3520523227i_Attachment09.pdf

PDF 226 KB Posted

Attached to
Body Armor, Law Enforcement (Soft Body Armor or Hard Body Armor) (Statewide)
Contract number
Not on record
Issued by
New York

About this file

Written by GovTribe AI ·

This is Attachment 9 - Distributor Information for New York State Contract Group 35205 covering Body Armor for Law Enforcement. The document is a standardized form template used for ordering and contract administration purposes to collect information about authorized distributors who can provide products under this state contract vehicle.

The attachment provides multiple blank distributor information forms that capture essential business details including company name, address, Federal ID number, NYS Vendor ID number, contact information, and certification status. Each form includes checkboxes for Minority and Women-Owned Business Enterprise (MWBE) certifications, Service-Disabled Veteran-Owned Business (SDVOB) status, and New York State Small Business Enterprise designation. The forms also require indication of whether the company is an authorized distributor, along with any applicable qualifying criteria or restrictions. This standardized collection process enables the state to maintain a comprehensive database of qualified distributors for body armor procurement by law enforcement agencies throughout New York State.

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Other files

File Type Posted
3520523227p_BidSolicitationUpdates.pdf PDF
3520523227i3_IFB.pdf PDF
3520523227CAL_Blank.pdf PDF
3520523227AppendixC.pdf PDF
3520523227R1_BidInqiuries.pdf PDF
3520523227ContractorInfo.pdf PDF
3520523227HowToUse.pdf PDF
3520523227AppendixA.pdf PDF
3520523227AppendixD.pdf PDF
3520523227i_Attachment08.xlsx XLSX spreadsheet
3520523227ra.pdf PDF
3520523227i_Attachment04.pdf PDF
3520523227p.pdf PDF
3520523227i_Atachment11.xlsx XLSX spreadsheet
3520523227i_Attachment10.pdf PDF
3520523227AppendixB.pdf PDF
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GROUP 35205 – Body Armor, Law Enforcement Page 1 of 5

23227i_Attachment 9 – Distributor Information.docx Page 1 of 5

ATTACHMENT 9

DISTRIBUTOR INFORMATION

(for ordering and contract administration purposes)

CONTRACTOR INFORMATION

Company Name:

NYS Contract Number:

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

Email:

MWBE and/or SDVOB Certification:

☐ NYS Certified Women Owned ☐ NYS Certified Minority Owned

☐ SDVOB

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No Qualifying Criteria Applicable to this Distributor:

Restrictions Applicable to this Distributor (if any):

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

GROUP 35205 – Body Armor, Law Enforcement Page 2 of 5

23227i_Attachment 9 – Distributor Information.docx Page 2 of 5

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

GROUP 35205 – Body Armor, Law Enforcement Page 3 of 5

23227i_Attachment 9 – Distributor Information.docx Page 3 of 5

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

☐ NYS Certified Women Owned ☐ NYS Certified Minority Owned ☐ SDVOB

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

GROUP 35205 – Body Armor, Law Enforcement Page 4 of 5

23227i_Attachment 9 – Distributor Information.docx Page 4 of 5

DISTRIBUTOR/ INFORMATION

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

GROUP 35205 – Body Armor, Law Enforcement Page 5 of 5

23227i_Attachment 9 – Distributor Information.docx Page 5 of 5

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

Address:

Federal ID #:

NYS Vendor ID #:

Contact Name:

Title:

Phone:

Fax:

SBE: ☐NYS Small Business Enterprise (self-identified) Is Company an Authorized Distributor? ☐ Yes ☐ No

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