Attachment 12 - SAMPLE Deliverable Acceptance Form.pdf
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- Solicitation number
- 2137738
- Issued by
- New York
About this file
This is a Deliverable Acceptance Form template provided by the New York State (NYS) Office of Information Technology Services (ITS) for use in the Salesforce Implementation Enterprise Agreement Contract. The form serves as the official documentation mechanism for vendors to submit deliverables and for NYS to formally accept or reject those deliverables. The template requires vendors to provide detailed descriptions of submitted items, vendor contact information, submission dates, and delivery dates. NYS personnel must review each deliverable submission and indicate acceptance status through one of three options: accepted, accepted with exceptions, or not accepted. The form includes designated space for exceptions or reasons for rejection, along with signature lines and dates from both the vendor and the accepting NYS official.
The Deliverable Acceptance Form is a standardized document designed to facilitate transparent communication and formal record-keeping throughout the three-year Enterprise Agreement Contract term. The form does not establish pricing or contractual terms but rather provides a structured process for tracking deliverable completion and approval. This document is essential for ensuring accountability and clarity between the Salesforce-certified consulting partner and NYS ITS regarding the implementation services and personnel to be provided under the contract.
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Text version
KATHY HOCHUL
Governor
DRU RAI
NYS Chief Information Officer
NYS ITS Deliverable Acceptance Form
DELIVERABLE ACCEPTANCE FORM FOR: Insert Contact/Engagement number and deliverable number and name.
Date:
[Insert Vendor Name] Statement of Submission Detailed description of items for Acceptance
Vendor Details Submitted by:
(Name & Title)
Signature of [Insert Vendor Name]
Date Delivered
NYS Statement of Acceptance
Accepted Accepted with Exceptions
Not Accepted
Exceptions or Reason for Rejection:
Accepted by:
Name
Title
Signature:
Date:
File details come from the government source that posted it. Updated .