<p> Bid 22661 – Attachment 3 Contractor and Reseller Information Contractor Name: Contractor Information (for Ordering and Contract Administration Purposes)</p><p>1. CONTRACTOR/COMPANY INFORMATION Company Name: Address: (From first page of RFP)</p><p>Company Website: Federal ID #: NYS Vendor ID #:</p><p>2. CENTRALIZED CONTRACT Contract Administrator Name: Title: Address: </p><p>Telephone Number: Toll Free Telephone Number: Fax Number: Toll Free Fax Number: E-mail:</p><p>3. SALES/BILLING Contact Name: Title: Address: </p><p>Telephone Number: Toll Free Telephone Number: Fax Number: Toll Free Fax Number: E-mail:</p><p>4. MAINTENANCE/SERVICE Contact Name: Title: Address: </p><p>Telephone Number: Toll Free Telephone Number: Fax Number: Toll Free Fax Number: E-mail: Hours of Availability:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Information Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Reseller/Distributor Company Name: Address:</p><p>Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both</p><p>SBE: NYS Small Business Enterprise (self-identified)</p><p>Reseller is Authorized to: Take Orders Ship Direct Receive Payment</p><p>Qualifying Criteria Applicable to this Reseller:</p><p>Bid 22661 Attachment 3, Contractor and Reseller Information Template</p>