doa-3333 Vendor Agreement.doc

DOC document 74 KB Posted

Attached to
Workers’ Compensation Center for Medicare Reporting Compliance Services (CMS Reporting)
Solicitation number
AD180727
Issued by
Wisconsin

About this file

This is a Vendor Agreement form issued by the State of Wisconsin Department of Administration, Division of Enterprise Operations, establishing terms for participation in Wisconsin's Cooperative Purchasing Service. The agreement permits Wisconsin municipalities—defined as counties, cities, villages, towns, school districts, and other public bodies with authority to award public contracts, as well as federally recognized Indian tribes and bands—to purchase from state contracts. Vendors may elect either mandatory or optional participation in the cooperative purchasing service. Under mandatory participation, bidders must agree to furnish commodities or services to municipalities. Under optional participation, bidders may choose whether to furnish commodities or services to municipalities, with no effect on contract award. Municipalities that utilize the service contact contractors directly using the state agency contract number, receive and inspect commodities directly from the contractor, and make payment directly to the contractor.

Vendors participating in the cooperative purchasing service may specify minimum order sizes by volume or dollar amount, impose additional charges beyond normal delivery areas, or establish other minimal modifications as special conditions. The State of Wisconsin assumes no liability for purchases made by municipalities through the cooperative purchasing service and is not a party to any disputes arising from such purchases. The agreement requires vendor signature and certification of their participation election, along with contact information and any applicable special conditions related to municipal sales.

View the file

Other files

File Type Posted
AD180727 CMS Reporting RFB.docx DOCX document
doa-3027 Designation of Confidential and Proprietary Information.doc DOC document
doa-3478 Bidder Reference Form.doc DOC document
Attachment D Business Associate Agreement.docx DOCX document
Amendment 2 Section Revisions.docx DOCX document
doa-3681 Supplemental Terms and Conditions.doc DOC document
Amendment 1 QAs Final.docx DOCX document
Attachment A Price Sheet.xlsx XLSX spreadsheet
Attachment B Bidder Checklist.doc DOC document
Attachment C Quarterly Report Format.xls XLS spreadsheet
doa-3477 Vendor Information.doc DOC document
doa-3054 Standard Terms and Conditions.doc DOC document
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Policy Number:

Subject:

State of Wisconsin

Department of Administration

Division of Enterprise Operations

DOA-3333 (R05/2015)

State Bureau of Procurement 101 East Wilson Street, 6th Floor Post Office Box 7867 Madison, WI 53707-7867

FAX (608) 267-0600

Vendor Agreement Wisconsin’s Cooperative Purchasing Service

Wisconsin statutes (s. 16.73, Wis. Stats.) establish authority to allow Wisconsin municipalities to purchase from state contracts. Participating in the service gives vendors opportunities for additional sales without additional bidding. Municipalities use the service to expedite purchases. A "municipality" is defined as any county, city, village, town, school district, board of school directors, sewer district, drainage district, vocational, technical and adult education district, or any other public body having the authority to award public contracts (s. 16.70(8), Wis. Stats.). Federally recognized Indian tribes and bands in this state may participate in cooperative purchasing with the state or any municipality under ss. 66.0301(1) and (2), Wis.Stats.

Interested municipalities:

· will contact the contractor directly to place orders referencing the state agency contract number; and

· are responsible for receipt, acceptance, inspection of commodities directly from the contractor, and making payment directly to the contractor.

The State of Wisconsin is not a party to these purchases or any dispute arising from these purchases and is not liable for delivery or payment of any of these purchases.

The State of Wisconsin will determine the contractor’s participation by checking a box below.

FORMCHECKBOX

MANDATORY: Bidders/Proposers must agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. Vendors should note any special conditions below.

FORMCHECKBOX

OPTIONAL: Bidders/Proposers may or may not agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. A vendor’s decision on participating in this service has no effect on awarding this contract.

A vendor in the service may specify minimum order sizes by volume or dollar amount, additional charges beyond normal delivery areas, or other minimal changes for municipalities.

Vendor: please check one of the following boxes in response.

FORMCHECKBOX

I Agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities with any special conditions noted below.

FORMCHECKBOX

I Do Not Agree to furnish the commodities or services to Wisconsin municipalities.

Special Conditions (if applicable):

Signature
Date (mm/dd/ccyy)

Name (Type or Print)

Title

Company

Telephone

Address (Street)

City

State

ZIP + 4

Commodity/Service

Request for Bid/Proposal Number

This document can be made available in alternate formats to individuals with disabilities upon request.

_1558257146.unknown

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