Procurment Survey Form

NY Procurement

Survey Form

Please fill out the following Survey Form or print and fax to Randi Smith at 518-453-9053

Agency Name
Contact Name
Position Title
Name of Purchasing Agent
Title
Phone #
Email address

What additional products would you like to see included in the statewide bid?

Please Check Each of the boxes below for products you are currently using of the state procurement list.

Cellulose	Caulk	Foam	Duct Sealant
Weatherstripping	Door sweeps	Air conditioner covers	Smoke Detectors
Gas Ranges	Radiator Valves	CO Detectors	Dishwashers
Aerators	Lighting	Mobile Home Furnaces	Air conditioners
Refrigerators/Freezers	Mobile Home doors	Mobile Home windows
Showerheads	Hot Water Heaters

What terms and conditions would you like to see included in the bid package?

Are you having any problems with existing vendors? ( please specify)

General Comments: ( Project Feedback) Please use a separate sheet if necessary.

Randi

Thanks

NYSWDA
Administrative Office - 2 Charles Blvd., Guilderland, NY 12084
p (518) 690-0494 ~ f (518) 690-0498

Operational Office - 5869 Fisher Rd, E. Syracuse, NY 13057
p (315) 701-0440 ~ f (315) 437-5712

Click Here for Directions to Syracuse Center

Executive Director - Andy Stone

Chief Fiscal/Operations Manager - Randi Smith

Director of Training - Matt Redmond

Assistant Director of Programs - Earl Hicks

Guilderland Administrative Assistant - Roxanne Edwards

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