Attachment III.pdf

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Attached to
RFP OCA-DGCP-081 New York County Firearm Youth Intervention Services
Solicitation number
2136977
Issued by
New York County, Nissequogue Village, New York

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Summary

This document is the Vendor Responsibility Questionnaire Instructions issued by the New York State Unified Court System (UCS) in conjunction with RFP OCA-DGCP-081 for New York County Firearm Youth Intervention Services. The RFP seeks proposals from qualified applicants using evidence-based models to provide community-based interventions supporting justice-involved young adults with gun-related offenses through the Empowerment Through Wellness to Prevent Gun Violence Initiative. The UCS, as the recipient of a Byrne State Crisis Intervention Program grant from the U.S. Department of Justice Bureau of Justice Assistance, intends to award one contract with a term commencing September 1, 2026 and terminating September 30, 2028, with possible extension by mutual agreement. The selected applicant will be designated as a "subrecipient" rather than a "contractor" for federal grant purposes. All prospective vendors must complete and submit the Vendor Responsibility Questionnaire as a required component of their proposal to demonstrate legal authority to do business in New York State, business integrity, financial and organizational resources, and performance history.

Vendors may file the questionnaire online through the New York State VendRep System using their Vendor Identification Number or submit a completed paper questionnaire with their proposal. The maximum available funding for Project Services is $360,000 for the period September 1, 2026 through September 30, 2028. Vendors are directed to contact the Office of the State Comptroller's Online Services at 866-370-4672, 518-408-4672, or ITServiceDesk@osc.ny.gov for VendRep System enrollment or assistance. The questionnaire document serves as an instruction page and requires vendor acknowledgment that the form has been filed and certified, with vendors indicating whether submission was completed online or by paper form.

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Required Budget Form_NEW.xlsx XLSX spreadsheet
RFPOCA~1.PDF PDF
RFP OCA-DGCP-081 Q and A ADA.pdf PDF
Attachment 1.pdf PDF
Attachment IV.pdf PDF

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(Rev. 9/20)

ATTACHMENT III

NYS UNIFIED COURT SYSTEM

VENDOR RESPONSIBILITY QUESTIONNAIRE: INSTRUCTIONS

(This page is not the Vendor Responsibility Questionnaire)

The New York State Unified Court System (UCS) is required to conduct a review of a prospective contractor to provide reasonable assurances that the vendor is responsible. The Vendor Responsibility Questionnaire, a required component of all UCS solicitations, is designed to provide information to assist the UCS in assessing a vendor’s responsibility prior to entering into a contract with the vendor. Vendor responsibility is determined by a review of each prospective contractor’s legal authority to do business in New York State, business integrity, financial and organizational resources, and performance history (including references).

The UCS recommends that vendors file the required Vendor Responsibility Questionnaire online via the New York State VendRep System. To enroll in and use the New York State VendRep System, see the VendRep System instructions available at www.osc.state.ny.us/vendrep/index.htm or go directly to the VendRep System online at https://www.osc.state.ny.us/state-vendors/vendrep/file-your-vendor-responsibility-questionnaire. Vendors must provide their New York State Vendor Identification Number when enrolling. To request assignment of a Vendor ID number or for VendRep System assistance, contact the Office of the State Comptroller’s Online Services at 866-370-4672 or 518-408-4672 or by email at ITServiceDesk@osc.ny.gov. However, vendors may choose to complete and submit a paper questionnaire.

Vendors opting to complete and submit a paper questionnaire can obtain the appropriate questionnaire from the VendRep website http://www.osc.state.ny.us/vendrep/forms_vendor.htm or may contact the UCS or the Office of the State Comptroller for a copy of the paper form.

Vendors who elect to file the questionnaire online with OSC must check and fill out the requested information below. This signature is an acknowledgement by the vendor that the questionnaire has been filed and certified directly on the Office of the State Comptroller’s VendRep System.

Vendor Responsibility Questionnaire filed online via the OSC VendRep System: Yes No

Solicitation Number or Procurement Name: __________________________________________________

Company Name: _______________________________________________________________________

Name and Title: _______________________________________________________________________

Signature: ____________________________________________________ Date: ___________________ (Please sign in blue ink only)

If the vendor has checked “Yes”, it must submit this page with its proposal.

If the vendor has checked “No”, it must submit the paper questionnaire with its proposal.

Solicitation Number/Procurement Name:
Company Name:
Name and Title:
Date:
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