NYS Office of Information Technology Services

NYS Office of Information Technology Services

ESP, Swan Street Bldg, Core 4, 2nd Floor, Room 2404

Albany, NY 12223

CONTRACT # C000484

Data Center UPS Service, Repair & Maintenance

Submission Checklist – Attachment 15

Bidder Name: ______

Please submit4 original copies of the following Documents as Part of your IFB Bid Proposal:

Administrative/Financial Proposal
Cover Letter - The cover letter must confirm that the bidder understands all the terms and conditions contained in this IFB and will comply with all the provisions of this IFB. Further, should the contract be awarded to your company, please be prepared to begin services following approval by the NYS Office of the State Comptroller. The cover letter must include:

• Full contact information of the person(s) ITS shall contact regarding the bid.
• Name(s) of principal(s) of the company responsible for this contract, their function, title and number of years of service with company.
• Must be signed by a bidder representative authorized to make contractual obligations.

/ ☐ /
Attachment 1 – Vendor Questions Form (This form is to be submitted with the proposal and signed by the vendor) / ☐ /
Attachment 2 – NYS Required Certifications (This form is to be submitted with the proposal and signed by the vendor) / ☐ /
Attachment 3 - Consultant Confidentiality and Non-Disclosure Agreement (This form is to be submitted with the proposal and signed by the vendor) / ☐ /
Attachment 4 – Firm Offer Letter and Conflict of Interest Disclosure(This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 5 – Lobbying Forms (This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 6 –EEO Policy Statement(This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 7 –Equal Employment Opportunity Staffing Plan – EEO 100 (This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 8 –EEO 101, Workforce Employment Utilization/Diversity Compliance Report (This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 9 - Consultant Disclosure Form A & Form B(Form A is to be submitted with proposal, Form B is for reference and to be completed annually) / ☐ /
Attachment 10 - No Bid Response Form / ☐ /
Attachment 11 - Contractor Certification to Covered Agency
ST- 220-CA(This form is to be submitted with proposal and signed by the vendor) / ☐ /
Attachment 12 – Lot 1 (Bidders shall bid on all items and submit a completed. Coverage Locations & Pricing Workbook (Liebert). Failure to bid on all items In Lot 1 will deem your bid non-responsive). / ☐ /
Attachment 13 – Lot 2 (Bidders shall bid on all items and submit a completed. Coverage Locations & Pricing Workbook (Eaton). Failure to bid on all items in Lot 2 will deem your bid non-responsive). / ☐ /
Attachment 14 – Vendor Responsibility Questionnaire (This form is to be completed online prior to bid submission. If the vendor has previously certified responsibility online, it shall ensure that the questionnaire was recertified in the last 6 months.) / ☐ /
Attachment 15 – Submission Checklist / ☒ /

Data Center UPS Maintenance Submission Checklist – Attachment 15 C000488 - Invitation For Bid