Contract Reporter Quote Proposal Form.docx
DOCX document 73 KB Posted
- Solicitation number
- 2139682
- Issued by
- Essex 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 submission of vendor proposals. The form serves as the official submission vehicle for interested vendors to provide quotes on projects listed on the NYSCR (New York State Contract Reporter) list. Vendors are required to submit completed forms that include their company information, contact details, federal identification number, and the name and title of the person authorized to submit the quote. The award will be made to the most responsible and responsive vendor meeting the requirements outlined in the associated scope of work, with OPWDD reserving the right to reject any and all submissions.
All proposals must include a detailed cost breakdown identifying materials, equipment, and labor charges. Vendors must also disclose whether their business holds certifications such as Minority Owned Business Entity (MWBE), Women Owned Business Entity (WBE), Small Business, or Service-Disabled Veteran Owned Business (SDVOB) status, and identify any subcontractors that will be engaged on the project. Only responsive proposals that meet all submission requirements will be evaluated for award consideration.
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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
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