Attachment-4.2-Workforce-Utilization-Plan.pdf
PDF 54 KB Posted
- Attached to
- RFP C000606 - Audio & Visual Equipment
- Solicitation number
- 2139402
- Issued by
- New York County, New York
About this file
This is a Minority and Women-Owned Business Enterprise (MWBE) Utilization Plan instruction document for New York State Department of Financial Services (DFS) RFP C000606 for Audio and Visual Equipment procurement. Contractors submitting proposals must complete and submit this form detailing their planned use of certified MBE and WBE subcontractors and suppliers. The procurement has established a total MWBE goal of 30 percent, broken down into 15 percent for Minority Business Enterprises (MBE) and 15 percent for Women Business Enterprises (WBE). Key dates include questions due by October 5, 2026, mandatory intent to bid submission by October 16, 2026, mandatory site visit by October 20, 2026, additional questions due by October 27, 2026, and final proposals due by November 24, 2026. Inquiries regarding the procurement must be directed to RFP@dfs.ny.gov and are restricted under NYS Finance Law, Section 139-j.
The MWBE Utilization Plan requires contractors to provide detailed information for each identified MWBE subcontractor and supplier, including business name, address, contact information, federal identification number, classification, and dollar value of work to be performed. Contractors must certify their compliance with NYS Executive Law, Article 15-A, and may request waivers for MBE or WBE goals if submission of the form indicates inability to meet stated percentages. Failure to submit complete and accurate information may result in proposal noncompliance or disqualification. The form includes space for Department of Budget review and approval notation, including whether certifications are verified, waivers are granted, and whether notices of deficiency have been issued.
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Text version
ATTACHMENT 4.2: MWBE UTILIZATION PLAN
INSTRUCTIONS: All Contractors submitting responses to this procurement must complete this MWBE Utilization Plan and submit it as part of their proposal. The Plan must contain a detailed description of the services to be provided by each Minority and/or Woman-Owned Business Enterprise (MWBE) identified by the Contractor.
Contractor Name:
Federal Identification No.:
Address:
Procurement No.:
City, State, Zip Code:
MWBE Goals: MBE: 15% WBE: 15%
1. MWBE Subcontractors/Suppliers Name, Address, Email Address, Telephone No.
2. Classification
3. Federal ID No.
4. Detailed Description of Work (Attach additional sheets, if necessary.)
5. Dollar Value of Subcontracts/Supplies
A.
NYS ESD
Certified
MBE
WBE
B. NYS ESD
Certified
MBE
WBE
6. WAIVER REQUESTED: MBE: YES NO If YES, submit Attachment A-5.5. WBE: YES NO If YES, submit Attachment A-5.5.
PREPARED BY (Signature):
NAME AND TITLE OF PREPARER (Print or Type):_________________________________
DATE: Contractor’s Certification Status: MBE WBE
TELEPHONE NO.:
EMAIL ADDRESS:
SUBMISSION OF THIS FORM CONSTITUTES THE CONTRACTOR’S
ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH THE MWBE
REQUIREMENTS SET FORTH UNDER NYS EXECUTIVE LAW, ARTICLE 15-A. FAILURE
TO SUBMIT COMPLETE AND ACCURATE INFORMATION MAY RESULT IN
NONCOMPLIANCE AND/OR PROPOSAL DISQUALIFICATION.
********************FOR DOB USE ONLY********************
REVIEWED BY:
DATE:
UTILIZATION PLAN APPROVED: YES NO Date:____
MBE CERTIFIED: YES NO WBE CERTIFIED:
YES NO
WAIVER GRANTED: YES NO
Total Waiver Partial Waiver
NOTICE OF DEFICIENCY ISSUED: YES NO
Date: _____
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