16 - OSC Form B.doc
DOC document 98 KB Posted
- Solicitation number
- 2139351
- Issued by
- Montgomery County, New York
About this file
This is New York State Consultant Services Contractor's Annual Employment Report (Form AC 3272-S) related to SUNY Geneseo's Project G06079 Backdrop Term Agreements for Consultant Services. The form serves as a reporting mechanism for contractors working under the Backdrop Term Agreements, which will run from 2027 through 2029. SUNY Geneseo is establishing up to six pre-awarded consultant/design firm agreements to provide services across diverse project scopes without requiring separate RFQ and award processes for each engagement. Anticipated consultant services include building envelope upgrades, mechanical/electrical/plumbing system replacements, structural assessments, interior building upgrades, campus safety and security improvements, hazardous material removal with engineering and asbestos monitoring, underground utility upgrades, hardscape improvements, construction administration services, and CADD mapping services. The selection of Backdrop Term consultants will be based on qualifications relative to these anticipated future projects.
The maximum consultant fee for each individual project under the Backdrop Term Agreement is $200,000, with a total cumulative value across all consultant term agreements limited to $700,000 over the three-year period. The Employment Report form requires contractors to document employment categories, number of employees, hours worked, and amounts payable under the contract during the reporting period of April 1 to March 31. The form includes checkboxes for various service scopes such as analysis, evaluation, research, engineering, architectural services, environmental services, accounting, auditing, legal services, and other consulting categories. Participation from Minority Business Enterprises (MBE), Women Business Enterprises (WBE), and Service Disabled Veteran-owned businesses is encouraged in the selection process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 18 - Form 7557-108 EEO Staffing Plan.docx | DOCX document | |
| 17 - OSC Form A.doc | DOC document | |
| 20- Form 7555-18A Bidders Certifications.docx | DOCX document | |
| 02 - Design Team Summary Table.xlsx | XLSX spreadsheet | |
| Project G06079 - Request for Qualifications-Backdrop Term Consultants.pdf | ||
| 07 - 7557-104 MWBE EEO.doc | DOC document | |
| 21- Form 7555-18B Bidders Post Bid Certifications.docx | DOCX document | |
| 19 - Form 7557-110 Workforce Utilization Report.xlsx | XLSX spreadsheet | |
| 06 - 7555-15 Subconsultant Staffing List-Architecture and Engineering.docx | DOCX document |
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Text version
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant Services Contractor’s Annual Employment Report
Report Period: April 1, to March 31, Contracting State Agency Name:
| Contract Number: |
| Agency Business Unit: |
| Contract Term: / / to / / |
| Agency Department ID: |
Contractor Name:
Contractor Address:
Description of Services Being Provided:
Scope of Contract (Choose one that best fits):
FORMCHECKBOX
Analysis FORMCHECKBOX Evaluation FORMCHECKBOX Research FORMCHECKBOX Training
FORMCHECKBOX
Data Processing FORMCHECKBOX Computer Programming FORMCHECKBOX Other IT consulting
FORMCHECKBOX
Engineering FORMCHECKBOX Architect Services FORMCHECKBOX Surveying FORMCHECKBOX Environmental Services
FORMCHECKBOX
Health Services FORMCHECKBOX Mental Health Services
FORMCHECKBOX
Accounting FORMCHECKBOX Auditing FORMCHECKBOX Paralegal FORMCHECKBOX Legal FORMCHECKBOX Other Consulting
| Employment Category |
| Number of Employees |
| Number of |
Hours Worked Amount Payable Under the Contract
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
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| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| Total this Page |
| 0.00 |
| 0.00 |
| $ 0.00 |
| Grand Total |
Name of person who prepared this report:
| Title: |
| Phone #: |
Preparer’s Signature: ________________________________
Date Prepared: / /
(Use additional pages, if necessary)
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