3-5410-012F SUBCONTRACTOR LISTING AND MWBE UTILIZATION PLAN 20210128.pdf
PDF 203 KB Posted
- Attached to
- MOLD ASSESSMENT SERVICES
- Solicitation number
- 27-0627E5-007
- Issued by
- Erie County, New York
About this file
This is a Subcontractor Listing and MWBE Utilization Plan form for the Buffalo Public Schools' Mold Assessment Services procurement offering. The form requires respondents to identify all subcontractors participating in their proposal, specify the percentage of response value each subcontractor will be responsible for, and document whether subcontractors are Minority and Women-Owned Business Enterprise (MWBE) certified. All listed subcontractors must meet the offering's requirements regarding debarment and anti-lobbying certifications. For multi-year responses, respondents must submit separate listings for each contract year with the applicable period clearly identified.
The form captures critical compliance and utilization information including the total contract value for each period, the MWBE percentage achieved, subcontractor names, tax identification numbers, the percentage of response value assigned to each subcontractor, and documentation of MWBE certification status. This documentation supports Buffalo Public Schools' requirements for tracking subcontractor participation and monitoring compliance with MWBE utilization goals for the mold assessment services contract, which involves visual inspection, remediation planning, remediation oversight, and post-remediation assessment services to be provided on an as-needed basis throughout the school district.
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Text version
BUFFALO PUBLIC SCHOOLS PROCUREMENT OFFERING
SUBCONTRACTOR LISTING & MWBE UTILIZATION PLAN
DOC:5410-012F 1 of 1
REV: 01282021
Respondents MUST list all Subcontractor(s) Participating in the response to this offering and the percentage of the value of the response that the Subcontractor is responsible for. For the purposes of this form a Subcontractor is defined as a third party in which the respondent has a formal agreement defining their participation in the response. Such Subcontractors must meet all requirements of the offering specification in regarding Debarment and Anti-Lobbying Certification.
For Multi-Year Responses please include one (1) listing for each year and list the period for which it covers. MWBE percentages will be calculated by PERIOD.
Offering # _____________________________ Period Covered: ____________________________
Total Value for this Period ONLY: _________________ Period MWBE % ______________________
SUBCONTRACTOR NAME TAX ID PERCENTAGE
OF
RESPONSE
VALUE
MWBE
CERTIFIED?
(Include certificate)
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