Attachment M_Form A - NYS Consultant Services.pdf

PDF 135 KB Posted

Attached to
Statewide Workforce Lifecycle Tracking System for Infrastructure Projects (NY Builds)
Solicitation number
2140589
Issued by
New York

About this file

This is a New York State Consultant Services Contractor's Planned Employment form (AC 3271-S, effective 4/12) used to document employment planning for state consultant service contracts. The form serves as a template for contractors to report planned employment across the contract term and requires input from the State Agency Name, Department ID, Agency Business Unit, Contractor Name, Contract Number, Contract Start Date, and Contract End Date. The document is designed to capture employment data organized by employment category, with columns for number of employees, number of hours to be worked, and amount payable under the contract for each category, with a total line at the bottom of each page and a grand total calculation.

The form itself contains no completed data; all fields are blank with zero values displayed throughout. The document includes signature and date fields for the person who prepared the report, along with their title and phone number, and indicates that additional pages may be used if necessary. This form is part of Attachment M and is a standard NYS consulting contract employment reporting document with no pricing terms, set-asides, incumbent information, or funding sources specified within the template itself.

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Text version

AC 3271-S (Effective 4/12)

FORM A

New York State Consultant Services Contractor’s Planned Employment

From Contract Start Date Through the End of the Contract Term

State Agency Name:

State Agency Department ID: Agency Business Unit:

Contractor Name: Contract Number:

Contract Start Date: / / Contract End Date: / /

Employment Category Number of Employees

Number of Hours to be Worked

Amount Payable Under the Contract

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

0.00 0.00 $0.00

Total this Page 0.00 0.00 $ 0.00

Grand Total

Name of person who prepared this report:

Title: Phone #:

Preparer’s Signature: ________________________________

Date Prepared: / /

(Use additional pages, if necessary) Page of

Attachment M

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