16 - OSC Form B2.doc
DOC document 82 KB Posted
- Solicitation number
- 2120656
- Issued by
- Jefferson County, New York
About this file
This document is a New York State Consultant Services Contractor's Annual Employment Report (Form B2), designed for reporting employment details for state contracts. The form provides a template for contractors to document their engagement with a state agency, including detailed employment categories and contract scope. While the specific contract details are not filled in, the form allows for reporting across various consulting service types, including analysis, evaluation, research, training, data processing, IT consulting, engineering, architectural services, surveying, environmental services, health services, mental health services, accounting, auditing, paralegal, and legal consulting.
The form enables comprehensive tracking of employment metrics, with spaces to record the number of employees, hours worked, and amounts payable across multiple employment categories. The document appears to be a standardized reporting mechanism for the state to monitor consultant services, contract utilization, and workforce engagement. Although the template is blank in this instance, it is structured to capture detailed information about contractor performance, employment levels, and contract-specific expenditures, supporting transparency and accountability in state consulting service contracts.
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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 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $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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