8-8. Exhibit E Quantitative Factor Credit Questionnaire.pdf

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Attached to
INTERNET PROTOCOL (IP) BROKERAGE
Solicitation number
202608
Issued by
Erie County, New York

About this file

This is a Quantitative Factor Credit Questionnaire from the State of New York related to an Internet Protocol (IP) Brokerage contract opportunity with Erie County Medical Center Corporation (ECMCC). The questionnaire assesses respondent eligibility for quantitative credit factors based on certification status as a New York State Certified Minority-owned Business Enterprise (MWBE), Women-owned Business Enterprise (MWBE), or Service-Disabled Veteran-Owned Business (SDVOB). Respondents must self-assess their qualifications according to Executive Law 310 for MWBEs or Veterans' Services Law Article 3 for SDVOBs and provide their company name and applicable certification information.

Proof of certification is required to receive quantitative credit for the evaluation factors. MWBEs must provide certification from the NYS Division of Minority and Woman Business Development, while SDVOBs must provide certification from the NYS Office of General Services. Documentation must be uploaded to qualify for credit consideration in the proposal evaluation process. This questionnaire applies to the ECMCC's request for proposals for brokerage services related to the sale of Internet Protocol version 4 (IPv4) Class B address space, as ECMCC seeks to monetize portions of this asset.

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NYS Minority and Women Owned Business Enterprise (MWBE) Certified Status

If Yes, please enter your certification number

If Yes, please enter your certification number

NYS Certified Service Disabled Veteran Owned Business (SDVOB) Status

If Yes, please enter your certification number

1. Is your company a New York State Certified Service Disabled Veteran Owned

Exhibit E - Quantitative Factor Credit Questionnaire

Respondents should perform their own assessment to see if they meet the qualification of a New York

State Certified Minority and Women-owned Business Enterprise (MWBE) as defined in Executive Law

§310; or a New York State Certified Service-Disabled Veteran-Owned Business (SDVOB) as defined in

Veterans' Services Law Article 3. The following information is provided as a guide to assist with making that assessment.

Proof of certification from NYS Division of Minority and Woman Business Development for MWBEs; or

NYS Office of General Services for SDVOBS is required to be be uploaded to receive credit for

Quantitative Credit Factor.

1. Is your company a New York State Certified Minority-owned Business?

2. Is your company a New York State Certified Women-owned Business?

Respondent Name:

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