7600023167AppendixD1.docx
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About this file
This is an Administrative Update Form for New York State Office of General Services (OGS) Group 76000 - Award 23167 covering Electronic Poll Book Systems. The form is issued by the OGS Procurement Services Group and is designed for contractors to submit changes to their business information, contact details, and service areas. The document is specifically tied to electronic poll book systems used by New York State County Boards of Election and requires coordination with the State Board of Elections (SBOE) for training and support services.
The contract covers Electronic Poll Book Systems for use by county boards of election across New York State. The form allows contractors to specify whether they will provide on-site training and support services either statewide to all New York State County Boards of Election or to specific counties within designated regions including Western NY, Finger Lakes, Southern Tier, Central NY, Mohawk Valley, Capital Region, Mid-Hudson, New York City, Long Island, and North Country. The document includes sections for procurement card acceptance and prompt payment discount terms, though specific pricing, contract amounts, and renewal periods are not detailed in this administrative form. Contractors must complete this form along with a Contract Modification Form when making changes to their contract information.
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Other files
| File | Type | Posted |
|---|---|---|
| 7600023167AppendixC.pdf | ||
| 7600023167AppendixE1_Knowink.xlsx | XLSX spreadsheet | |
| 7600023167AppendixF_Knowink.pdf | ||
| 7600023167Attachment2_Knowink.pdf | ||
| 7600023167a.pdf | ||
| 7600023167AppendixA.pdf | ||
| 7600023167AppendixH_Knowink.xlsx | XLSX spreadsheet | |
| 7600023167Attachment1_Knowink.pdf | ||
| 7600023167ContractorPage.pdf | ||
| 7600023167ra.pdf | ||
| 7600023167AppendixG1_Knowink.docx | DOCX document | |
| 7600023167AppendixG2_Knowink.xlsx | XLSX spreadsheet | |
| 7600023167Attachment3_Knowink.pdf | ||
| 7600023167AppendixB_Knowink.pdf | ||
| 7600023167AppendixG.pdf | ||
| 7600023167pm.pdf |
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Text version
Office of General Services Procurement Services Group 76000 – Award 23167 Electronic Poll Book Systems Appendix D.1 - Administrative Update Form
Corning Tower, Empire State Plaza, Albany, NY 12242 | http://nyspro.ogs.ny.gov | customer.service@ogs.ny.gov | 518-474-6717
Administrative Update Form
Appendix D.1 - Administrative Update Form Group 76000 – Award 23167 Electronic Poll Book Systems
Instructions: This form is used to revise Contractor information. Contractors will identify Additions, Deletions and Revisions. Changes will be incorporated into the Contractor Information document published on the OGS web page http://ogs.ny.gov/purchase/snt/awardnotes/7600023167ContractorPage.pdf.
1. Complete this form identifying Additions, Deletions and Revisions to Contractor Information.
2. Complete the Contractor Modification Form located in Contractor’s Appendix C, Contract Modification Procedures.
3. Email all documents to the OGS Contract Administrator.
4. Send hardcopy documentation to:
NYS Office of General Services Procurement Services Corning Tower, 38th Floor Empire State Plaza Albany, NY 12242
1. Contractor Information
Legal Business Entity Name:
Doing Business As (If Applicable):
Mailing Address:
City, State, Zip (Mailing)
Website:
Federal ID#:
NYS Vendor ID#:
Toll-Free Number:
Contract #:
Date:
Procurement Card and Prompt Payment Discount Information
| Contractor accepts the New York State Procurement Card? |
| |_| No |_| Yes – Up to $ |
| Prompt payment discount percentage for payment within days of delivery and/or receipt of voucher: |
| % |
| Prompt payment discount percentage for payment within 15 days of delivery and/or receipt of voucher: |
| % |
| Prompt payment discount percentage for payment within 30 days of delivery and/or receipt of voucher: |
| % |
Contact Information
CONTRACT ADMINISTRATOR
(Responsible for the Updating and Management of the Contract)
Name:
Title:
Telephone Number:
Toll-Free Number:
Email Address:
ACCOUNT MANAGER
(Responsible for the Overall Relationship with the State)
Name:
Title:
Telephone Number:
Toll-Free Number:
Email Address:
SALES MANAGER
(Responsible for the Overall Relationship with the Authorized Users)
Name:
Title:
Telephone Number:
Toll-Free Number:
Email Address:
BILLING CONTACT
(Responsible for matters related to invoicing, billing and payment)
Name:
Title:
Telephone Number:
Toll-Free Number:
Email Address:
EMERGENCY CONTACT
(Must be available 24 hours a day, 7 days a week, 365 days a year for emergency procurements)
Name:
Title:
Telephone Number:
Toll-Free Number:
Email Address:
New York State Counties - Training New York State Counties - Training
Instructions
Contractor shall identify whether any on-site Training Services as approved by SBOE will be offered either statewide, to all New York State County Boards of Election, under this Contract or must identify all New York State Counties individually where on-site Training Services will be offered under this Contract
Statewide
OR
Western NY
Finger Lakes
Southern Tier
Allegany
Genesee
Broome
Cattaraugus
Livingston
Chemung
Chautauqua
Monroe
Chenango
Erie
Ontario
Delaware
Niagara
Orleans
Schuyler
Seneca
Steuben
Wayne
Tioga
Wyoming
Tompkins
Yates
Central NY
Mohawk Valley
Capital Region
Cayuga
Fulton
Albany
Cortland
Herkimer
Columbia
Madison
Montgomery
Greene
Onondaga
Oneida
Rensselaer
Oswego
Otsego
Saratoga
Schoharie
Schenectady
Warren
Washington
Mid-Hudson
New York City
Long Island
Dutchess
Bronx
Nassau
Orange
Kings
Suffolk
Putnam
New York
Rockland
Queens
Sullivan
Richmond
Ulster
Westchester
North Country
Clinton
Essex
Franklin
Hamilton
Jefferson
Lewis
St. Lawrence
New York State Counties - Support New York State Counties - Support
Instructions
Contractor shall identify whether any on-site Support Services as approved by SBOE will be offered either statewide, to all New York State County Boards of Election, under this Contract or must identify all New York State Counties individually where on-site Support Services will be offered under this Contract
Statewide
OR
Western NY
Finger Lakes
Southern Tier
Allegany
Genesee
Broome
Cattaraugus
Livingston
Chemung
Chautauqua
Monroe
Chenango
Erie
Ontario
Delaware
Niagara
Orleans
Schuyler
Seneca
Steuben
Wayne
Tioga
Wyoming
Tompkins
Yates
Central NY
Mohawk Valley
Capital Region
Cayuga
Fulton
Albany
Cortland
Herkimer
Columbia
Madison
Montgomery
Greene
Onondaga
Oneida
Rensselaer
Oswego
Otsego
Saratoga
Schoharie
Schenectady
Warren
Washington
Mid-Hudson
New York City
Long Island
Dutchess
Bronx
Nassau
Orange
Kings
Suffolk
Putnam
New York
Rockland
Queens
Sullivan
Richmond
Ulster
Westchester
North Country
Clinton
Essex
Franklin
Hamilton
Jefferson
Lewis
St. Lawrence
| August 2019 |
| Appendix D.1, Administrative Update Form |
| August 2019 |
| Appendix D.1, Administrative Update Form |
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