Company Information - NYS ITS Required Forms

Prior Non-Responsibility Determinations

Has any Governmental Entity made a finding of non-responsibility in the previous four years?

Yes

Was the basis for non-responsibility due to violation of State Finance Law §139-j?

Yes

Was the basis for non-responsibility due to intentional provision of false/incomplete information?

Yes

Has any Governmental Entity terminated or withheld a Procurement Contract due to intentional provision of false/incomplete information?

Yes

Governmental Entity

Date of Finding of Non-responsibility

Basis of Finding of Non-Responsibility

Date of Termination or Withholding of Contract

Basis of Termination or Withholding