10-4. ECMCC-Exhibit A-3-SDVOB 0% (2024).pdf
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- Solicitation number
- 202518
- Issued by
- Erie County, New York
About this file
This document is a Service-Disabled Veteran-Owned Business (SDVOB) Utilization Plan form for ECMCC (Erie County Medical Center Corporation), designed to be submitted with a proposal or within 48 hours of being identified as the lowest responsible bidder. The form is specifically intended to detail the supplies and/or services to be provided by certified Service-Disabled Veteran-Owned Businesses under a contract. The form provides space for listing multiple SDVOB subcontractors/suppliers, including their names, federal ID numbers, detailed work descriptions, and the dollar value or percentage of subcontracts/supplies/services they will provide.
The document indicates that the SDVOB goals for this contract are 0%, which suggests that while the utilization plan is required, there is no mandatory participation requirement for service-disabled veteran-owned businesses in this particular procurement. The form emphasizes compliance with NYS Executive Law, Veteran's Service Law Article 3, and warns that failure to submit complete and accurate information may result in a finding of noncompliance, rejection of the bid/proposal, or potential contract termination. The form is to be signed by the preparer and includes sections for ECMCC's internal review and tracking of the SDVOB utilization plan.
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Text version
SDVOB Utilization Plan rev 1/24
EXHIBIT A-3
SDVOB UTILIZATION PLAN
INSTRUCTIONS: This form must be submitted with any proposal or proposed negotiated contract or within 48 hours of notice from ECMCC that the respondent is the apparent lowest responsible bidder to an IFB. This Utilization Plan must contain a detailed description of the supplies and/or services to be provided by each certified Service-Disabled
Veteran-Owned Business (SDVOB) under the contract. Attach additional sheets if necessary.
Respondent’s Name: _____________________________________________________ RFP or Bid No.: __________________________________________________
Federal Identification No.: ___________________________________________ SDVOB Goals in the Contract: 0%
Contract Value: ____________________________________________________
1. Certified SDVOB Subcontractors/Suppliers
Name, Address, Email Address, Telephone No.
2. Federal ID
No.
3. Detailed Description of Work
(Attach additional sheets, if necessary)
4. Dollar Value or percentage of
Subcontracts/
Supplies/Services
1.
2.
3.
4.
5.
6.
SDVOB Utilization Plan rev 1/24
7.
8.
PREPARED BY (Signature):
DATE:
NAME AND TITLE OF PREPARER (Print or Type):
SUBMISSION OF THIS FORM CONSTITUTES THE OFFEROR’S ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH THE SDVOB REQUIREMENTS SET FORTH UNDER NYS EXECUTIVE LAW, VETERAN’S SERVICE
LAW ARTICLE 3, 9 NYCRR PART 252, AND THE ABOVE-REFERENCED SOLICITATION. FAILURE TO SUBMIT
COMPLETE AND ACCURATE INFORMATION MAY RESULT IN A FINDING OF NONCOMPLIANCE AND/OR REJECTION OF YOUR BID/PROPOSAL AND/OR POSSIBLE TERMINATION OF YOUR CONTRACT. UTILIZATION OF
CERTIFIED SDVOB’s FOR NON-COMMERCIALLY USEFUL FUNCTIONS MAY NOT BE COUNTED TOWARD SDVOB
REQUIREMENTS.
TELEPHONE NO.:
EMAIL ADDRESS:
FOR ECMCC SDVOB USE ONLY
REVIEWED BY:
DATE:
UTILIZATION PLAN APPROVED: YES NO Date:
Contract No.: Project No. (if applicable):
Contract Award Date:
Estimated Date of Completion:
Amount Obligated Under the Contract:
Description of Work:
NOTICE OF DEFICIENCY ISSUED: YES NO Date:______________
NOTICE OF ACCEPTANCE ISSUED: YES NO Date:_____________
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