c. Vendor Information, doa-3477.doc

This is a vendor information form (DOA-3477) for the State of Wisconsin Department of Administration in support of a Certified Central Monitoring Station Services bid opportunity (MA170724) issued by the Department of Military Affairs. The DMA seeks to award a single contract for UL Certified Central Monitoring Station services to support approximately 110 military facilities throughout Wisconsin equipped with monitored Intrusion Detection System panels. The requested services must operate continuously on a 24/7 basis with qualified technical staff, materials, and equipment necessary to fully monitor the system and receive alarm signaling Contact Identification Codes from existing Ademco VISTA-128BPT panels.

The vendor information form requests standard bidder identification and contact information, including the bidding company name, primary contact person, and designated contacts for affirmative action compliance, purchase order administration, and executive leadership. Any vendor awarded a contract exceeding $25,000 must submit affirmative action information to the department. The form does not include pricing terms, set-asides, incumbent information, or specific funding amounts in this particular document, as it functions solely as a data collection instrument for vendor qualification and administrative contact purposes.