5021123335_att10_resellerdirectory.pdf
PDF 228 KB Posted
- Attached to
- Commodity NY|23335|PC70540
- Contract number
- PC70540
- Issued by
- New York
About this file
This document is Attachment 10 - Reseller Information Sheet, which appears to be part of a state contract vehicle for New York State (NYS). The form is designed for capturing detailed information about bidders and potential resellers who will participate in a procurement process. It includes sections for collecting company details such as business name, address, federal tax ID, NYS vendor ID, contact information, and certification status for Minority and Women-owned Business Enterprises (MWBE), Service-Disabled Veteran-Owned Businesses (SDVOB), and Small Business Enterprises (SBE).
The document's primary purpose is to enable resellers to be added to a contract with specific authorization levels, particularly emphasizing that for an Authorized User to obtain credit for MWBE or SDVOB resellers, those resellers must be permitted to "Take Orders AND Receive Payment" and must be entered into the New York State Statewide Financial System (SFS) with their own unique NYS Vendor ID. The form provides multiple identical sections to list multiple resellers, allowing for comprehensive documentation of each potential business partner's capabilities, certifications, and authorized activities within the contract vehicle.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5021123335_appendixc.pdf | ||
| 5021123335_att08_reportofcontractusage.xlsx | XLSX spreadsheet | |
| 5021123335ra.pdf | ||
| 5021123335_appendixa.pdf | ||
| 5021123335_att04_insurancerequirements.pdf | ||
| 5021123335_att07_bidderquestionsform.xlsx | XLSX spreadsheet | |
| 5021123335_att09_certificationundereo16.pdf | ||
| 5021123335_att11_suppliermanufacturerscertificate.pdf | ||
| 5021123335i_rev_092624.pdf | ||
| 5021123335p.pdf | ||
| 5021123335_appendixb.pdf | ||
| 5021123335_att01_pricing.xlsx | XLSX spreadsheet | |
| 5021123335_att06_biddersubmissionchecklist.xlsx | XLSX spreadsheet | |
| 5021123335p01.pdf | ||
| 5021123335PL_WBMason.xlsx | XLSX spreadsheet | |
| 5021123335_att02_nysrequiredcertifications.pdf | ||
| 5021123335_att03_encouraginguseofnysbusinesses.pdf | ||
| 5021123335_att05_bidderinformationquestionnaire.xlsx | XLSX spreadsheet | |
| 5021123335_bidinquiries.pdf |
Show all 19
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Text version
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
5021123335_Attachment 10 - Reseller Information Sheet
ATTACHMENT 10
RESELLER INFORMATION
(for ordering and contract administration purposes)
BIDDER INFORMATION
Company Business Name:
D/B/A – Doing Business As (if applicable):
Address:
Company Website:
Federal Tax ID #:
NYS Vendor ID #:
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
Phone:
MWBE and/or SDVOB Certification:
☐ NYS Certified Women Owned ☐ NYS Certified Minority Owned ☐ SDVOB
SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct Restrictions Applicable to this Reseller (if any):
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
*In order for an Authorized User to obtain credit for Reseller(s) being MWBE or SDVOB, Reseller(s) MUST be allowed to “Take Orders AND Receive Payment” and be entered into SFS with their own NYS Vendor ID #.
5021123335_Attachment 10 - Reseller Information Sheet
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
Address:
Federal Tax ID #:
NYS Vendor ID #:
Contact Name:
Title:
Email:
Hours of Availability:
SBE: ☐NYS Small Business Enterprise (self-identified) Reseller is Authorized to: (check all that apply) ☐ Take Orders AND Receive Payment * ☐ Ship Direct
| Company Business Name: |
| DBA Doing Business As if applicable: |
| Address: |
| Company Website: |
| Federal Tax ID: |
| NYS Vendor ID: |
| Company Business Name_2: |
| Address_2: |
| Federal Tax ID_2: |
| NYS Vendor ID_2: |
| Contact Name: |
| Title: |
| Email: |
| Hours of Availability: |
| Phone: |
| NYS Certified Women Owned: Off |
| NYS Certified Minority: Off |
| SDVOB: Off |
| NYS Small Business Enterprise selfidentified: Off |
| Take Orders AND Receive Payment: Off |
| Ship Direct: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any: |
| Company Business Name_3: |
| Address_3: |
| Federal Tax ID_3: |
| NYS Vendor ID_3: |
| Contact Name_2: |
| Title_2: |
| Email_2: |
| Hours of Availability_2: |
| Phone_2: |
| NYS Certified Women Owned_2: Off |
| NYS Certified Minority_2: Off |
| SDVOB_2: Off |
| NYS Small Business Enterprise selfidentified_2: Off |
| Take Orders AND Receive Payment_2: Off |
| Ship Direct_2: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_2: |
| Company Business Name_4: |
| Address_4: |
| Federal Tax ID_4: |
| NYS Vendor ID_4: |
| Contact Name_3: |
| Title_3: |
| Email_3: |
| Hours of Availability_3: |
| Phone_3: |
| NYS Certified Women Owned_3: Off |
| NYS Certified Minority_3: Off |
| SDVOB_3: Off |
| NYS Small Business Enterprise selfidentified_3: Off |
| Take Orders AND Receive Payment_3: Off |
| Ship Direct_3: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_3: |
| Company Business Name_5: |
| Address_5: |
| Federal Tax ID_5: |
| NYS Vendor ID_5: |
| Contact Name_4: |
| Title_4: |
| Email_4: |
| Hours of Availability_4: |
| Phone_4: |
| NYS Certified Women Owned_4: Off |
| NYS Certified Minority_4: Off |
| SDVOB_4: Off |
| NYS Small Business Enterprise selfidentified_4: Off |
| Take Orders AND Receive Payment_4: Off |
| Ship Direct_4: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_4: |
| Company Business Name_6: |
| Address_6: |
| Federal Tax ID_6: |
| NYS Vendor ID_6: |
| Contact Name_5: |
| Title_5: |
| Email_5: |
| Hours of Availability_5: |
| Phone_5: |
| NYS Certified Women Owned_5: Off |
| NYS Certified Minority_5: Off |
| SDVOB_5: Off |
| NYS Small Business Enterprise selfidentified_5: Off |
| Take Orders AND Receive Payment_5: Off |
| Ship Direct_5: Off |
| Take Orders AND Receive Payment Ship DirectRestrictions Applicable to this Reseller if any_5: |
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