estuary Council (DEC)
State Employees Federated Appeal
State University Construction Fund
Workers' Compensation Board

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File details come from the government source that posted it. Updated Jul 10, 2025.