Appendix A (Separate Agreement)_FORM_VENDOR.pdf
PDF 179 KB Posted
- Solicitation number
- 2137510
- Issued by
- Albany County, Albany City, New York
About this file
This is a contractor acknowledgment form from the New York State Department of Transportation (NYSDOT) Administrative Services Division/Purchasing, requiring contractors to sign and date confirmation of receipt and understanding of Appendix A (Standard Clauses for NYS Contracts) dated June 2023. The form requests contractor company name and Federal Employer Identification Number (FEIN) and must be returned to NYSDOT ASD/Purchasing at 50 Wolf Road, Suite 1PC, Albany, NY 12232, attention Contract Management Specialist. The form serves as documentation that the contractor acknowledges the updated Appendix A supersedes all previous versions.
The related solicitation, BA26-013, seeks proposals and bids from vendors to supply genuine OEM parts and factory reconditioned components for Mack Trucks, John Deere Equipment, and hydraulic supplies for NYSDOT. Interested vendors should contact the purchasing office at Purch-Assist@dot.ny.gov or call (518) 457-4401 to request the complete Invitation for Bid (IFB) package and be placed on the bidder's list. Vendors should provide their business entity name, address, contact information, and FEIN when inquiring. The procurement is subject to statutory restrictions on procurement lobbying, and material information regarding the solicitation will not be disclosed to non-DOT employees prior to official IFB release.
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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 .