4006123361attachment08_reportofcontractusage.xlsx
XLSX spreadsheet 44 KB Posted
- Contract number
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- New York
About this file
This document is a New York State Office of General Services (OGS) Report of Contract Usage for Award 23361, specifically for Group 40061 Protective Outerwear. The contract covers statewide procurement and is designed for various state agencies, local government entities, emergency services, and authorized users, including departments like DOT, OGS, state agencies, counties, towns, villages, schools, and non-profit organizations.
The contract encompasses nine distinct lots of protective outerwear and safety equipment, including EMS/Search & Rescue Clothing, Firefighting Boots, Firefighting Proximity Clothing, Firefighting Turnout Gear, Gloves, Helmets, Safety Shoes, Specialty Boots, and Wildland Clothing. The usage report template allows contractors to document detailed transaction information such as invoice numbers, purchase orders, authorized users, manufacturer details, part numbers, quantities, list prices, percentage discounts, net pricing, and whether products meet GreenNY specifications. The contract appears to have provisions for tracking purchases from both state agencies and non-state entities, with options to identify minority or women-owned business (MBE/WBE) resellers.
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Text version
Instructions
| NEW YORK STATE OFFICE OF GENERAL SERVICES |
| Report of Contract Usage |
| Award 23361 |
| 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 Period (Dates):
A Contractor must complete all non-shaded cells on the ContractUsage tab.
| Contract Usage Tab | |
| Contractor's Invoice Number | Invoice number on Contractor's invoice to Authorized User |
| Invoice Date | Date on Contractor's invoice to Authorized User |
| PO Number | Number on ordering entity's purchase order |
| Authorized User | Authorized User placing purchase order with Contractor (ie. DOT, OGS, Albany County, Troy FD, etc.) |
| State Agency? (Y/N) | Y if State Agency made the purchase (OGS, DOT, DEC, SUNY, etc.), |
For a full list of New York State Agencies, see: https://www.ny.gov/agencies N if a Non-State entity made the purchase (Local Fire Depts, Counties, Towns, Villages, Schools, Non-Profits etc.)
| Lot Number | Lot Numbers: 1 - 9 Select from drop down list in cell. | |
| Manufacturer Name | Manufacturer of the Item purchased | |
| Model Number of Product | ||
| (For Customized Products) | Product's Model Number. This number must match Model Number found on the approved Pricelist. This must be included for all Part Numbers used to make up the customized product that was purchased. | |
| Manufacturer's Part Number | ‘The Manufacturer’s unique identifier assigned to the item, which consists of alphanumeric characters. Examples of Manufacturer’s part numbers include Product Order Codes, ID Numbers, Model Numbers and Catalog Numbers. Should the Manufacturer’s Part Number and Contractor's Part/Stock Number be identical, then this information should be listed in both the ‘Manufacturer’s Part Number’ and ‘Contractor's Part/Stock Number’ fields. | |
| Contractor's Part/Stock Number | Part/Stock used for ordering. This Part Number must match the Part Number found on the approved Pricelist. | |
| Item Description | Description of part/stock product | |
| Unit of Measure | Packing size of product | |
| Quantity | Quantity purchased by the Authorized User for the term of the reporting period | |
| List Price (Unit Price) | Price published in the catalog for the item purchased | |
| Percentage Discount off List Price | The percent difference between List Price and NYS Contract Price | |
| NYS Net Price (Unit Price) | Unit Price of the product that an Authorized User will be invoiced. |
“NYS Net Price” shall refer to the price derived by applying the Bidder’s Percentage Discount bid to the List Prices for the individual Products within a Product Line bid.
| Contract Extended Price | The product of Quantity times NYS Contract Price. |
| Product Meets GreenNY Specification Yes/No | Does this product meet the approved green procurement specification as per: https://ogs.ny.gov/greenny? |
Select "Yes" or "No" as applicable.
| Reseller/Distributor/Dealer | Name of the Approved Reseller/Distributor/Dealer that sold a Contract Item to an Authorized User. |
| NYS Certified MBE or WBE? | Enter 'MBE' or 'WBE' if the Approved Reseller is a NYS Certified MBE or WBE reseller. |
Group 40061, Award 23361 Protective Outerwear (Firefighting, Emergency/Rescue, and Safety) (Statewide)
&F &A
ContractUsage
| Contractor Name: | 0 |
| Contract Reporting Period (Dates): | 0 |
| Contract Number: | 0 |
| Contractor's Invoice Number | Invoice Date | Ordering Entity's PO Number | Authorized User | |||||
| (Include State Agency Acronym if State Agency) | State Agency? | |||||||
| (Y/N) | LOT Number | Manufacturer Name | Model Number of Product | |||||
| (For Customized Products) | Manufacturer's Part Number | Contractor's Part/Stock Number | Item Description | Unit of Measure | Quantity | List Price (Unit Price) | Percentage Discount off List Price | NYS Net Price |
| (Unit Price) | Contract Extended Price | Product Meets GreenNY Specification Yes/No | Reseller/Distributor/Dealer (if applicable) | NYS Certified MBE or WBE? |
(if yes, enter MBE or WBE)
| Lot 1-EMS/Search & Rescue Clothing |
| Lot 2-Firefighting Boots |
| Lot 3-Firefighting Proximity Clothing |
| Lot 4-Firefighting Turnout Gear |
| Lot 5-Gloves (Firefighting/Rescue) |
| Lot 6-Helmets (Firefighting/Rescue) |
| Lot 7-Safety Shoes (various) |
| Lot 8-Specialty Boots (various) |
| Lot 9-Wildland Clothing |
Group 40061, Award 23361 Protective Outerwear (Firefighting, Emergency/Rescue, and Safety) (Statewide)
&F &A &P of &N
Sheet1
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