5-EPC Vendor Certification Form.pdf
PDF 189 KB Posted
- Solicitation number
- RFP-RC-Epc-2026-001
- Issued by
- Rockland County, New York
About this file
This is a Marketplace Participation Vendor Certification Form for the Empire State Cooperative Procurement Alliance (ESCPA), required as a submission with bid and proposal responses for auction services for municipal personal property, equipment, and vehicles. The County of Rockland is seeking qualified firms to provide professional auction services for the sale and disposal of surplus municipal assets on behalf of ESCPA. The resulting contract will be available for use by the County of Rockland and all authorized political subdivisions, school districts, BOCES, special districts, and other entities throughout New York State. Real estate auction services are expressly excluded from this solicitation. The form requires bidders to acknowledge and certify their full participation in the Empire Procure Connect (EPC) Marketplace, including onboarding, maintaining a marketplace presence or catalog, and complying with all implementation timelines and responsibilities as outlined in the solicitation and contract terms.
Bidders must remit a Supplier Convenience Fee of 1.75% of all sales made under or utilizing the contract terms, payable quarterly directly to Periscope as specified in the solicitation documents. Bidders are required to submit Quarterly Sales Reports detailing all sales under the contract, including zero sales reports for periods with no transactions. The form requires submission of vendor information including company name, mailing address, FEIN or Tax ID number, and primary contact details, along with a separate Supplier Convenience Fee Compliance Contact if different from the main contact. Authorized representatives must certify that they are empowered to sign the document and that all information provided is accurate and complete, with understanding that failure to comply with outlined obligations may result in contract non-compliance, suspension, or termination.
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Text version
Marketplace Participation Vendor Certification Form
Solicitation No:
Empire State Cooperative Procurement Alliance Required Submission with Bid/Proposal Response
SECTION I – VENDOR ACKNOWLEDGEMENT
• Marketplace Participation:
Bidder agrees to fully participate in the Empire Procure Connect (EPC) Marketplace, including onboarding, maintaining a marketplace presence or catalog, and complying with all implementation timelines and responsibilities as described in the solicitation and contract terms.
• Supplier Convenience Fee:
Bidder acknowledges and agrees to remit a Supplier Convenience Fee of 1.75% of all sales made under or utilizing the contract terms, whether or not the EPC Marketplace is used to facilitate the transaction. This fee shall be paid quarterly directly to Periscope, as specified in the solicitation documents.
• Sales Reporting Compliance:
Bidder agrees to submit Quarterly Sales Reports detailing all sales under the contract, as required. Reports must be submitted even if no sales occurred during the reporting period
(i.e., zero sales report).
• Terms and Conditions Compliance:
Bidder has reviewed and accepts the terms and conditions of the Empire State Cooperative
Procurement Alliance and Empire Procure Connect Marketplace, including all related responsibilities regarding reporting, remittance, audit, catalog maintenance, and potential suspension for non-compliance.
SECTION II – VENDOR INFORMATION – Main Contact
Company Name:
Mailing Address:
City, State, Zip Code:
FEIN or Tax ID Number:
Primary Contact Name:
Title:
Phone Number:
Email Address:
SECTION III – SUPPLIER CONVENIENCE FEE COMPLIANCE CONTACT (If different from main contact)
Compliance Contact Name:
Title:
Phone Number:
Email Address:
SECTION IV – CERTIFICATION AND SIGNATURE
I, the undersigned, hereby certify that I am authorized to sign this document on behalf of the
Bidder, and that the information provided is accurate and complete. I affirm that the Bidder will comply with the obligations outlined above and understands that failure to do so may result in contract non-compliance, suspension, or termination.
Authorized Signature:
Printed Name:
Title:
Date:
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