3031023362_att05_bidderinfoquestionnaire.xlsx
XLSX spreadsheet 41 KB Posted
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About this file
This document is a Bidder Information Questionnaire for a New York State procurement solicitation (Group 30310-23362) for Vehicle and Equipment Parts and Related Products. The document is a comprehensive form designed for potential vendors to provide detailed information about their business, including contact details, business location, vendor registration status, and ownership structure. The questionnaire is part of a statewide contract vehicle managed by the New York State Office of General Services (OGS).
The solicitation seeks to establish a contract for light duty and heavy duty vehicle parts across all 62 New York State counties, with vendors required to demonstrate capabilities such as statewide delivery within 24 hours, web-based parts lookup and ordering, and the ability to source parts from multiple original equipment manufacturers (OEMs). The contract includes provisions for purchasing card acceptance, potential prompt payment discounts, and considerations for small businesses. Vendors must provide information about their manufacturing locations, employment numbers, and ability to provide parts for various vehicle types, including Ford, GM, FCA, Caterpillar, John Deere, Mack, and Navistar vehicles and equipment.
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Other files
| File | Type | Posted |
|---|---|---|
| 3031023362_att01_pricing.xlsx | XLSX spreadsheet | |
| 3031023362ra.pdf | ||
| reconnect_the_empire_state_plaza_report.pdf | ||
| 3031023362HowToUse.pdf | ||
| 3031023362_att03_encouraginguseofnysbusinesses.pdf | ||
| 3031023362_att07_bidderquestions.xlsx | XLSX spreadsheet | |
| 3031023362a.pdf | ||
| 3031023362_appendixc.pdf | ||
| 3031023362_att09_certificationundereo16.pdf | ||
| 3031023362_att08_reportofcontractusage.xlsx | XLSX spreadsheet | |
| 3031023362p.pdf | ||
| 3031023362_appendixb.pdf | ||
| 3031023362_att06_bidderchecklist.xlsx | XLSX spreadsheet | |
| 3031023362p01.pdf | ||
| 3031023362_inquiries-responses.pdf | ||
| 3031023362_att02_nysrequiredcertifications.pdf | ||
| 3031023362_att04_insurancerequirements.pdf | ||
| 3031023362_att10_contractor_subcontractor_info.xlsx | XLSX spreadsheet | |
| 3031023362_appendixa.pdf | ||
| 3031023362i.pdf | ||
| 3031023362_appendixd.pdf |
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General Questions Group 30310-23362, Vehicle and Equipment Parts and Related Product (Statewide) Attachment 5 - Bidder Information Questionnaire
General Questions
| Bidder Company Business Name: | |
| D/B/A – Doing Business As (if applicable): |
Instructions: Complete all questions below. Questions may have a drop-down menu from which to select your response.
NOTE TO BIDDER: FAILURE TO ANSWER THE QUESTIONS WILL DELAY THE EVALUATION OF YOUR BID AND MAY RESULT IN REJECTION OF YOUR BID.
| # | Question: | Response: |
| 1 | Bidder Contact Name: | |
| 2 | Bidder Contact Phone: | |
| 3 | Bidder Contact Email: | |
| 4 | State of Bidder's PRINCIPAL PLACE OF BUSINESS: "Principal Place of Business" is the location of the primary control, direction and management of the enterprise: | |
| 5 | Does Bidder have any physical locations in New York State?: | |
| 5.1 | If yes, has Bidder registered with the New York State Department of State? (https://dos.ny.gov/form-corporation-or-business): | |
| 6 | Does Bidder have the required 10-digit NYS Vendor ID Number?: | |
| 6.1 | If no, did Bidder complete and submit the OSC Substitute W-9 form to OGS as described in the IFB Section titled NYS Vendor File Registration, prior to submitting this bid document?: | |
| 7 | Is Bidder a disregarded entity for tax purposes?: | |
| 7.1 | If yes, please list the name of Bidder’s owner/parent company: | |
| 7.2 | If yes, please list the Federal Tax ID # of Bidder’s owner/parent company: | |
| 8 | Does Bidder have a contract with any other federal, state or local governmental entity, including General Services Administration (GSA) / Veterans Affairs (VA), on similar products, quantities, terms and conditions?: | |
| 8.1 | If yes, provide a link for each contract, if available. | |
| 9 | Are prices quoted for this solicitation the same as or lower than those quoted other federal, state or local governmental entities (including GSA/VA contracts) on similar products, quantities, terms and conditions?: | |
| 9.1 | If Bidder answered "No" to question above, please explain: | |
| 10 | Does Bidder offer an online web-based ordering system?: | |
| 11 | If awarded a contract, will Bidder accept the NYS Purchasing Card (see Appendix B, Purchasing Card) at no additional charge?: | |
| 11.1 | If Bidder accepts the NYS Purchasing Card, please indicate the minimum purchase amount (if $0.00, please list as so): | |
| 11.2 | If Bidder accepts the NYS Purchasing Card, please indicate the maximum purchase amount (up to and including $50,000): | |
| 11.3 | If Bidder offers an additional discount for purchases made with the NYS Purchasing Card, enter it here (%): | |
| 12 | Does Bidder offer a prompt payment discount for payments made in less than 30 days after receipt of a proper invoice?: | |
| 12.1 | If yes, please detail the additional discounts by providing the percentage of discounts and the specific number of days within which payment must be made for the discounts to apply (for example: 2% / 15 days; 1% / 20 days): | |
| 13 | Are any Products offered manufactured from recycled materials? If yes, please attach price list with noted products. | |
| 14 | Are any Products offered remanufactured (i.e., restored to their original performance standards and function)? If yes, please attach price list with noted products. | |
| 15 | Are any Products offered Energy Star Compliant? If yes, please attach price list with noted products. | |
| 16 | Person to contact for questions relating to this Bid submission: | |
| Contact Name: | ||
| Title: | ||
| Phone: | ||
| Toll Free Phone: | ||
| Email: | ||
| 17 | Is Bidder a New York Small Business as defined below? |
"Small Business" means a business which:
(a) is resident in New York State;
(b) is independently owned and operated;
(c) is not dominant in its field; and,
(d) employs one hundred or fewer persons
A Bidder that is a Small Business as defined in New York State Finance Law Section 160(8) will be identified by OGS in the OGS Contract Award Notification upon award of the Contract.
| 18 | Total number of people employed by your business: |
| 19 | Total number of people employed by your business in New York State: |
| 20 | Place of manufacture of Product(s) bid: |
| 21 | Are all Product(s) bid manufactured in NYS?: |
| 22 | Are all Product(s) bid manufactured outside NYS?: |
| 23 | Are the Product(s) bid manufactured both in NYS and outside NYS?: |
BIDDER/OFFERER DISCLOSURE OF PRIOR NON-RESPONSIBILITY DETERMINATIONS
Pursuant to Procurement Lobbying Law (SFL § 139-j)
| 24 | Has any Governmental Entity made a finding of non-responsibility regarding the Bidder in the previous four years?: |
| 24.1 | If yes, was the basis for the finding of non-responsibility due to a violation of State Finance Law § 139-j?: |
| 24.2 | If yes, was the basis for the finding of non-responsibility due to the intentional provision of false or incomplete information to a Governmental Entity? |
If yes, please provide details regarding the finding of non-responsibility below.
| Governmental Entity: |
| Date of Finding of Non-Responsibility: |
| Basis of Finding of Non-Responsibility: |
(add additional pages if necessary with content clearly labeled)
| 25 | Has any Governmental Entity terminated a Procurement Contract with or withheld a Procurement Contract from the Bidder due to the intentional provision of false or incomplete information? If yes, please provide details below. |
| Governmental Entity: | |
| Date of Termination or Withholding of Contract: | |
| Basis of Termination or Withholding: |
(add additional pages if necessary with content clearly labeled)
&"Arial,Regular"&K000000&F
&"Arial,Regular"Page &P of &N
Solicitation Specific Questions Group 30310-23362, Vehicle and Equipment Parts and Related Product (Statewide) Attachment 5 - Bidder Information Questionnaire
Solicitation Specific Questions
| Bidder Company Business Name: | |
| D/B/A – Doing Business As (if applicable): |
Instructions: Complete all questions below. Questions may have a drop-down menu from which to select your response.
NOTE TO BIDDER: FAILURE TO ANSWER THE QUESTIONS WILL DELAY THE EVALUATION OF YOUR BID AND MAY RESULT IN REJECTION OF YOUR BID.
| # | Question: | Response: |
| 1 | Does Bidder have the ability to offer Commonly Stocked Parts for multiple Light Duty Vehicle OEMs (e.g., Ford, GM, FCA) in all Parts Groups listed in Solicitation Section 1.2 Scope? | |
| 2 | Does Bidder have the ability to provide Light Duty Vehicle Parts to Authorized Users statewide in all sixty-two (62) NYS counties, within twenty-four (24) hours of receipt of order (see Solicitation Section 6.9 Delivery for additional information). | |
| 3 | Will Bidder fulfill the requirement to provide statewide delivery through the use of Subcontractors (e.g., third-party independently-owned locations)? | |
| 4 | Does Bidder have the ability to provide web-based Parts lookup/pricing/ordering, in accordance with Section 6.14? | |
| 5 | Does Bidder have the ability to obtain Direct Order Parts on behalf of the Authorized User from multiple Heavy Duty Vehicle and Heavy Equipment OEMs (e.g. Caterpillar, John Deere, Mack, Navistar, Henderson, etc.)? | |
| 6 | Does Bidder have the ability to provide Heavy Duty Vehicle and Heavy Equipment Parts to Authorized Users statewide in all sixty-two (62) NYS counties? |
&"Arial,Regular"&F &"Arial,Regular"Page &P of &N
Ownership & Officials Group 30310-23362, Vehicle and Equipment Parts and Related Product (Statewide) Attachment 5 - Bidder Information Questionnaire
| Ownership & Officials | |
| Bidder Company Business Name: | |
| D/B/A – Doing Business As (if applicable): |
Instructions: For the questions listed below Bidder will identify each person or Business Entity or Trust that is, or has been within the past five (5) years, a Business Entity Official, or a Principal Owner of the Bidder.
Middle initials should be provided for each individual person listed below.
If the individual does not utilize a middle initial please use an * in place of a letter to indicate that the omission was intentional.
Fields that do not apply to a bidder should be marked as "N/A".
IMPORTANT NOTE: Information provided within this form should also be entered into the bidding company's Vendor Responsibility Questionnaire on the Office of State Comptroller's website here: https://onlineservices.osc.state.ny.us/Enrollment/login?0
| Is Bidder is owned by a Business Entity(ies)?: | ||
| If Bidder is owned by a Business Entity(ies) complete the information below: | ||
| a) | Name of Business Entity | |
| Percent ownership (enter 0% if not applicable) | ||
| Names of Officials, Trust Administrator, or Board of Directors | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| b) | Name of Business Entity | |
| Percent ownership (enter 0% if not applicable) | ||
| Names of Officials, Trust Administrator, or Board of Directors | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| c) | Name of Business Entity | |
| Percent ownership (enter 0% if not applicable) | ||
| Names of Officials, Trust Administrator, or Board of Directors | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| d) | Name of Business Entity | |
| Percent ownership (enter 0% if not applicable) | ||
| Names of Officials, Trust Administrator, or Board of Directors | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Full Name (including middle initial), Title, & Date of Birth: | ||
| Does any Business Entity listed above own 25% or more of the Bidder company (or 10% or more if company is publicly traded)? | Choose from the dropdown menu |
&"Arial,Regular"&F &"Arial,Regular"Page &P of &N
Control
| Valid answers for County |
| Albany |
| Allegany |
| Bronx |
| Broome |
| Cattaraugus |
| Cayuga |
| Chautauqua |
| Chemung |
| Chenango |
| Clinton |
| Columbia |
| Cortland |
| Delaware |
| Dutchess |
| Erie |
| Essex |
| Franklin |
| Fulton |
| Genesee |
| Greene |
| Hamilton |
| Herkimer |
| Jefferson |
| Kings |
| Lewis |
| Livingston |
| Madison |
| Monroe |
| Montgomery |
| Nassau |
| New York |
| Niagara |
| Oneida |
| Onondaga |
| Ontario |
| Orange |
| Orleans |
| Oswego |
| Otsego |
| Putnam |
| Queens |
| Rensselaer |
| Richmond |
| Rockland |
| Saratoga |
| Schenectady |
| Schoharie |
| Schuyler |
| Seneca |
| St. Lawrence |
| Steuben |
| Suffolk |
| Sullivan |
| Tioga |
| Tompkins |
| Ulster |
| Warren |
| Washington |
| Wayne |
| Westchester |
| Wyoming |
| Yates |
General Questions - &A GROUP 73003 - Administrative Services
&D Attachment 6 of 12 Page &P of &N
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