17 - OSC Form A2.doc
DOC document 85 KB Posted
- Solicitation number
- 2120656
- Issued by
- Jefferson County, New York
About this file
This is a New York State Consultant Services Contractor's Planned Employment form (AC 3271-S) submitted in connection with a State University of New York at Geneseo project to rehabilitate Wing A and demolish Wings B and C of Blake Building. The form is designed to document the contractor's planned employment from the contract start date through the end of the contract term, requiring the contractor to detail employment categories, number of employees, hours to be worked, and amounts payable under the contract. The specific form provided contains all blank fields with zero values across multiple employment categories and shows no populated contract dates, state agency information, contractor name, or contract number.
The form serves as a compliance document for New York State consultant services contracting requirements. The related Blake Building project establishes minority and women business enterprise (MWBE) contracting goals of 15 percent for both minority-owned business enterprises (MBE) and women-owned business enterprises (WBE), along with a Service-Disabled Veteran-Owned Business (SDVOB) goal of 6 percent. No incumbent contractor has held an identical or substantially similar procurement contract within the past five years. The design and construction administration services solicitation indicates that business enterprises should complete this employment planning form as part of their proposal submission, though the specific contract value, timeline, and other financial details are not populated in this particular document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 20- Form 7555-18 Bidders Certifications2.docx | DOCX document | |
| 02 - Design Team Summary Table3.xlsx | XLSX spreadsheet | |
| 18 - Form 7557-108 EEO Staffing Plan2.docx | DOCX document | |
| 07 - 7557-104 MWBE EEO2.doc | DOC document | |
| 19 - Form 7557-110 Workforce Utilization Report2.xlsx | XLSX spreadsheet | |
| 061122 - Request for Qualifications-Blake Hall Renovation.pdf | ||
| 06 - 7555-15 Subconsultant Staffing List-Architecture and Engineering3.docx | DOCX document | |
| 16 - OSC Form B2.doc | DOC document |
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Text version
AC 3271-S (Effective 4/12)
FORM A
New York State Consultant Services Contractor’s Planned Employment
From Contract Start Date Through the End of the Contract Term
State Agency Name:
| State Agency Department ID: |
| Agency Business Unit: |
| Contractor Name: |
| Contract Number: |
| Contract Start Date: / / |
| Contract End Date: / / |
| Employment Category |
| Number of Employees |
| Number of Hours to be 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 |
| 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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