Summary of Attachment 7 MWBE Forms

This document consists of Minority and Women-Owned Business Enterprise (MWBE) certification and participation forms required by the New York State Department of Health for the Migrant and Seasonal Worker Program (RFA #20770). The forms are designed to ensure compliance with New York State's MWBE participation requirements and to document the involvement of certified minority and women-owned businesses in the proposed service delivery. The attachment includes standard MWBE forms that applicants must complete to demonstrate their organization's status as a certified MWBE or to document their commitment to subcontracting with certified MWBEs as part of their response to the Request for Applications.

The forms establish requirements for MWBE participation in the four-year contract period valued at $1,405,724 ($351,431 annually). Applicants must either certify their own MWBE status or commit to utilizing certified MWBEs for a specified percentage of contract work. These forms are mandatory documentation for all bidders responding to the RFA and serve as a compliance mechanism to advance health equity goals and support minority and women-owned business participation in New York State health and human service contracting. The specific MWBE participation targets and requirements are outlined within the forms provided in this attachment.