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Get NY NYS HEAP Non Utility Fuel Vendor Agreement Instructions 2017-2024

Vendor otda.ny. gov Your company s name will not be added to the NYS HEAP vendor list until a signed agreement is on file. PAYMENT PROCESS Payments made directly to vendors will to be issued through the NYS Office of the Controller OSC. You may not make any changes to the Vendor Agreement please contact us if you have any questions. PROVISIONS FOR OIL/KEROSENE AND PROPANE VENDORS If you provide oil/kerosene and or kerosene products please make sure that you review the applicable sections since there are special rules regarding pricing for these commodities. VENDOR AGREEMENT After NYS OTDA acceptance this Vendor Agreement will remain in effect until either party terminates Agreement with thirty 30 days written notice. Vendor Agreements and participation will be managed centrally through the New York State Office of Temporary and Disability Assistance OTDA. Two party checks will to be issued from the Local Social Services Department. PLEASE RETURN THE FOLLOWING FORMS Vendor Information Form pages 1 2 Substitute W-9 Form Copy of any applicable licenses Proof of Insurance Certificate of Liability Insurance Listing Certificate holder as NYSHEAP Bureau 40 North Pearl St. Albany NY 12243 Rev 9/16 Return forms as soon as possible to New York State OTDA 40 N. Pearl Street Floor 11B Phone 518 473-0332 Fax 518 474-0985 Email HEAP. ANDREW M. CUOMO Governor SAMUEL D. ROBERTS Commissioner MICHAEL PERRIN Executive Deputy Commissioner NYS HEAP Non Utility Fuel Vendor Agreement Instructions Please review all materials carefully. In addition your company will receive direct HEAP payments only if you agree to one of the pricing options.

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