Contract Reporter Quote Proposal Form.docx

DOCX document 73 KB Posted

Attached to
SOIRA 134 Leroy Front Deck/Ramp Replacement
Solicitation number
2136500
Issued by
St. Lawrence County, New York

About this file

This is a Quote Proposal Form issued by the New York State Office for People with Developmental Disabilities (OPWDD) for the procurement of front deck and ramp replacement services at the Sunmount Developmental Disabilities State Operations (DDSO) facility located at 134 Leroy Street in Potsdam, New York. The form serves as the official submission document for vendors responding to solicitation SOIRA 134. Vendors are required to complete all fields on the form, including project number, total proposed cost, company information, contact details, and federal identification number. The form mandates that all proposals include a detailed breakdown of costs encompassing materials, equipment, and labor charges. Award will be made to the most responsible and responsive vendor that meets all requirements specified in the scope of work, with OPWDD retaining the right to reject any or all quotes submitted.

This procurement opportunity is restricted to qualified New York State small businesses, New York State Minority or Woman Owned Businesses (MWBE) certified by Empire State Development Corporation, or New York State Service-Disabled Veteran-Owned Businesses (SDVOB). Vendors must provide copies of their firm's certification documents at the time of quote submission and may indicate their certification status through designated checkboxes on the form. The form permits the use of subcontractors, with space provided to detail subcontractor company information, contact person, address, and phone number if applicable. Submission requires the signature of an authorized representative of the vendor company and should be directed to the OPWDD office at 3 2445 State Route 30, Tupper Lake, New York 12986.

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Text version

KATHY HOCHUL

Governor

WILLOW BAER

Acting Commissioner

Quote Proposal Form This is a fillable form to submit your quote/proposal. Please be sure to include a breakdown of your total proposed amount. Signature is required.

Method of Award: This project will be awarded to the most responsible and responsive vendor that meets the requirements detailed in the scope of work. Only proposals judged to be responsive to the submission requirements set forth in the RFQ will be evaluated. OPWDD reserves the right to reject any and all quotes. You MUST provide an attached breakdown including materials, equipment, and labor charges with this form.

Today’s Date: Click or tap to enter a date.

Project Number: Enter NYSCR list number.

Total Cost: Enter the total proposal amount.

Company Name: Enter the name of your company.

Company Address: Enter the full address of your company. Including the city, state, and zip code.

Name of Person Submitting Quote: Enter the name of the person submitting this quote.

Official Title of Person Submitting Quote: Enter the official title of the person submitting this quote.

Phone Number: Enter the best phone number we can reach you at.

Email Address: Enter the best email address we can reach you at.

Federal I.D. Number: Enter your federal identification number.

Check box if your business is certified as (do not check the below if you’re certification is with NYC or NYS pending):

NYS Minority Owned Business Entity (MWBE) ☐ NYS Women Owned Business Entity (WBE) ☐ NYS Small Business ☐ NYS Service-Disabled Veteran Owned Business (SDVOB) ☐

Subcontractor Information (if applicable):

Check this box if you will be using a subcontractor ☐ Company: ______________________________ Contact Person: __________________________ Address:_________________________________ Phone Number:____________________________

Developmental Disabilities State Operations Office 3 2445 State Route 30, Tupper Lake, NY 12986 │ TEL: 518-359-3311 │FAX: 518-359-4491 │ www.opwdd.ny.gov image2.emf image1.png

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