10-4. ECMCC-Exhibit A-3-SDVOB 0% (2024).pdf
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- Attached to
- OUTSIDE LEGAL/ATTORNEY SERVICES
- Solicitation number
- 202523
- Issued by
- Erie County, New York
About this file
This is a Service-Disabled Veteran-Owned Business (SDVOB) Utilization Plan form required for submission with proposals to Erie County Medical Center Corporation (ECMCC) in New York. The form must be completed and submitted either with the initial proposal, with a proposed negotiated contract, or within 48 hours of notification that the respondent is the apparent lowest responsible bidder for an Invitation for Bid (IFB). The document applies to the ECMCC Outside Legal/Attorney Services solicitation, which seeks qualified law firms with a minimum of eight years of experience in general civil liability defense, insurance coverage matters, and labor and employee claims. Selected firms will provide defense, litigation, legal advice, counsel, services, consultation, and opinions to ECMCC in these specified practice areas.
The SDVOB Utilization Plan requires respondents to provide detailed information regarding certified Service-Disabled Veteran-Owned Business subcontractors and suppliers, including their names, addresses, contact information, federal identification numbers, descriptions of work to be performed, and dollar values or percentages of subcontracts and supplies or services. The form indicates an SDVOB goal of zero percent (0%) for this particular contract. Respondents must acknowledge their agreement to comply with SDVOB requirements under New York State Executive Law, the Veteran's Service Law Article 3, and the New York Code of Rules and Regulations Part 252. Failure to submit complete and accurate information may result in findings of noncompliance, bid or proposal rejection, or contract termination. Utilization of certified SDBOVs for non-commercially useful functions is not permitted to count toward SDVOB requirements.
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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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