5021123335_att10_resellerdirectory.pdf
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- Recycled Copy Paper (Statewide)
- Contract number
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- New York
About this file
This document is a Reseller Information Sheet (Attachment 10) for a New York State procurement contract, identified by number 5021123335. The form is designed for ordering and contract administration purposes within New York State's procurement system and requires information about both the primary bidder/contractor and their authorized resellers. The document establishes requirements for resellers to be entered into the State Financial System (SFS) with their own NYS Vendor ID numbers.
The form captures comprehensive business information for up to seven resellers, including company details, contact information, tax identification numbers, and certification status for Minority and Women-owned Business Enterprises (MWBE), Service-Disabled Veteran-Owned Businesses (SDVOB), and Small Business Enterprises (SBE). A critical requirement states that for authorized users to receive credit toward MWBE or SDVOB participation goals, resellers must be authorized to both "Take Orders AND Receive Payment" and maintain their own NYS Vendor ID number in the state system. The form also allows for specification of reseller restrictions and indicates whether resellers are authorized for direct shipping capabilities, providing the state with a comprehensive framework for managing vendor relationships and ensuring compliance with diversity and small business participation requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 5021123335_att06_biddersubmissionchecklist.xlsx | XLSX spreadsheet | |
| 5021123335PL_WBMason.xlsx | XLSX spreadsheet | |
| 5021123335_att02_nysrequiredcertifications.pdf | ||
| 5021123335_att09_certificationundereo16.pdf | ||
| 5021123335_bidinquiries.pdf | ||
| 5021123335p.pdf | ||
| 5021123335p01.pdf | ||
| 5021123335_appendixa.pdf | ||
| 5021123335_appendixb.pdf | ||
| 5021123335_appendixc.pdf | ||
| 5021123335_att03_encouraginguseofnysbusinesses.pdf | ||
| 5021123335_att04_insurancerequirements.pdf | ||
| 5021123335_att05_bidderinformationquestionnaire.xlsx | XLSX spreadsheet | |
| 5021123335_att08_reportofcontractusage.xlsx | XLSX spreadsheet | |
| 5021123335i_rev_092624.pdf | ||
| 5021123335ra.pdf | ||
| 5021123335_att01_pricing.xlsx | XLSX spreadsheet | |
| 5021123335_att07_bidderquestionsform.xlsx | XLSX spreadsheet | |
| 5021123335_att11_suppliermanufacturerscertificate.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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