Appendix A (Separate Agreement)_FORM_VENDOR.pdf

PDF 179 KB Posted

Attached to
Portable Screener & RC Tracked Skid Steer
Solicitation number
2136583
Issued by
Richmond County, New York

About this file

This is an Appendix A acknowledgment form from the New York State Department of Transportation (NYSDOT) Administrative Services Division/Purchasing, requiring contractor signature and acceptance of the Standard Clauses for NYS Contracts dated June 2023. The form serves as documentation that the contractor has read, understood, and acknowledges receipt of the updated Appendix A, which supersedes all previous versions. The contractor must enter their company name and Federal Employer Identification Number (FEIN), sign the form, and return it to NYSDOT ASD/Purchasing at 50 Wolf Road, Suite 1PC, Albany, NY 12232, attention Contract Management Specialist.

This form is associated with NYSDOT's solicitation for the purchase of one portable screener and one RC tracked skid steer for utilization by NYSDOT Region 6. The solicitation is issued as an Invitation for Bid (IFB) with complete details available in the Contract Record Advertisement documents. Interested bidders should request the bid package and be placed on the bidder's list by contacting Purch-Assist@dot.ny.gov with their business entity name, address, contact telephone number, FEIN, and reference to solicitation number BA26-010. The form constitutes a mandatory component of the bidding process, as all contractors must acknowledge their acceptance of the current standard contract clauses prior to bid submission.

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Text version

NYSDOT Administrative Services Division/Purchasing

CONTRACTOR Company Name

CONTRACTOR Company FEIN #

Enter Company Name and FEIN # above. Please sign and date below. By doing so, you acknowledge receipt of the updated Appendix A (Standard Clauses for NYS Contracts);

dated June 2023 (attached).

I have read and fully understand the attached and updated Appendix A, and further understand that this version supersedes all previous versions of Appendix A.

CONTRACTOR’s Signature Date

RETURN TO:

NYSDOT

ASD/Purchasing 50 Wolf Road, Suite 1PC Albany, NY 12232 Attn: Contract Management Specialist

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