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The New York Questionnaire form, part of the Vendor Information Exchange System (VENDEX), plays a crucial role in ensuring that vendors seeking to do business with New York City meet specific standards of responsibility and compliance. This form consists of two primary components: the Vendor Questionnaire and the Principal Questionnaire. Together, they collect essential information about vendors, including their business structure, ownership, and operational history. Effective September 25, 2014, these questionnaires have become fillable, streamlining the submission process. However, vendors must still print and submit paper copies. Certain fields within the form require specific formats for entries, such as dates and identification numbers, to ensure clarity and consistency. Additionally, the form mandates that all questions be answered fully; responses such as "Not Applicable" are not acceptable. Vendors can obtain the questionnaires either in paper format from the VENDEX Unit or by downloading them from the New York City website. The form is designed not only to gather information but also to facilitate compliance with city regulations regarding vendor qualifications. Failure to complete the form accurately may lead to rejection of the submission, highlighting the importance of careful and thorough responses. For assistance, vendors are encouraged to consult the publication "Vendor’s Guide to VENDEX," which offers guidance on the completion of the questionnaires.

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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.

Form Specifications

Fact Name Details
Form Title The form is officially titled the Vendor Questionnaire and is part of the Vendor Information Exchange System (VENDEX).
Governing Authority This form is governed by New York City’s procurement regulations and the Tax Reform Act of 1976.
Submission Method Vendors must complete the questionnaire in paper format, even though it is fillable online.
Required Information All questions on the form must be answered; responses of "Not Applicable" are not accepted.
Formatting Requirements Specific fields have formatting requirements, such as date fields needing MM/DD/YYYY format.
Contact Information Questions regarding the form can be directed to the VENDEX Unit at 212-341-0933.
Submission Deadline All forms must be submitted to the Mayor’s Office of Contract Services (MOCS) at the specified address.
Paper Copies Despite the form being fillable, vendors are required to print and submit paper copies.
Environmental Consideration The form is printed on paper that contains 30% post-consumer material, reflecting a commitment to sustainability.

New York Questionnaire: Usage Guidelines

Filling out the New York Questionnaire form is an important step for vendors wishing to do business with New York City. Make sure to complete the form carefully and accurately, as any mistakes could delay your submission. After you fill out the form, you will need to print it and submit the paper copies to the designated address.

  1. Obtain the New York Questionnaire form from the NYC website or the VENDEX Unit.
  2. Fill in the submitting vendor’s EIN/SSN/TIN at the top of the form.
  3. Indicate the type of submission by checking either Full questionnaire or Changed questionnaire.
  4. Provide the name of the person completing the questionnaire along with their title, telephone number, fax number, and email address.
  5. Enter the principal executive office address, including street, floor/suite number, city, state, and zip code.
  6. Fill in the primary place of business in the NYC metropolitan area with the same details as above.
  7. Check the box if the vendor has had other primary places of business in the NYC metropolitan area in the last five years and provide that information on page 7.
  8. Indicate whether the primary place of business is owned, rented, rented with an option to buy, or donated.
  9. List the addresses of the three largest sites where work is anticipated to occur related to the contract.
  10. Provide the website address of the submitting vendor.
  11. Check the box that corresponds to the annual gross revenue range.
  12. Select all applicable business categories.
  13. Complete the section regarding the DUNS number, stock exchange listing, and the date the vendor began business in NYC.
  14. Answer all questions regarding previous EINs, business addresses, and any other relevant information.
  15. List all principal owners and key officers starting on page 8.
  16. Review the entire form to ensure all questions are answered completely; responses of “Not Applicable” are not acceptable.
  17. If more space is needed, photocopy the relevant page and attach it to the questionnaire.
  18. Print the completed form and submit the paper copies to MOCS at 253 Broadway, 9th Floor, New York, NY 10007.

Your Questions, Answered

What is the New York Questionnaire form?

The New York Questionnaire form, also known as the Vendor Information Exchange System (VENDEX) questionnaire, is a document required for vendors wishing to do business with New York City. It collects essential information to ensure that the city only engages with responsible vendors. The form includes two main questionnaires: the vendor questionnaire and the principal questionnaire.

How do I obtain the New York Questionnaire form?

You can obtain the New York Questionnaire form in paper format from the VENDEX Unit by calling 212-341-0933. Alternatively, the form is available for download from the New York City website at http://www.nyc.gov/vendex. Ensure that you complete the form in paper format, as electronic submissions are not accepted.

What are the requirements for completing the form?

When filling out the form, all questions must be answered completely. Responses such as “Not Applicable (N/A)” are not acceptable. The answers must be either typewritten or printed in ink. If you need additional space for your responses, you can photocopy the relevant page, indicate that more information is attached, and include it with your submission.

Are there specific formatting requirements for certain fields?

Yes, the form has specific formatting requirements for various fields. For example, date fields must be in the MM/DD/YYYY format, telephone and fax numbers should follow the XXX-XXX-XXXX or (XXX) XXX-XXXX formats, and EIN/TIN/SSN fields require nine digits without dashes. Make sure to follow these guidelines to avoid issues with your submission.

What should I do if I have questions about the form?

If you have any questions or concerns while completing the form, you can reach out via email at [email protected]. The team will respond to your inquiries as quickly as possible, providing the assistance you need.

What happens if I do not submit a fully completed questionnaire?

Failure to submit a fully completed questionnaire may result in the rejection of your VENDEX submission. It is crucial to answer all questions thoroughly and accurately. Additionally, any unauthorized changes or alterations to the questionnaire will render it void, so be careful to follow all instructions precisely.

Where do I send the completed form?

Once you have completed the New York Questionnaire form, it must be printed and submitted in paper format. Send all forms to the Mayor's Office of Contract Services (MOCS) at 253 Broadway, 9th Floor, New York, NY 10007. Ensure that you keep a copy for your records as well.

Common mistakes

  1. Not following the correct format for entries: Many people forget that specific fields require a certain format. For instance, date fields must be in the MM/DD/YYYY format, and telephone numbers should match either XXX-XXX-XXXX or (XXX) XXX-XXXX. Failure to adhere to these formats can lead to submission issues.

  2. Leaving questions unanswered: Some individuals think it’s acceptable to leave questions blank or respond with “Not Applicable (N/A).” This is a mistake. Every question must be answered, even if that means providing additional information on a separate page.

  3. Not printing and submitting paper copies: Even though the form is fillable online, it is crucial to remember that you must still print and submit the paper copies. Skipping this step can result in delays or rejection of your submission.

  4. Ignoring the need for complete contact information: Providing incomplete contact information, such as missing phone numbers or email addresses, can hinder communication. Ensure all fields are filled out accurately to avoid complications.

Documents used along the form

The New York Questionnaire form is an essential document for vendors wishing to do business with New York City. Along with this form, several other documents may be required to ensure a comprehensive submission. Each of these documents serves a specific purpose in the vendor qualification process. Below is a list of these commonly used forms and a brief description of each.

  • Vendor Questionnaire: This form collects detailed information about the vendor, including business structure, ownership, and operational history. It is a crucial part of the VENDEX system, designed to assess the responsibility of vendors.
  • Principal Questionnaire: Similar to the Vendor Questionnaire, this document focuses on the principal owners of the business. It collects information regarding their backgrounds and affiliations, ensuring that all key individuals meet the city's standards for responsible conduct.
  • Certification of No Change: This form is used when a vendor wishes to confirm that there have been no significant changes to their business since the last submission. It helps maintain accurate records and ensures ongoing compliance with city regulations.
  • Vendor’s Guide to VENDEX: This publication provides guidance on completing the various questionnaires. It includes definitions of terms and helpful tips for ensuring that all required information is accurately reported.
  • Form W-9: This is a request for taxpayer identification number and certification. It is necessary for tax purposes and ensures that the city has the correct information for reporting any payments made to the vendor.
  • Business License or Permit: Depending on the nature of the vendor’s business, they may need to provide proof of any required licenses or permits. This documentation demonstrates that the vendor is legally allowed to operate within their specific industry.
  • Insurance Certificates: Vendors may be required to submit proof of insurance coverage, such as general liability or workers' compensation insurance. This protects both the vendor and the city from potential liabilities during the course of business operations.

It is important to ensure that all forms are completed accurately and submitted in a timely manner. Missing or incomplete documents can lead to delays in the approval process. By carefully preparing each required document, vendors can help facilitate a smoother experience when engaging with New York City.

Similar forms

  • Vendor Questionnaire: This document is closely related to the New York Questionnaire form as it serves a similar purpose. Both forms are designed to collect essential information from vendors wishing to do business with New York City. They ensure that the city engages only with responsible vendors by gathering detailed data about their operations, ownership, and compliance history.
  • Principal Questionnaire: Like the Vendor Questionnaire, the Principal Questionnaire aims to gather information about the key individuals behind the vendor. This form focuses specifically on the owners and executives, ensuring that those in charge of the business meet the necessary qualifications and ethical standards.
  • Certification of No Change: This document is important for vendors who have previously submitted their information but need to confirm that there have been no changes since their last submission. It serves to keep the vendor's information current without requiring a full resubmission of their details.
  • Vendor’s Guide to VENDEX: This guide provides comprehensive instructions and explanations for completing the questionnaires. It is a helpful resource for vendors to understand the requirements and terminology used in the forms, ensuring that they provide accurate and complete information.
  • Form W-9: This form is used by businesses to provide their Taxpayer Identification Number (TIN) to the entity that will pay them. Similar to the New York Questionnaire, the W-9 is necessary for tax reporting purposes and ensures that the information about the vendor is correct and up to date.
  • Business License Application: This application is required for vendors to legally operate within a specific jurisdiction. It shares similarities with the New York Questionnaire in that both forms require detailed information about the business and its owners to ensure compliance with local laws and regulations.
  • Conflict of Interest Disclosure Form: This document is often required by government agencies to identify any potential conflicts that may arise from a vendor's business dealings. Like the New York Questionnaire, it seeks to ensure transparency and accountability in vendor relationships with the city.

Dos and Don'ts

When filling out the New York Questionnaire form, attention to detail is crucial. Here are seven important dos and don'ts to consider:

  • Do ensure that all fields are completed. Leaving any field blank can lead to rejection of your submission.
  • Do type or print your answers clearly. Illegible handwriting can create confusion and may result in delays.
  • Do use the correct format for specific fields. For example, dates must be entered as MM/DD/YYYY.
  • Do provide detailed responses for any questions that require elaboration. Simply marking “Not Applicable” is not acceptable.
  • Don't make any unauthorized changes to the form. Alterations will render your submission void.
  • Don't forget to print and submit paper copies of the completed questionnaires, even if they are fillable online.
  • Don't hesitate to reach out for assistance if you have questions. Contact the VENDEX Unit for clarification.

Misconceptions

  • Misconception 1: The New York Questionnaire form can be submitted electronically.

    In reality, even though the form is fillable, it must be printed and submitted in paper format. Electronic submissions are not accepted.

  • Misconception 2: All fields in the form can be filled out without restrictions.

    Certain fields have specific entry requirements. For example, date fields must follow the MM/DD/YYYY format, and EIN/TIN/SSN fields require 9 digits without dashes.

  • Misconception 3: Responses of "Not Applicable" are acceptable.

    All questions must be answered. A response of "Not Applicable" is not acceptable and may lead to rejection of the submission.

  • Misconception 4: Additional information can be added anywhere in the questionnaire.

    If more space is needed, a photocopy of the relevant section must be attached. Simply adding information in the margins or elsewhere is not permitted.

  • Misconception 5: The questionnaire can be altered or modified.

    Any unauthorized changes or alterations will render the questionnaire void. It is crucial to complete the form as it is provided.

  • Misconception 6: The social security number is optional to provide.

    The disclosure of the social security number is mandatory under the Tax Reform Act of 1976 for tax administration purposes.

  • Misconception 7: The Vendor Questionnaire and Principal Questionnaire are the same.

    While both are part of the Vendor Information Exchange System (VENDEX), they serve different purposes and collect distinct information from vendors.

Key takeaways

Filling out and using the New York Questionnaire form is an essential step for vendors wishing to engage in business with New York City. Here are some key takeaways to keep in mind:

  • Complete All Forms: The Vendor Questionnaire, Principal Questionnaire, and Certification of No Change must all be filled out, printed, and submitted in paper format.
  • Follow Formatting Guidelines: Ensure that entries in date fields follow the MM/DD/YYYY format, and that telephone and fax numbers adhere to the specified formats.
  • Answer All Questions: Every question on the form must be answered. Responses like “Not Applicable (N/A)” are not accepted.
  • Typewritten or Ink Responses: Answers should be either typewritten or written in ink for clarity and legibility.
  • Use Additional Pages if Necessary: If more space is needed for responses, photocopy the relevant page, check the box indicating additional information, and attach it to the questionnaire.
  • Consult the Vendor's Guide: The publication “Vendor’s Guide to VENDEX” provides valuable assistance and definitions for terms used in the questionnaires. It is advisable to download or obtain a copy.
  • Submit to the Correct Address: All completed forms must be sent to the Mayor’s Office of Contract Services (MOCS) at the specified address.
  • Be Aware of Consequences: Failing to submit a fully completed questionnaire may lead to rejection, and any unauthorized changes will render the form void.

By following these guidelines, vendors can ensure a smoother process when submitting the New York Questionnaire form.