16 - OSC Form B2.doc

This is a New York State Consultant Services Contractor's Annual Employment Report form (AC 3272-S) submitted to the State University of New York at Geneseo in connection with a design and construction administration contract for the rehabilitation of Blake Hall Wing A and demolition of Blake Hall Wings B and C. The form serves as a reporting mechanism for contractor employment data during the specified reporting period of April 1 through March 31. The document includes fields for the contracting state agency name, contract number, agency business unit, contract term dates, contractor name and address, and a description of services being provided. A checkbox section allows contractors to identify the scope of work, with options including analysis, evaluation, research, training, data processing, computer programming, IT consulting, engineering, architect services, surveying, environmental services, health services, mental health services, accounting, auditing, paralegal, legal, and other consulting services.

The employment reporting section of the form requires contractors to document employment categories, number of employees, number of hours worked, and amount payable under the contract across multiple rows, with totals calculated for the reporting period. The state has established contracting goals for this procurement opportunity, including a Service-Disabled Veteran-Owned Business (SDVOB) goal of 6.00 percent and Minority and Women Business Enterprise (MWBE) goals of 15.00 percent for Minority Business Enterprises (MBE) and 15.00 percent for Women Business Enterprises (WBE). No identical or substantially similar procurement contracts have been awarded within the past five years. The form requires the preparer's name, title, phone number, signature, and date of preparation, with provisions for additional pages if necessary.