Form C-200
FOR AGENCY USE ONLY:
Category No.:_________________
Commodity No.: _______________
Description: ___________________________________________________
Items Must Be Manufactured, Produced and/or Assembled in New York State
Whenever possible, practical, feasible and consistent with open competitive bidding, the stock item specifications of manufacturers, producers and/or assemblers located in New York State are used in the preparation of bid documents for the commodity requirements of State agencies and Local governments.
Companies are responsible for updating information as changes in their stocked items' technology and/or design develop.
Stock Item Specification Forms and corresponding specifications are maintained for a two year period; it is anticipated that within that time companies will re-file with updated information.
| Please provide the information requested below, sign and date this form where indicated and return the form and accompanying specifications to the address listed above. |
Company Name: ______________________________________________
Principal Place of Business: ______________________________________________
Number of Persons: _________
Number Employed at Location: _________
_____________________________________________________________________
Stocked Item, (Note: Indicate only ONE item per form).
_____________________________________________________________________
Production of Stocked Item (Name & Address of Manufacturer, Producer and/or
Assembler)
_____________________________________________________________________
Provide specification or attach spec sheet to this form.
______________________________________________________________________
Affidavit:To the best of my knowledge, the information provided is accurate. It may be used by State agencies and Local governments for the purpose of helping to retain jobs, business and industry presently in the State of New York and attracting new business and industry to the State of New York.
False statements knowingly made herein are punishable as a Class A misdemeanor under Section 210.45 of the Penal Law of the State of New York.
Company Representative:_______________________________________________
(please print)
Title:____________________________________________________
Telephone:____________________________________
Signature:____________________________________________
Date:_____________________________
Return to:
Victoria Warren
Bid Administration Manager
2 Broadway, 24 Floor
New York, NY 10004
- Google Translate
