5-3. Exhibit A-2 Utilization Plan 0% (2022).pdf
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- Attached to
- OUTSIDE LEGAL/ATTORNEY SERVICES
- Solicitation number
- 202523
- Issued by
- Erie County, New York
About this file
This is a Minority and Women-Owned Business Enterprise (M/WBE) Utilization Plan form submitted to Erie County Medical Center Corporation (ECMCC) in New York for an outside legal services contract. The form is used to document the involvement of certified M/WBE subcontractors and suppliers in contract performance. Respondents must submit the completed utilization plan with their proposal, within a negotiated contract submission, or within 48 hours of receiving notice as the apparent lowest responsible bidder. The form requires offerors to provide detailed information about certified M/WBE participants, including their names, addresses, contact information, federal identification numbers, classifications, and descriptions of work to be performed, along with associated dollar values or percentages of the subcontracts and services.
This particular utilization plan specifies a 0% M/WBE goal for the contract, indicating that no minority or women-owned business participation is required for this specific solicitation. The form serves as the offeror's acknowledgement and agreement to comply with M/WBE requirements under New York State Executive Law Article 15-A and 5 NYCRR Part 143. ECMCC retains review authority over submitted utilization plans and may issue notices of deficiency or acceptance. Failure to submit complete and accurate information may result in bid or proposal rejection, noncompliance findings, or contract termination. The form also notes that utilization of certified MWBEs for non-commercially useful functions cannot be counted toward M/WBE requirements.
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Text version
MWBE Utilization Plan rev 5/22
EXHIBIT A-2 M/WBE UTILIZATION PLAN
INSTRUCTIONS: This form must be submitted with any proposal or proposed negotiated contract or within 48 hours of notice from ECMCC that the respondent is the apparent lowest responsible bidder to an IFB. This Utilization Plan must contain a detailed description of the supplies and/or services to be provided by each certified Minority or Women-
Owned Business Enterprise (MWBE) under the contract. Attach additional sheets if necessary.
Federal Identification No.: ___________________________________________
Location of Work: __________________________________________________
RFP or Bid No.: __________________________________________________
M/WBE Goals in the Contract: 0%
Offeror’s Name: _____________________________________________________
Address: __________________________________________________________
City, State, Zip Code: _________________________________________________
Telephone Number: __________________________________________________
NYS Contract System Identification No: ________________________________
NYS Contract System point of contact User: ____________________________
Contract Value: ____________________________________________________
1. Certified M/WBE Subcontractors/Suppliers
Name, Address, Email Address, Telephone No.
2. Classification 3. Federal ID No. 4. Detailed Description of Work (Attach additional sheets, if necessary)
5. Dollar Value or percentage of
Subcontracts/
Supplies/Services
1. NYS ESD CERTIFIED
MBE
WBE
2. NYS ESD CERTIFIED
MBE
WBE
3. NYS ESD CERTIFIED
MBE
WBE
4. NYS ESD CERTIFIED
MBE
WBE
5. NYS ESD CERTIFIED
MBE
WBE
MWBE Utilization Plan rev 5/22
6. NYS ESD CERTIFIED
MBE
WBE
7. NYS ESD CERTIFIED
MBE
WBE
8. NYS ESD CERTIFIED
MBE
WBE
PREPARED BY (Signature):
DATE:
NAME AND TITLE OF PREPARER (Print or Type):
SUBMISSION OF THIS FORM CONSTITUTES THE OFFEROR’S ACKNOWLEDGEMENT AND AGREEMENT TO
COMPLY WITH THE M/WBE REQUIREMENTS SET FORTH UNDER NYS EXECUTIVE LAW, ARTICLE 15-A, 5 NYCRR PART 143, AND THE ABOVE-REFERENCED SOLICITATION. FAILURE TO SUBMIT COMPLETE AND
ACCURATE INFORMATION MAY RESULT IN A FINDING OF NONCOMPLIANCE AND/OR REJECTION OF YOUR
BID/PROPOSAL AND/OR POSSIBLE TERMINATION OF YOUR CONTRACT. UTILIZATION OF CERTIFIED MWBES
FOR NON-COMMERCIALLY USEF FUNCTIONS MAY NOT BE COUNTED TOWARD MWBE REQUIREMENTS.
TELEPHONE NO.: EMAIL ADDRESS:
FOR ECMCC M/WBE USE ONLY
REVIEWED BY: DATE:
UTILIZATION PLAN APPROVED: YES NO Date:
Contract No.: Project No. (if applicable):
Contract Award Date:
Estimated Date of Completion:
Amount Obligated Under the Contract:
Description of Work:
NOTICE OF DEFICIENCY ISSUED: YES NO Date:______________
NOTICE OF ACCEPTANCE ISSUED: YES NO Date:_____________
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