3520523227i_Attachment09.pdf

PDF 226 KB Posted

Attached to
Body Armor, Law Enforcement (Soft Body Armor or Hard Body Armor) (Statewide)
Contract number
23227
Issued by
New York

About this file

Written by GovTribe AI ·

This document is Attachment 9 - Distributor Information for New York State Contract Group 35205 for Body Armor, Law Enforcement. The form is designed to capture detailed information about potential distributors for a statewide contract, including company contact details, federal and state vendor identification numbers, and certification status.

The document provides a template for multiple distributors to record their company information, with fields for contact details, NYS vendor and federal ID numbers, and certification status. Distributors can indicate if they are NYS Certified Women Owned, NYS Certified Minority Owned, Service-Disabled Veteran Owned Business (SDVOB), or NYS Small Business Enterprise. The form allows for specifying whether the distributor is an authorized distributor, and includes sections for noting any qualifying criteria or restrictions specific to that distributor. The contract appears to be focused on body armor procurement for law enforcement agencies within New York State.

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Other files

File Type Posted
3520523227CAL_Blank.pdf PDF
3520523227ra.pdf PDF
3520523227i_Attachment10.pdf PDF
3520523227AppendixA.pdf PDF
3520523227p_BidSolicitationUpdates.pdf PDF
3520523227ContractorInfo.pdf PDF
3520523227R1_BidInqiuries.pdf PDF
3520523227HowToUse.pdf PDF
3520523227p.pdf PDF
3520523227i_Atachment11.xlsx XLSX spreadsheet
3520523227AppendixC.pdf PDF
3520523227i3_IFB.pdf PDF
3520523227i_Attachment04.pdf PDF
3520523227AppendixB.pdf PDF
3520523227i_Attachment08.xlsx XLSX spreadsheet
3520523227AppendixD.pdf PDF
Show all 16

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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

File details come from the government source that posted it. Updated .