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or EACH item submitted. SUBMIT completed checklist with your bid MANDATORY SUBMISSIONS CHECKLIST

VENDOR DECLARATION OF EXPERTISE MATRIX, completed as indicated MINIMUM REQUIRED DOCUMENTATION:

Consulting and/or Systems Integration:

One (1) Project Abstract for each Category of Expertise within the Type of Service. [“Project Abstract”

form provided herein.]

The same Project Abstract may be used as supporting documentation for multiple Categories of Expertise and Types of Services.

Identify on the Project Abstract in the space provided all Categories of Expertise and Types of Services that are supported by that Project Abstract.

PLEASE NOTE : If qualifying for Systems Integration (SI) Services, you must check the Consulting Services column for all Categories of Expertise for which you want to be considered for SI Services. SI Services encompasses Consulting Services and the recommending and procuring of product (hardware and/or software) as part of the proposed solution.

Training for each of the following:

Instructor Led (LIVE), Computer Based/Multi-Media (CBT), Video Based (VBT), Web Based (WBT), Interactive Web Based (IWBT).

One (1) Training Abstract for each mode of training for each Category of Expertise submitted. [“Training Course Abstract” form provided herein.]

The same Training Abstract may be used as supporting documentation for multiple Categories of Expertise. Identify on the Training Abstract in the space provided all Categories of Expertise and Types of Training that are supported by that Training Abstract.

A course curriculum may be used in place of the training abstract providing it includes all the information requested on the training abstract. You must clearly identify all categories of expertise to which the training abstract applies.

On-Going Services, Maintenance & Support/Equipment Maintenance

One (1)

Project

Abstract for each Category of Expertise within the Type of Service. [“Project Abstract” form provided herein.] One Abstract may be used for multiple Categories if applicable.

If bidding Equipment Maintenance (EM) provide supporting documentation that clearly demonstrates a sufficient number of trained qualified staff, to provide the types of maintenance and support for at least one of the platforms listed under the EM definition in Section II.5.2.7 of this RFP in at least 1 of the geographic locations listed in Exhibit 4.

PRICING DESIGNATION PAGE (S):

IF PROPOSING CONSULTING OR SI SERVICES, THE FOLLOWING PRICING PAGES MUST BE SUBMITTED WITH ORIGINAL SIGNATURES:

MANDATORY Group 1 Job Classifications/Titles not-to-exceed HOURLY rates

Project Managers: Entry Level, Levels I, II, III

Programmer/Analysts: Entry Level, Levels I, II, III

Specialists: Entry Level, Levels I, II, III

IF PROPOSING TRAINING SERVICES, THE FOLLOWING PRICING PAGES MUST BE SUBMITTED WITH ORIGINAL SIGNATURES DEPENDING ON THE MODE OF TRAINING:

MANDATORY Training

LIVE (Instructor Led) - not-to-exceed Cost Per Student per 1 thru 5 day

CBT/Multi-Media - Minimum % Discount from List Price (not less than 5%)

VBT - Minimum % Discount from List Price (not less than 5%)

WBT – Minimum % Discount from List Price (not less than 5%)

IWBT – Minimum % Discount from List Price (not less than 5%)

IF PROPOSING ON-GOING SERVICES, MAINTENANCE & SUPPORT / EQUIPMENT MAINTENANCE THE FOLLOWING PRICING PAGES MUST BE SUBMITTED WITH ORIGINAL SIGNATURES:

MANDATORY Contract Pricing:

Minimum 10 % Discount from List Price

If proposing the category of Equipment Maintenance

Complete Counties/Platform Table for which you offer Equipment Maintenance

*Note#1: If applying for On-Going Services, Maintenance & Support for categories other than Equipment Maintenance, the hourly rates proposed for Consulting/SI Services may be also used for these support services.

*Note#2: Vendors cannot apply for On-Going Services, Maintenance & Support without also applying for, at least, Consulting Services and therefore proposing the not-to-exceed rates for the 12 Mandatory Job titles.

MANDATORY FOR ALL SUBMISSIONS

REGARDLESS OF SERVICES OR CATEGORIES PROPOSED

MANDATORY SUBMISSIONS CHECKLIST Registration with DOS:

If a Corporation, LLC, LP, provide 1 copy of "proof" that the firm has registered with the Department of State (DOS) to do business in the firm's State designated as its headquarters/resident place of business.

OR

If a sole proprietorship, firm must be registered within the county in which the firm does business.

Provide a copy of that registration.

SIGNATURE & ACKNOWLEDGEMENT PAGE: Three (3) originals. INSERT ONE (1) IN EACH COPY OF THE PROPOSAL

BIDDERS QUALIFICATION FILING STATEMENT and BIDDERS QUALIFICATION FILING - ALL PARTS. (Also referred to as Appendix 1: New York State Council of Contracting Agencies Standard Vendor Responsibility Questionnaire)

HUMAN RESOURCES & FINANCIALS SURVEY

Return the survey even if all answers are No.

IF you answer YES to any of the statements on the HRF Survey (refer

to Appendix C Section IV of this RFP#S960275-E.1).

You MUST include at least one Project Abstract that demonstrates services provided addressing at least one of the software packages listed on this HRF Survey.

You will apply for any/all of the following categories under Consulting or Consulting and SI Services

- Application Development-MF, MR, PC - Systems Management-MF, MR, PC

At least one of the Project Abstract's must demonstrate services provided addressing at least one of the software packages listed on the HRF Survey.

CERTIFICATIONS SURVEY

Return the survey even if all answers are No.

IF certifications apply for any of the listed items, please complete the Certifications Survey in Appendix C Section V of this RFP#S960275-E.1.

Provide proof of certifications THREE (3) COPIES OF THE PROPOSAL.

ALL SIGNATURES IN ALL COPIES OF PROPOSALS MUST BE ORIGINAL

ONE (1) ORIGINAL + 2 COPIES ST-220-CA CONTRACTOR CERTIFICATION TO COVERED AGENCY

OPTIONAL FOR ALL SUBMISSIONS

IF PROPOSING IMAGING SERVICES, THE FOLLOWING PRICING PAGES MUST BE SUBMITTED WITH ORIGINAL SIGNATURES:

Contract Pricing: If bidding Image Conversion Services (paper to image/paper to film or fiche) under Imaging Services and/or Document Management Services under Electronic Output Management:

Fully loaded price per page. If this is not submitted at the time of contract award, it can be added to the contract through an amendment after contract award should a project require this method of pricing.

Group 2 Ancillary Job Classifications/Titles to Supplement Consulting/SI or Training Services: (Other than hourly pricing or unique pricing not covered by Mandatory Group 1 Pricing)

Ancillary Job Classifications/Titles Duties & Experience Form (Refer to Part II, Mandatory Vendor Submissions) Ancillary Job Classifications/Titles cannot be proposed as stand alone components of the Back-Drop Contract. They must relate to one of the Categories of Expertise being proposed.

FOR YOUR INFORMATION BACK-DROP CONTRACT AMENDMENT

After a Vendor has been awarded a back-drop contract, the firm has the opportunity to amend its contract at any time during the contract term to add any of the following:

Types Of Services (limited to those on the Declaration of Expertise Matrix)

Categories Of Expertise (limited to those on the Declaration of Expertise Matrix)

Ancillary Job Classifications/Titles

On-Going Services & Support Pricing

Equipment Maintenance Pricing

The Amendment Packet is available by downloading from the OGS PSG web site.

Enter URL: http://www.ogs.state.ny.us/purchase/snt/awardnotes/73012S960275can.htm

Click on Contractor Amendment Packet

PART I

VENDOR DECLARATION