8-8. Exhibit E Quantitative Factor Credit Questionnaire.pdf
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- Attached to
- INSURANCE BROKER & CLAIM MANAGEMENT
- Solicitation number
- 202604
- Issued by
- Erie County, New York
About this file
This is a Quantitative Factor Credit Questionnaire form used by Erie County Medical Center Corporation (ECMCC) in New York State for evaluating proposals submitted in response to an Insurance Broker & Claim Management services solicitation. The questionnaire assesses bidder qualifications regarding minority and women-owned business enterprise (MWBE) and service-disabled veteran-owned business (SDVOB) certifications as defined under New York State Executive Law 310 and Veterans' Services Law Article 3, respectively. Respondents are required to self-assess their eligibility status and provide their company name and certification information if applicable.
To receive quantitative credit for these certification factors, bidders must provide proof of current certification from either the New York State Division of Minority and Woman Business Development for MWBE status or the New York State Office of General Services for SDVOB status. The form requires uploading of certification documentation and requests certification numbers from respondents claiming MWBE or SDVOB designation. This evaluation mechanism allows ECMCC to apply preference considerations to qualified minority-owned, women-owned, or service-disabled veteran-owned businesses as part of its vendor selection process for insurance risk management advisory and broker services.
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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 .