Appendix MWBE-6 - MWBE Quarterly Compliance Report.pdf
PDF 215 KB Posted
- Attached to
- Copado DevOps Platform
- Solicitation number
- 2137801
- Issued by
- Albany County, Albany City, New York
About this file
This is an MWBE Quarterly Compliance Report form issued by the New York State Department of Labor, specifically the MWBE (Minority and Women-Owned Business Enterprise) Administrator located at the Harriman State Office Campus in Albany. The form is designed to document payment amounts made by grantees and contractors to NYS Certified M/WBE subcontractors on state projects. The document requires contractors to report on their compliance with contract documentation requirements, specifying contract numbers, project completion dates, work locations, and reporting periods divided into four quarters (1st Quarter: April 1-June 30; 2nd Quarter: July 1-September 30; 3rd Quarter: October 1-December 31; 4th Quarter: January 1-March 31). The form requires identification of the contractor's name, address, and Federal ID number, along with MBE and WBE goal percentages and corresponding dollar amounts.
The compliance report requires detailed tracking of all M/WBE subcontractors and vendors, including their names, Federal ID numbers, work status (active, inactive, or complete), and subcontract amounts with payment breakdowns for the current quarter, previous payments, and total payments to date. Each subcontractor or vendor entry must include a product code classification ranging from agriculture and landscaping (Code A) through specialized categories such as construction (C15-C17), manufacturing (D), transportation and sanitary services (E), wholesale and retail goods (F/G), financial services (H), and various service categories (I73-I87) including business services, legal services, education services, social services, and engineering and architectural services. Failure to submit the completed form results in non-compliance status, and the form must be submitted to the MWBE Administrator at the specified Albany office address.
View the file
Other files
Show all 31
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
MWBE 105 (01/18) Page 1 of 2
Purchase and Contracts, MWBE Administrator Harriman State Office Campus, Building 12, Room
465 Albany, NY 12226 Phone: (518) 474-2678 | Fax: (518) 457-0620
Labor.sm.MWBEAdmin@labor.ny.gov
MWBE Quarterly Compliance Report Contract No.
The following information indicates the payment amounts made by the grantee/contractor to the NYS Certified M/WBE subcontractor on this project.
The payments as shown made are in compliance with contract documents for the above referenced project. Submit the completed form to the address above.
Prepared By (signature): Telephone No.:
E-Mail Address: Date:
Name and Title of Preparer (print):
Failure to submit this form will result in non-compliance *See Reverse Side for Product Codes
Contractors Name and Address Federal ID# Goals/$ Amt.
MBE %=$
WBE %=$
Contract Type Paid to Contractor This Quarter Total Paid to Contractor To Date
Project Completion Date: Work Location: Reporting Period:
1st Quarter (4/1-6/30) 3rd Quarter (10/1-12/31) 2nd Quarter (7/1-9/30) 4th Quarter (1/1-3/31)
M/WBE Subcontractor/Vendor Product Code*
Work Status This Report
Total Subcontractor Contract Amount Payments this Quarter Previous Payments Total Payment Made to
Date
MBE WBE MBE WBE MBE WBE MBE WBE
Name:
FED ID#
Active Inactive Complete
Name:
FED ID#
Active Inactive Complete
Name:
FED ID#
Active Inactive Complete
Name:
FED ID#
Active Inactive Complete
Total
Appendix MWBE-6
MWBE 105 (01/18) Page 2 of 2
Product Key Code
A = Agriculture/ Landscaping (e.g., all forms of landscaping services) B = Mining (e.g., geological investigations) C = Construction C15 = Building Construction – General Contractors C16 = Heavy Construction (e.g., highway, pipe laying) C17 = Special Trade Contractors (e.g., plumbing, heating, electrical, carpentry) D = Manufacturing E = Transportation, Communication and Sanitary Services (e.g., delivery services, warehousing, broadcasting and cable systems) F/G = Wholesale/Retail Goods (e.g. hospital supplies and equipment, food stores, computer stores, office supplies G52 = Construction Materials (e.g., lumber, paint, law supplies) H = Financial, Insurance and Real Estate Services I = Services I73 = Business Services (e.g., copying, advertising, secretarial, janitorial, rental services of equipment, computer programming, security services) I81 = Legal Services I82 = Education Services (e.g., AIDS education, automobile safety, tutoring, public speaking) I83 = Social Services (Counselors, vocational training, child care) I87 = Engineering, architectural, accounting, research, management and related services
File details come from the government source that posted it. Updated .