Blank New York Questionnaire PDF Form

Blank New York Questionnaire PDF Form

The New York Questionnaire form is a critical document used by vendors seeking to do business with New York City. This form, part of the Vendor Information Exchange System (VENDEX), collects essential information to ensure compliance with city regulations regarding responsible vendors. Completing this form accurately is vital for successful participation in city contracts.

Fill out the New York Questionnaire form by clicking the button below.

The New York Questionnaire form plays a critical role in the procurement process for vendors wishing to engage in business with New York City. This form, known as the Vendor Information Exchange System (VENDEX), consists of two primary questionnaires: the Vendor Questionnaire and the Principal Questionnaire. These documents are designed to collect essential information about potential vendors, ensuring that the city adheres to its charter mandate of conducting business only with responsible entities. As of September 25, 2014, the questionnaires have been updated to be fillable, allowing for easier completion. However, vendors must still print and submit paper copies. Specific formatting guidelines are provided, such as the required formats for dates, telephone numbers, and identification numbers. Each question on the form must be answered completely, as responses that indicate "Not Applicable" will not be accepted. Additionally, vendors are encouraged to refer to the "Vendor’s Guide to VENDEX" for assistance and clarification on the questions. It is crucial to submit a fully completed questionnaire to avoid rejection, and any unauthorized changes will render the form void. The completed forms should be sent to the Mayor's Office of Contract Services, ensuring compliance with all submission requirements.

Document Sample

Bill de Blasio

Mayor

Lisette Camilo

City Chief Procurement

Officer and Director of

Contract Services

253 Broadway, 9th Floor

New York, NY 10007

212 788 0010 tel

212 788 0049 fax

September 25, 2014

Please note that effective, September 25, 2014, the VENDEX questionnaires are now fillable. YOU WILL STILL NEED TO COMPLETE, PRINT AND SUBMIT THE PAPER COPIES. These include the:

Vendor Questionnaire

Principal Questionnaire

Certification of No Change

Please be advised that certain fields require certain types of entry, e.g.:

Date fields require entries to match: MM/DD/YYYY

Telephone/Fax fields require entries to match: XXX-XXX-XXXX or (XXX) XXX-XXXX

EIN/TIN/SSN fields require 9 digits and no dashes

SSN only fields require entries to match XXX-XX-XXXX

Please also note that not all the fields will match the underlying formatting due to the limitations of the form, but ALL information will be able to be inputted. If you have any questions or concerns with the form, please email us at [email protected] and we will get back to you as soon as possible.

PLEASE NOTE THAT ALTHOUGH THE FORMS ARE FILLABLE, YOU WILL STILL NEED TO

COMPLETE, PRINT AND SUBMIT THE PAPER COPIES.

Thank you for your kind consideration.

Printed on paper containing 30% post-consumer material.

Vendor Questionnaire FILLABLE 9/25/14

 

Revised 9/25/14

Page 1 of 20

Submitting vendor’s EIN/SSN/TIN

 

VENDOR QUESTIONNAIRE

The Vendor Information Exchange System (VENDEX) includes two questionnaires – the vendor questionnaire and the principal questionnaire. These have been developed to collect information from vendors who wish to do business with New York City, to ensure that New York City obeys the mandate in its charter to do business only with responsible vendors.

Questionnaires may be obtained in paper format from the VENDEX Unit (212-341-0933) or downloaded from the NYC website at http://www.nyc.gov/vendex.

Questionnaires must be completed in paper format. All questions must be answered. A response of “Not Applicable (N/A)”, or the equivalent, is not acceptable. Answers must be typewritten or printed in ink. If more space is needed to respond, photocopy the corresponding section’s page, check the box that additional information is attached, and attach the photocopied page to the questionnaire.

The publication “Vendor’s Guide to VENDEX” provides assistance and explanation for the questionnaires, including definitions of terms or phrases written in bold face throughout the questionnaires. If you have not obtained a copy of this publication, please download a copy from the New York City web site, or contact the VENDEX Unit at 212-341-0933. All forms must be sent to MOCS: 253 Broadway, 9th Floor; New York, New York 10007. If you have questions, contact the VENDEX Unit at 212-341-0933.

ANSWER THIS QUESTIONNAIRE CAREFULLY AND COMPLETELY. FAILURE TO SUBMIT A FULLY COMPLETED QUESTIONNAIRE MAY RESULT IN THE REJECTION OF THE VENDEX SUBMISSION. MAKING

ANY UNAUTHORIZED CHANGE OR ALTERATION TO THE

QUESTIONNAIRE WILL RENDER IT VOID.

Name of submitting vendor

 

 

 

Submitting Vendor’s EIN/ SSN/TIN: ____________________

 

Submitting vendor is

Prime

Parent

Controlling entity

Subcontractor

Type of submission: (Check one)

1.

2.

Full questionnaire

 

 

Changed questionnaire

 

 

If checked, provide submission date of last full questionnaire:

/

/

Name of person completing this vendor questionnaire

Employer/Title

Telephone Number (

 

)

 

-

 

Fax Number (

)

-

 

 

 

 

 

 

 

 

 

 

 

Email address

The disclosure of the social security number is mandatory under the right granted New York City by the Tax Reform Act of 1976 and will be used for the purpose of tax administration. The number may also be used for general identification purposes. If you do not consent to such additional use for general identification purposes, please check here

Vendor Questionnaire

 

Revised 9/25/14

Page 2 of 20

Submitting vendor’s EIN/SSN/TIN

 

1.Submitting vendor’s:

a.Principal executive office address

Street/P.O. Box

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (

 

)

 

-

 

Fax Number (

 

)

 

-

 

b.Primary place of business (in the NYC metropolitan area)

Street/P.O. Box

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (

 

)

 

-

 

Fax Number (

 

)

 

-

 

Check if the submitting vendor had other primary places of business in the NYC metropolitan area within the prior five (5) years and list information on page 7.

c.Primary place of business address is (check all that apply)

 

Owned

 

Rented

 

Rented with an option to buy

 

Donated

 

 

 

 

 

 

 

 

d.Addresses of the three largest sites at which it is anticipated that work would occur in connection with the contract pending at the times this questionnaire is completed, based on the number of people to be employed at each site:

 

 

address in 1a. (if applicable)

 

 

 

address in 1b. (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional site(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street/P.O. Box

 

 

 

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (

 

)

 

 

-

 

 

Fax Number (

 

)

 

-

 

Check if submitting vendor’s three largest sites include other addresses and list information on page 7.

e.Web site address www.

f.Annual gross revenue (check range that applies)

 

 

$0 - $99,999

 

$100,000 - $499,999

 

 

 

$500,000 – $999,999

 

 

 

 

 

 

 

 

$1,000,000 - $ 2,499,999

 

$2,500,000 –$4,999,999

 

 

$5,000,000 or more

 

 

 

 

g.Business category (check all that apply)

 

 

 

Professional services

 

Manufacturing

 

Construction

 

 

 

Human Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial Services

 

Distribution

 

 

Retail

 

 

 

 

Not-for-Profit

 

Submitting vendor’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h.

DUNS number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

none

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

i.

National or regional stock exchange or NASDAQ listing

 

 

 

 

 

 

 

 

 

 

 

none

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

j.

Date submitting vendor began business in New York City

/

/

 

 

 

 

 

 

 

 

 

Check if additional information is attached

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provide a detailed response to all questions answered with information and/or “YES” in the question’s corresponding section starting on page 7 of this questionnaire.

 

Vendor Questionnaire

 

Revised 9/25/14

 

 

Page 3 of 20

 

 

 

Submitting vendor’s EIN/SSN/TIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

No

 

 

Yes

Does the submitting vendor now use, or has it in the past ten (10) years

 

 

 

 

 

 

 

 

 

 

 

used, an EIN, TIN, SSN or DBA, trade name or abbreviation other than

 

 

 

 

 

 

 

 

 

 

 

the submitting vendor name or EIN/SSN/TIN number listed on page 1 of

 

 

 

 

 

 

 

 

 

 

 

this questionnaire?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

No

 

 

Yes

Has the submitting vendor used any other business addresses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and telephone numbers at any time during the prior five (5) years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4a.

Date this business was formed ____ / ____ /____

State in which business was formed ________________________

County in which business was formed _______________________

Country in which business was formed (if not formed in USA) _____________________

Type of organization (check one):

_____ Business Corporation

_____ Not-for Profit Corporation

_____ Sole Proprietorship

_____ Partnership: ____ General ____ Limited _____ Limited Liability

_____ Limited Liability Company

_____ Joint Venture

_____ Other-indicate type: _____________________________________________

4b.

 

No

 

Yes

Are there any counties in New York State, other than the county listed

 

 

 

 

 

in response to question 4a, in which the submitting vendor has filed a

 

 

 

 

 

certificate of incorporation, a DBA, or the equivalent?

Provide a detailed response to all questions answered with information and/or “YES” in the question’s corresponding section starting on page 7 of this questionnaire.

Vendor Questionnaire

 

Revised 9/25/14

Page 4 of 20

 

 

Submitting vendor’s EIN/SSN/TIN

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

a.

 

No

 

Yes

Does the submitting vendor share office space, staff, equipment, or

 

 

 

 

 

 

 

 

 

expenses with any other entities?

 

 

 

 

 

 

 

b.

 

 

No

 

Yes

Does the submitting vendor anticipate using or occupying any real

 

 

 

 

 

 

 

property, other than the business addresses listed in response to

 

 

 

 

 

 

 

Question 1 and 3, during the three (3) year VENDEX cycle?

c.

 

No

 

 

Yes

Does any principal owner or officer of the submitting vendor, or any

 

 

 

 

 

 

 

 

 

 

member of his/her immediate family, have an ownership interest in any

entity that holds the title or lease to any real property used by the submitting vendor in the New York City metropolitan area?

6.

a.Starting on page 8, list ALL of the submitting vendor’s principal owners and the three officers who exercise the most substantial degree of control over the submitting vendor.

b.

 

No

 

Yes

Pursuant to any stock option or any other arrangements, does any

 

 

 

 

 

individual or entity have the right within the next three (3) years to

 

 

 

 

 

acquire stock in the submitting vendor, which, when combined with

 

 

 

 

 

current holdings, would make such an individual or entity a principal

 

 

 

 

 

owner or officer?

c.

 

No

 

Yes

Is ten (10) percent or more of the submitting vendor’s stock or

 

 

 

 

 

 

 

ownership currently used or pledged as collateral for any loan or

 

 

 

 

 

obligation?

7.Are there any individuals now serving in a managerial or consulting capacity to the submitting vendor, whether or not as a principal owner or officer, who now serve, or within the past five (5) years have served as:

a.

 

 

No

 

Yes

an elected or appointed public official or officer?

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

No

 

Yes

a full or part-time employee in a New York City agency or as a

 

 

 

 

 

 

 

 

 

 

consultant to any New York City agency?

 

 

 

 

 

 

 

 

 

c.

 

 

 

No

 

Yes

an officer of any political party organization in New York City, whether

 

 

 

 

 

 

 

 

 

 

paid or unpaid?

 

 

 

 

 

 

 

 

d.

 

 

No

 

Yes

as a consultant or advisor to a New York City agency performing

 

 

 

 

 

 

 

 

 

 

services related to the solicitation, negotiation, operation and/or

 

 

 

 

 

 

 

 

 

 

administration of contracts on which the submitting vendor will work

 

 

 

 

 

 

 

 

 

 

during this three (3) year VENDEX cycle?

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

No

 

Yes

Does the submitting vendor control one or more entities?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

No

 

Yes

Does the submitting vendor have one or more affiliates, and/or is it a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

subsidiary of, and controlled by any other entity?

Provide a detailed response to all questions answered with information and/or “YES” in the question’s corresponding section starting on page 7 of this questionnaire.

Vendor Questionnaire

 

Revised 9/25/14

Page 5 of 20

 

 

Submitting vendor’s EIN/SSN/TIN

 

 

 

 

 

 

 

 

10.

 

No

 

Yes

Has the submitting vendor, or any affiliate listed in response to

 

 

 

 

 

 

 

Question 9, been a subcontractor on any contract with any New York

 

 

 

 

 

City agency in the past three (3) years?

11.At any time during the past five (5) years, has the submitting vendor or any of its affiliates, been subject to any of the following actions, whether pending or completed:

a.

 

No

 

 

 

Yes

debarred from entering into any government contract?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

No

 

 

 

 

 

Yes

found non-responsible on any government contract?

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

No

 

 

 

Yes

declared in default and/or terminated for cause?

 

 

 

 

 

 

 

 

 

 

 

d.

 

 

No

 

 

 

Yes

determined to be ineligible to bid or propose on any contract?

e.

 

No

 

 

Yes

suspended from bidding or entering into any government contract?

 

 

 

 

 

 

 

 

 

 

f.

 

 

No

 

 

Yes

received an overall unsatisfactory performance rating from any

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

government agency on any contract?

12.Are there or have there been any judgments, injunctions, or liens, including, but not limited to, judgments based on taxes owed, fines and penalties assessed by any government agency, elected official, or the New York City Council initiated against the submitting vendor and/or any affiliate:

a.

 

No

 

Yes

at any time within the past five (5) years?

 

 

 

 

 

 

 

 

 

b.

 

 

No

 

 

 

Yes

that remain open, unsatisfied, or in effect today?

 

 

 

 

 

 

 

 

 

13.

 

 

No

 

 

Yes

Have any bankruptcy proceedings been initiated by or against the

 

 

 

 

 

 

 

 

 

 

 

 

submitting vendor or its affiliates within the past seven (7) years (whether

 

 

 

 

 

 

 

 

or not closed) or is any bankruptcy proceeding pending by or against the

 

 

 

 

 

 

 

 

submitting vendor or its affiliates regardless of date of filing?

14.In the past five (5) years, has the submitting vendor, any of its principal owners or officers, or any affiliate:

a.

 

No

 

Yes

had any permit, license, concession, franchise or lease terminated for

 

 

 

 

 

 

 

 

cause or revoked?

 

 

 

 

 

 

 

 

b.

 

 

No

 

 

 

Yes

been disqualified for cause as a bidder on any permit, license,

 

 

 

 

 

 

 

 

concession, franchise or lease?

 

 

 

 

 

 

 

 

 

15.

 

 

No

 

 

Yes

In the past five (5) years, have any of the submitting vendors or any of

 

 

 

 

 

 

 

 

 

 

 

 

the submitting vendors’ affiliates or any individual currently or within

 

 

 

 

 

 

 

 

that period serving as a principal owner, officer or managerial

 

 

 

 

 

 

 

 

employee been investigated by any government agency, including,

 

 

 

 

 

 

 

 

but not limited to, federal, state and local regulatory agencies?

Provide a detailed response to all questions answered with information and/or “YES” in the question’s corresponding section starting on page 7 of this questionnaire.

Vendor Questionnaire

 

Revised 9/25/14

Page 6 of 20

Submitting vendor’s EIN/SSN/TIN

 

16.Has the submitting vendor, any affiliate, or any of their current or former principal owners or officers or managerial employees:

a.

 

No

 

Yes

been convicted of a misdemeanor and/or found in violation of any

 

 

 

 

 

 

 

 

administrative, statutory, or regulatory provisions in the past five (5)

 

 

 

 

 

 

 

 

years?

b.

 

No

 

 

Yes

been convicted of a felony, and/or any crime related to truthfulness

 

 

 

 

 

 

 

 

 

 

 

and/or business conduct in the past ten (10) years?

c.

 

No

 

Yes

have any felony, misdemeanor and/or administrative charges currently

 

 

 

 

 

 

 

 

 

 

pending?

 

 

 

 

 

 

 

 

 

17.

 

 

No

 

Yes

For the past five (5) years, has the submitting vendor or any of its

 

 

 

 

 

 

 

 

 

 

 

principal owners, officers, or any affiliate had any sanction imposed

 

 

 

 

 

 

 

 

as a result of judicial or administrative disciplinary proceedings with

 

 

 

 

 

 

 

 

respect to any professional license held?

 

 

 

 

 

 

 

 

 

18.

 

 

No

 

 

Yes

Other than the submitting vendor’s employees, did the submitting

 

 

 

 

 

 

 

 

 

 

 

 

vendor retain, employ or designate anyone to influence the preparation

 

 

 

 

 

 

 

 

of contract specifications, or the solicitation or award of any contract

 

 

 

 

 

 

 

 

during this three (3) year VENDEX cycle?

 

 

 

 

 

 

 

 

 

19.

 

 

 

 

 

 

 

 

a.

 

No

 

Yes

Is the submitting vendor exempt from income taxes under the Internal

 

 

 

 

 

 

 

 

 

 

Revenue Code?

 

 

During the past five (5) years, has the submitting vendor failed to:

b.

 

No

 

Yes

file any applicable federal, state or New York City tax returns?

 

 

c.

 

No

 

Yes

pay any applicable federal, state or New York City taxes or other

 

 

 

 

 

 

 

 

 

 

assessed New York City charges, including but not limited to water and

 

 

 

 

 

 

 

 

sewer charges?

 

 

 

 

 

 

 

 

 

This question applies to not-for-profit vendors, others please answer “no”.

20. No Yes If the submitting vendor is a not-for-profit corporation, in the past three (3) years, have any audits of the submitting vendor revealed material weaknesses in its system of internal controls, compliance with contractual agreements and/or laws and regulations?

Provide a detailed response to all questions checked “YES” from pages one–six. If you need more space to respond, photocopy the corresponding section’s pages, check the box that additional information is attached, and attach the photocopied page to this questionnaire.

Vendor Questionnaire

 

Revised 9/25/14

Page 7 of 20

Submitting vendor’s EIN/SSN/TIN

 

Provide details to questions answered “yes” in the corresponding section below.

Corresponds to Question 1.

1b. Submitting vendor’s other primary place(s) of business

Street/P.O. Box

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (

 

)

 

-

 

Fax Number (

 

)

 

-

 

1d. Submitting vendor’s largest sites

Street/P.O. Box

 

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

(

 

)

 

-

 

Fax Number (

 

)

 

-

 

 

 

 

 

 

 

 

 

 

 

 

Street/P.O. Box

 

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

(

 

)

 

-

 

Fax Number (

 

)

 

-

 

Check if attaching additional information

Corresponds to Question 2.

Other DBA, name, trade name, abbreviation

Other EIN/TIN/SSN

 

 

 

 

 

Dates in use - from

/

/

to

/

/

Still in use

Check if attaching additional information

Corresponds to Question 3.

Other business addresses and telephone numbers in the last five (5) years

(Check One)

Current

Former

Street/P.O. Box

 

 

 

 

 

 

 

 

Floor #/Suite #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

Main telephone number (

 

)

 

-

 

Main fax number (

 

)

 

-

 

 

Check if attaching additional information

Corresponds to Question 4. (check all that apply)

4b.

Certificate of incorporation Other, please identify

DBA

County

 

 

Date

 

/

 

/

 

 

 

 

 

 

 

 

 

Check if attaching additional information

 

 

 

 

 

 

Provide a detailed response to all questions checked “YES” from pages one–six. If you need more space to respond, photocopy the corresponding section’s pages, check the box that additional information is attached, and attach the photocopied page to this questionnaire.

File Specifics

Fact Name Details
Form Purpose The New York Questionnaire form is used to collect information from vendors wishing to do business with New York City, ensuring compliance with city mandates.
Effective Date The form became fillable on September 25, 2014, but vendors must still print and submit paper copies.
Submission Requirements All questions must be answered completely. Responses of "Not Applicable" are not accepted. Answers must be typewritten or printed in ink.
Contact Information Vendors can reach the VENDEX Unit at 212-341-0933 for assistance or questions regarding the form.
Governing Laws The use of the social security number is mandated under the Tax Reform Act of 1976 for tax administration purposes.
Additional Resources The publication "Vendor's Guide to VENDEX" offers further assistance and definitions for terms used in the questionnaires.

How to Use New York Questionnaire

Completing the New York Questionnaire form requires careful attention to detail and accuracy. This form is essential for vendors wishing to do business with New York City. It collects critical information to ensure compliance with city regulations. Follow the steps below to fill out the form correctly.

  1. Obtain the New York Questionnaire form either from the VENDEX Unit or download it from the NYC website.
  2. Fill in the name of the submitting vendor at the top of the form.
  3. Enter the vendor's EIN, SSN, or TIN in the designated field.
  4. Indicate the type of submission by checking either the “Full questionnaire” or “Changed questionnaire” box.
  5. If applicable, provide the submission date of the last full questionnaire.
  6. Complete the section with the name, title, and contact information of the person filling out the questionnaire.
  7. Provide the principal executive office address, including street, floor/suite number, city, state, and zip code.
  8. Fill in the primary place of business address in the NYC metropolitan area, including all required details.
  9. Check the appropriate box if the vendor has had other primary places of business in the NYC metropolitan area in the last five years.
  10. Indicate whether the primary place of business is owned, rented, rented with an option to buy, or donated.
  11. List the addresses of the three largest sites where work will occur in connection with the contract.
  12. Provide the vendor's website address, if available.
  13. Check the range that applies for the vendor’s annual gross revenue.
  14. Select all applicable business categories.
  15. Enter the DUNS number if available.
  16. Indicate if the vendor is listed on a national or regional stock exchange or NASDAQ.
  17. Provide the date the vendor began business in New York City.
  18. Answer all questions regarding previous EINs, business addresses, and any relevant affiliations.
  19. Complete the section regarding the vendor's organizational structure and ownership.
  20. Answer questions related to any shared resources or real property usage.
  21. List all principal owners and three officers who control the vendor.
  22. Respond to questions about any individuals serving in public office or related roles.
  23. Finally, review the entire form for completeness and accuracy before printing.
  24. Print the completed form and submit it to the specified address: MOCS, 253 Broadway, 9th Floor, New York, NY 10007.

Your Questions, Answered

What is the purpose of the New York Questionnaire form?

The New York Questionnaire form is designed to collect essential information from vendors wishing to do business with New York City. It ensures that the city complies with its charter mandate to engage only with responsible vendors. The form includes both the Vendor Questionnaire and the Principal Questionnaire, which gather relevant details about the vendor's operations and business practices.

How do I obtain the New York Questionnaire form?

The New York Questionnaire form can be obtained in paper format from the VENDEX Unit by calling 212-341-0933. Additionally, it is available for download from the New York City website at http://www.nyc.gov/vendex .

Are there any specific formatting requirements for filling out the form?

Yes, the form has specific formatting requirements for certain fields. For example:

  1. Date fields must be entered in the format MM/DD/YYYY.
  2. Telephone and fax numbers should follow the format XXX-XXX-XXXX or (XXX) XXX-XXXX.
  3. EIN, TIN, and SSN fields require 9 digits without dashes.
  4. SSN-only fields should be entered as XXX-XX-XXXX.

It is important to ensure that all information is accurately inputted, even if the formatting does not match perfectly due to form limitations.

What should I do if I need more space to answer a question?

If additional space is required to answer any question, you should photocopy the relevant page of the questionnaire. After completing the photocopied page, check the box indicating that additional information is attached and include it with your submission.

What happens if I do not complete the questionnaire fully?

Failure to submit a fully completed questionnaire may lead to the rejection of the VENDEX submission. It is crucial to answer all questions thoroughly, as responses of "Not Applicable (N/A)" are not acceptable. Any unauthorized changes or alterations to the questionnaire will render it void.

How should I submit the completed New York Questionnaire form?

The completed New York Questionnaire form must be printed and submitted in paper format. All forms should be sent to the Mayor's Office of Contract Services (MOCS) at the following address:

253 Broadway, 9th Floor, New York, NY 10007.

Who should I contact if I have questions about the form?

If you have any questions or concerns regarding the New York Questionnaire form, you can reach out to the VENDEX Unit at 212-341-0933. Additionally, you may email inquiries to [email protected] , and they will respond as soon as possible.

Common mistakes

  1. Inaccurate Information: Many people mistakenly provide incorrect details, such as the EIN, SSN, or TIN. Ensure these numbers are accurate and match your official documents.

  2. Improper Formatting: Each field has specific formatting requirements. For example, dates must be in MM/DD/YYYY format. Failing to follow these guidelines can lead to rejection.

  3. Missing Responses: Leaving questions unanswered is a common error. Every question must be addressed, even if the answer is "Not Applicable" or similar. This could result in submission rejection.

  4. Neglecting Attachments: If additional space is needed for answers, remember to photocopy the relevant page and attach it. Forgetting to do this can lead to incomplete submissions.

  5. Submitting Incorrect Copies: Even though the form is fillable, it must be printed and submitted in paper format. Digital submissions are not accepted.

  6. Ignoring Deadlines: Be aware of submission deadlines. Late submissions can result in disqualification from the bidding process.

  7. Not Seeking Help: If there are questions about the form, many individuals fail to reach out for assistance. Contacting the VENDEX Unit can clarify uncertainties and improve the quality of your submission.

Documents used along the form

The New York Questionnaire form is an essential document for vendors looking to engage in business with New York City. To ensure a smooth submission process, several other forms and documents are often required in conjunction with this questionnaire. Below is a list of these important documents.

  • Vendor Questionnaire: This form collects detailed information about the vendor's business operations, ownership, and financial status. It is crucial for assessing whether the vendor meets the city's standards for responsible business practices.
  • Principal Questionnaire: This document gathers information about the principal owners and key executives of the vendor. It helps the city evaluate the qualifications and backgrounds of those in charge of the business.
  • Certification of No Change: Vendors must submit this certification if there have been no changes to their information since their last questionnaire submission. It affirms that the vendor's details remain accurate and up to date.
  • Vendor's Guide to VENDEX: This publication serves as a helpful resource for vendors. It provides guidance on completing the questionnaires, including definitions of terms and common requirements, ensuring that vendors can navigate the process effectively.

Understanding these accompanying documents is vital for any vendor aiming to do business with New York City. Properly completing and submitting these forms can significantly impact the approval process and the ability to secure contracts. Always ensure that each document is filled out accurately and submitted in accordance with the specified guidelines.

Similar forms

The Vendor Questionnaire is similar to the Small Business Administration (SBA) Form 1003, which is used for loan applications. Both documents require detailed information about the business, including ownership structure, financial information, and operational history. They aim to assess the credibility and stability of the vendor or applicant. The SBA Form 1003, like the Vendor Questionnaire, mandates that applicants provide accurate and complete information to ensure a thorough evaluation of their eligibility for funding or contracts.

Another comparable document is the IRS Form W-9, which is used to request a taxpayer identification number and certification. Both forms necessitate the disclosure of sensitive information, such as Social Security Numbers or Employer Identification Numbers. They serve the purpose of verifying the identity of the entity or individual and ensuring compliance with tax regulations. The W-9 form, similar to the Vendor Questionnaire, requires careful completion to avoid delays in processing or potential legal issues.

The Principal Questionnaire bears resemblance to the Personal Financial Statement (PFS), which is often required by lenders. Both documents collect personal and financial information about the key individuals involved in a business. They aim to assess the financial health and creditworthiness of the principals. The PFS, much like the Principal Questionnaire, requires detailed reporting of assets, liabilities, and income, ensuring that lenders have a comprehensive view of the individual's financial situation.

Additionally, the Vendor Questionnaire is akin to the Dun & Bradstreet Business Information Report. This report provides a comprehensive overview of a business's creditworthiness and operational history. Both documents are used to evaluate a vendor's reliability and financial stability. The Dun & Bradstreet report, similar to the Vendor Questionnaire, compiles data on payment history, legal filings, and financial performance, helping organizations make informed decisions about potential business partnerships.

Another similar document is the Certificate of Good Standing, which is often required in business transactions. Both the Certificate and the Vendor Questionnaire provide essential information about a business's legal status and compliance with state regulations. The Certificate of Good Standing verifies that a business is authorized to operate and is up to date with its filings, similar to how the Vendor Questionnaire ensures that vendors meet the necessary qualifications to do business with the city.

The Vendor Questionnaire also shares similarities with the Federal Acquisition Regulation (FAR) Form 1449, which is used in government contracting. Both forms require detailed information about the vendor's capabilities, experience, and financial standing. They aim to ensure that only qualified vendors are selected for government contracts. The FAR Form 1449, like the Vendor Questionnaire, emphasizes the importance of thorough and accurate information to facilitate a fair bidding process.

Moreover, the Vendor Questionnaire is comparable to the State of New York’s Affirmative Action Compliance Form. This form is designed to ensure that vendors comply with state regulations regarding equal opportunity and affirmative action. Both documents require vendors to provide information about their business practices and commitment to diversity and inclusion. The Affirmative Action Compliance Form, like the Vendor Questionnaire, plays a crucial role in promoting responsible business practices within the state.

The Vendor Questionnaire also resembles the Business License Application, which is required for businesses to operate legally within a jurisdiction. Both documents collect vital information about the business structure, ownership, and operational details. The Business License Application, like the Vendor Questionnaire, serves to ensure that businesses comply with local laws and regulations before they can engage in commercial activities.

Lastly, the Vendor Questionnaire is similar to the Conflict of Interest Disclosure Form. This form is used to identify any potential conflicts that may arise in business dealings. Both documents aim to promote transparency and accountability in business relationships. The Conflict of Interest Disclosure Form, much like the Vendor Questionnaire, requires individuals to disclose any relationships or interests that could influence their business decisions, ensuring ethical practices in vendor selection.

Dos and Don'ts

When completing the New York Questionnaire form, attention to detail is crucial. Here is a list of what you should and should not do to ensure your submission is accurate and complete.

  • Do read the instructions carefully before starting the form.
  • Do ensure that all fields are filled out completely. A response of "Not Applicable" is not acceptable.
  • Do use the correct format for date, telephone, and identification number fields as specified in the instructions.
  • Do type your answers or print them clearly in ink to avoid any misunderstandings.
  • Do attach additional pages if you need more space for your responses, and indicate that these are attached.
  • Do double-check all entries for accuracy before printing the final copy.
  • Don't make any unauthorized changes or alterations to the questionnaire, as this will render it void.
  • Don't submit the form without reviewing it for completeness; incomplete submissions may be rejected.
  • Don't forget to print and submit the paper copies, even though the form is fillable.

By following these guidelines, you can help ensure that your submission meets all requirements and is processed smoothly.

Misconceptions

Misconceptions about the New York Questionnaire form can lead to confusion and errors in submission. Here are four common misconceptions:

  • All fields are optional. Many believe that they can skip certain fields if they do not apply. In reality, every question must be answered. A response of “Not Applicable (N/A)” is not acceptable.
  • Digital submission is allowed. Some think that since the form is fillable, they can submit it electronically. However, the instructions clearly state that paper copies must be completed, printed, and submitted.
  • Formatting errors are acceptable. It's a common belief that minor formatting mistakes in the entries won't matter. However, specific formats are required for date, telephone, and identification numbers. Failing to follow these can lead to rejection.
  • Additional information can be included anywhere. Some vendors think they can add extra details in any section of the questionnaire. Instead, if more space is needed, they should photocopy the relevant page, check the box indicating additional information is attached, and include it with the submission.

Key takeaways

The New York Questionnaire form is essential for vendors wishing to conduct business with the City of New York. Below are key takeaways regarding its completion and submission:

  • Fillable Format: The questionnaires are now fillable as of September 25, 2014, but must still be printed and submitted in paper form.
  • Required Fields: Certain fields have specific entry requirements, such as date formats (MM/DD/YYYY) and numeric formats (e.g., 9-digit EIN/TIN/SSN without dashes).
  • Complete Responses: All questions must be answered fully. Responses like “Not Applicable (N/A)” are not acceptable.
  • Additional Space: If more space is needed for responses, photocopy the relevant page, check the box indicating additional information is attached, and include it with the submission.
  • Vendor’s Guide: The publication “Vendor’s Guide to VENDEX” offers explanations and definitions for terms in the questionnaire. It is advisable to obtain this guide.
  • Submission Location: Completed forms must be sent to the Mayor’s Office of Contract Services (MOCS) at 253 Broadway, 9th Floor, New York, NY 10007.
  • Accuracy is Crucial: Incomplete or altered questionnaires may lead to rejection. Ensure that all information is accurate and complete.
  • Contact Information: For any questions or concerns, vendors can reach out to the VENDEX Unit at 212-341-0933 or via email at [email protected].