Appendix SDVOB-2 - SDVOB Monthly Compliance Report.pdf

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Attached to
Copado DevOps Platform
Solicitation number
2137801
Issued by
Albany County, Albany City, New York

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This is a compliance reporting form from the New York State Department of Labor's Service-Disabled Veteran-Owned Business (SDVOB) program, administered through the Purchase and Contracts division at the Harriman State Office Campus in Albany. The form serves as the SDVOB Monthly Compliance Report, which contractors and vendors must submit by the 10th day of each month to document activities from the preceding month and demonstrate progress toward achieving SDVOB goals established in their contracts. The report requires contractors to identify their firm, federal ID number, reporting period, project description, and SDVOB percentage goals, along with detailed information about all SDVOB subcontractors, brokers, joint venture partners, and suppliers engaged during the month.

Contractors must list each SDVOB participant's firm name, address, phone number, federal ID number, designation type (sub, broker, joint venture, written contract, supplier team, or other), description of work or supplies provided, and payment amounts for the month. The form explicitly states that submission constitutes the contractor's acknowledgement of accuracy and that failure to submit complete and accurate information may result in findings of noncompliance, non-responsibility, suspension, or contract termination. The Department of Labor retains internal review processes and maintains records of submission dates for compliance verification purposes.

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SDVOB 101 (01/18) Page 1 of 1

Purchase and Contracts, SDVOB Administrator Harriman State Office Campus, Building 12, Room

465 Albany, NY 12226 Phone: (518) 474-2678 | Fax: (518) 457-0620

Labor.sm.SDVOBAdmin@labor.ny.gov

SDVOB Monthly Compliance Report Contract No.

The SDVOB Monthly Compliance Report is due on the 10th day of each month for the preceding month’s activity as evidence towards achievement of the SDVOB goals on the contract. Submit the completed form to the address above.

Contractor/Vendor Name, Address and Phone No.:

Contractor/Vendor Federal ID No.: SDVOB Goals Reporting Period Description of Project:

Month Year

Firm Name, Address and Phone Number (List All Firms)

Description of Work or Supplies Provided Designation Payment This Month Contract Amount

SDVOB

Sub Broker Joint Venture Written Contract

Supplier Team Other No Written Contract

Federal ID No.: No Payment This Month

SDVOB

Sub Broker Joint Venture Written Contract

Supplier Team Other No Written Contract

Federal ID No.: No Payment This Month

SDVOB

Sub Broker Joint Venture Written Contract

Supplier Team Other No Written Contract

Federal ID No.: No Payment This Month

Signature Print Name and Title Date Submission of this form constitutes the Contractor’s acknowledgement as to the accuracy of the information contained herein. Failure to submit complete and accurate information may result in a finding of noncompliance, non-responsibility, suspension and/or termination of the Contract.

For Department of Labor Use Only Reviewed By: Date:

Appendix SDVOB-2

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