11-4. ECMCC - Exhibit A-3 SDVOB 6% (2026).pdf
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- Attached to
- GRAPHIC DESIGN AND VISUAL CONTENT SERVICES
- Solicitation number
- 202609
- Issued by
- Erie County, New York
About this file
This is a Service-Disabled Veteran-Owned Business (SDVOB) Utilization Plan form for Erie County Medical Center Corporation (ECMCC) in New York, required for a graphic design and visual content services contract. The form serves as a template that respondents must submit with their proposal or within 48 hours of being notified as the apparent lowest responsible bidder. The utilization plan requires offerors to provide detailed descriptions of supplies and services to be delivered by each certified SDVOB subcontractor or supplier, including the subcontractor's name, address, email, telephone number, federal identification number, and the dollar value or percentage of work allocated to each certified SDVOB participant.
The contract establishes a 6% SDVOB goal requirement that respondents must meet and document in their submission. Offerors must acknowledge and agree to comply with SDVOB requirements under New York State Executive Law, Veteran's Service Law Article 3, and 9 NYCRR Part 252. Failure to submit complete and accurate information may result in noncompliance findings, bid rejection, or contract termination. The form includes sections for ECMCC staff review and approval, with designated spaces for recording the contract number, project number, contract award date, estimated completion date, amount obligated under the contract, and work description. Additionally, the form provides notification areas for deficiency notices and acceptance notices to be issued during the contract administration process.
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Text version
SDVOB Utilization Plan rev 12/17
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.
Offeror’s Name: _____________________________________________________ Federal Identification No.: ___________________________________________
Address: __________________________________________________________ Location of Work: __________________________________________________
City, State, Zip Code: _________________________________________________ RFP or Bid No.: __________________________________________________
Telephone Number: __________________________________________________ SDVOB Goals in the Contract: 6%
Authorized Representative: ____________________________________________
Authorized Signature: ________________________________________________
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.
SDVOB Utilization Plan rev 12/17
6.
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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