23222i_Attachment11.xlsm
XLSM spreadsheet 11 MB Posted
- Contract number
- 23222
- Issued by
- New York
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Text version
Instructions
ATTACHMENT 11 : PROOF OF BIDDER QUALIFICATIONS
(Revised 2/19/21)
| GROUP 10150 Solicitation 23222 - Personal Protective Equipment (PPE) and Related Items (Statewide) |
| Bidder Name |
Instructions for Completing Attachment 11. See Section 2.1 - Minimum Qualifications
1 Bidder Name:
Bidder must enter Bidder Name in Cell B3 above. This will autopopulate the Bidder Name in all Tabs within this Workbook.
2 Min Quals Tab:
Bidder must answer Question 1 on this Tab from the Drop Down. Once the question is answered, instructions on how to proceed will appear in Column E.
3 Proof of Sales (2a) Tab:
Lot #: Select from the Drop Down Item Description: Select from the Drop Down Invoice Date: Manually enter the Invoice Date.
Qualifying Net Sales Amount: Manually enter the net sales of qualifying PPE Items that appear on the Invoice.
Invoice #: Manually enter the Invoice #.
Entity Sold To: Manually enter the name of the Entity.
Entity Contact Name: Manually enter the name of the contact person.
Entity Contact Phone #: Manually enter the phone number of the contact person.
Entity Contact Email Address: Manually enter the email address of the contact person.
*Continue entering until the $200,000 annual minimum sales requirement is met. Sales entered will automatically calculate in Summary Column (M). Once the $200,000 minimum for each year is met, additional entries are not required and will not be reviewed.
4 Proof of Sales (2b) Tab:
Lot #: Select from the Drop Down Item Description: Select from the Drop Down Invoice Date: Manually enter the Invoice Date.
Qualifying Net Sales Amount: Manually enter the net sales of qualifying PPE Items that appear on the Invoice.
Invoice #: Manually enter the Invoice #.
Governmental Entity Sold To: Manually enter the name of the Governmental Entity.
Governmental Entity Contact Name: Manually enter the name of the contact person.
Governmental Entity Contact Phone #: Manually enter the phone number of the contact person.
Governmental Entity Contact Email Address: Manually enter the email address of the contact person.
*Continue entering until the $400,000 minimum sales requirement for each Governmental Entity is met . Sales entered will automatically calculate for each of the five (5) Governmental Entities in Summary Column (L). Once the $400,000 minimum for each Governmental Entity is met, and the cumulative total of at least $2,000,000 in Total Sales appears in Column (M). Additional entries are not required and will not be reviewed.
| 5 | All applicable fields must be completed. Blank responses may be considered incomplete. |
| 6 | New York State Office of General Services reserves the right to reject any bid submission or portion thereof determined to have been altered or modified from the original format by the Bidder. Such alterations or modifications include, but are not limited to: any change to document header(s), footer(s) and/or cell(s); unprotecting worksheet(s) or workbook(s); hiding or unhiding cell(s)/column(s)/row(s)/worksheet(s); and locking or unlocking cell(s). |
Only those cells provided for entering a Bidder's response are to be accessed by the Bidder.
&10 10150 Personal Protective Equipment (PPE) and Related Items &10Page &P of &N
&10 23222i_Attachment11_Proof of Bidder Qualifications
Min Quals
FALSE ATTACHMENT 11 : PROOF OF BIDDER QUALIFICATIONS
(Revised 2/19/21)
| FALSE | GROUP 10150 Solicitation 23222 - Personal Protective Equipment (PPE) and Related Items (Statewide) | |
| Bidder Name | 0.0 |
| 3 Years Continuous Operation or Grant Recipient Requirement. See Section 2.1 - Minimum Qualifications | ||
| # | Question | Response |
| 1 | Is the Bidder a Grant recipient as described in Section 2.1 – Minimum Qualifications of the Solicitation? | |
| If Yes, please identify which grant. | ||
| Bidder must provide a copy of the Grant Notification from ESD with their bid submission or the Grant Contract ID Number. Please make a selection. | ||
| If Grant Contract ID Number selected above, enter ID Number | ||
| Has Bidder submitted a bid for Item(s) that Bidder has NOT received a Grant for? | ||
| If Yes, please manually enter the Item(s) Bidder is submitting for. | ||
| 2 | Has Bidder been in continuous operation for at least three (3) years immediately preceding the Bid Opening Date? | |
| Has Bidder provided proof of at least $200,000 annually in sales of PPE and related items within the scope of this Solicitation for the prior three (3) years immediately preceding the Bid Opening Date to any entity? | ||
| Has Bidder provided proof of at least $400,000 in sales of PPE and related items within the scope of this Solicitation for the prior year immediately preceding the Bid Opening Date to at least five (5) distinct Governmental Entities? |
&10 10150 Personal Protective Equipment (PPE) and Related Items&11 &10Page &P of &N
&10 23222i_Attachment11_Proof of Bidder Qualifications
Proof of Sales (2a)
| ATTACHMENT 11 : PROOF OF BIDDER QUALIFICATIONS | ||||
| (Revised 2/19/21) | FALSE | |||
| GROUP 10150 Solicitation 23222 - Personal Protective Equipment (PPE) and Related Items (Statewide) | ||||
| Bidder Name | 0.0 | : |
Instructions for Completing Attachment 11. See Section 2.1 - Minimum Qualifications
| ENTER PROOF OF SALES BELOW THIS LINE | Summary | |||||||||
| Lot # | Item Description | Date of Sale | ||||||||
| (Must be between 2/25/2018 and 2/24/2021) | Net Sale Amount | |||||||||
| ($) | Invoice Number | |||||||||
| Entity Sold To | Entity Contact Name | Entity Contact Phone # | Entity Contact Email Address | Year Begin | Year End | Sales Total | ||||
| 2/25/18 | 2/24/19 | $ - 0 | ||||||||
| 2/25/19 | 2/24/20 | $ - 0 | ||||||||
| 2/25/20 | 2/24/21 | $ - 0 |
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