7557-107.docx

DOCX document 174 KB Posted

Attached to
Exterior Facade Signage Installation at Baylis Hall
Solicitation number
2140288
Issued by
Bronx County, New York

About this file

This is a University-Wide Minority and Women Business Enterprise (MWBE) Program Utilization Plan form for the State University of New York (SUNY) system, designed to document contractor commitments to subcontracting with certified MBE and WBE firms. The form requires contractors to identify the primary contractor, project details, and MBE/WBE participation goals, along with comprehensive information about planned subcontractors and suppliers. Contractors must list subcontractors by federal ID number, contract dollar value, description of work or supplies, company name, street address, contact name, email address, and MBE/WBE certification status. The form accommodates multiple subcontractor entries with designated start and completion dates for each. Contractors must certify that they seriously expect to use the NYS certified MBE/WBE firms listed and commit to immediately notifying and obtaining approval from the University-wide MWBE Program Office prior to implementing any changes to the plan.

For the specific Exterior Facade Signage Installation project at Baylis Hall, SUNY Maritime College has established MBE participation goals of 11.00 percent and WBE participation goals of 19.00 percent. The project requires vendors to demonstrate successful completion of at least four comparable contracts within the past five years of similar size, scope, complexity, and nature. This is a prevailing wage project, and vendors must submit valid and current New York State Worker's Compensation and Disability insurance forms. The procurement is subject to New York State Finance Law 139-j and -k (Lobbying Law), which restricts vendor contact to designated campus representatives only. Interested vendors must contact the designated Campus contact within 15 business days of the advertisement notice.

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Text version

UNIVERSITY-WIDE MWBE PROGRAM

UTILIZATION PLAN

SUNY Project No. ____________________
Bid Date: Click here to enter a date.
Agreement/Contract Value: ___________________
Contractor: _________________________
Primary Contact: _________________________________________________
Address: _________________________
City: ____________________
State: ____________________
Zip Code: ___________
Phone Number: _______________________
Fax Number: _________________
E-Mail: ___________________________
GOALS: MBE %
WBE %
Campus: ___________________________________
SUBCONTRACTOR
FEDERAL ID #
DOLLAR VALUE OF CONTRACT OR PURCHASE ORDER
DESCRIPTION OF WORK OR SUPPLIES
SUBCONTRACTOR/SUPPLIER SCHEDULE
START DATE
COMPLETION DATE

Company Name: _________________________ Street Address: _________________________ Contact Name: _________________________ E-Mail Address: _________________________ Check One: MBE ☐ WBE ☐

FORMTEXTFORMTEXTFORMTEXTClick here to enter a date.Click here to enter a date.
Company Name: _________________________

Street Address: _________________________ Contact Name: _________________________ E-Mail Address: _________________________ Check One: MBE ☐ WBE ☐

FORMTEXTFORMTEXTFORMTEXTClick here to enter a date.Click here to enter a date.
Company Name: _________________________

Street Address: _________________________ Contact Name: _________________________ E-Mail Address: _________________________ Check One: MBE ☐ WBE ☐

FORMTEXTFORMTEXTFORMTEXTClick here to enter a date.Click here to enter a date.
Company Name: _________________________

Street Address: _________________________ Contact Name: _________________________ E-Mail Address: _________________________ Check One: MBE ☐ WBE ☐ FORMTEXT FORMTEXT FORMTEXT Click here to enter a date. Click here to enter a date.

In accordance with the SUNY Contract Documents and Executive Law Article 15-A, my firm seriously expects to use the NYS certified MBE/WBE certified firms listed above. The Contractor shall immediately notify and request approval prior to any changes to this plan from the University-wide MWBE Program Office.

NAME:
TITLE:
COMPANY OFFICER’S SIGNATURE
DATE:
________________________________________________________________________________________________________________
Click here to enter a date.

APPROVED:|_| DEFICIENT:|_| MWBE PROGRAM COORDINATOR: ________________________________ DATE:______________

Form 7557-107, July, 2014 Page 1 of ___ image1.jpeg

File details come from the government source that posted it. Updated .