10-4. ECMCC-Exhibit A-3-SDVOB 0% (2024).pdf
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- Attached to
- INTERNET PROTOCOL (IP) BROKERAGE
- Solicitation number
- 202608
- Issued by
- Erie County, New York
About this file
This is a Service-Disabled Veteran-Owned Business (SDVOB) Utilization Plan form required by Erie County Medical Center Corporation (ECMCC) for a proposed contract related to Internet Protocol (IP) brokerage services. The form must be submitted with any proposal, proposed negotiated contract, or within 48 hours of notification that the respondent is the apparent lowest responsible bidder to an Invitation for Bid (IFB). The document serves as a standardized template requiring respondents to identify all certified SDVOB subcontractors and suppliers, provide their contact information and Federal Identification Numbers, and detail the specific supplies and services each certified business will provide under the contract along with corresponding dollar values or percentages.
The SDVOB goal for this contract is set at 0%, indicating no minimum SDVOB participation requirement. The form requires submission of complete and accurate information, with failure to do so potentially resulting in findings of noncompliance, bid rejection, or contract termination. ECMCC emphasizes that certified SDVOBs must be utilized for commercially useful functions only, with such utilization counting toward SDVOB requirements under NYS Executive Law, the Veteran's Service Law Article 3, and 9 NYCRR Part 252. The form includes sections for ECMCC's review and approval, deficiency notices, and acceptance notices, establishing clear administrative oversight and compliance verification procedures.
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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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