New York Offerer Disclosure of Prior Non-Responsibility Determination
Understanding this form
The Offerer Disclosure of Prior Non-Responsibility Determination form is a legal document required under New York State Finance Law to obtain disclosures from individuals or entities seeking to enter into a procurement contract. This form is essential for determining whether an offerer has received any findings of non-responsibility from governmental entities based on specific violations, such as violating State Finance Law §139-j or providing false information. Unlike other procurement forms, this disclosure specifically focuses on prior determinations of non-responsibility within the last four years.
Main sections of this form
- Name and address of the individual or entity seeking the contract
- Name and title of the person submitting the form
- Contract RFP number and date of submission
- Inquiry regarding any non-responsibility findings over the past four years
- Details on any terminated or withheld contracts due to false information
- Certification by the offerer affirming the accuracy of the provided information
Common use cases
This form should be used whenever an individual or entity is applying for a procurement contract with a governmental entity in New York. It is particularly important if the offerer has had any prior dealings with governmental agencies that resulted in findings of non-responsibility. The form must accompany bids, proposals, or contract amendments exceeding fifteen thousand dollars.
Who should use this form
- Individuals or entities seeking to enter into procurement contracts with New York governmental entities
- Contractors applying for bids or proposals
- Business entities needing to disclose past non-responsibility determinations
Steps to complete this form
- Provide the name and address of the individual or entity seeking the contract.
- Fill in the name and title of the person submitting the form along with the contract RFP number and submission date.
- Respond to the questions regarding any previous findings of non-responsibility by any governmental entity.
- Detail any occurrences where a contract was terminated or withheld due to false information.
- Certify that all provided information is complete, true, and accurate by signing and dating the form.
Notarization guidance
This form does not typically require notarization unless specified by local law. It is crucial to ensure all disclosures are complete and accurate to avoid any implications for contract eligibility.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Common mistakes to avoid
- Failing to disclose all non-responsibility findings within the required time frame.
- Inaccurate or incomplete information provided on the form.
- Not signing the certification section, which can invalidate the submission.
Benefits of using this form online
- Convenient access to download and complete the form at your own pace.
- Editable templates that allow for easy modifications as needed.
- Reliable compliance with legal requirements and regulations.
