MWBE Questionnaire Form19.xls
XLS spreadsheet 46 KB Posted
- Attached to
- Lawncare CNY DDSOO State and local contract opportunity
- Solicitation number
- 2038976
- Issued by
- Delaware County, Cheektowaga CDP, New York
About this file
This document is a MWBE Questionnaire Form for a state and local contract opportunity. It is requesting bidders to provide information about their business, such as whether they are a New York State resident business, the total number of employees, whether the firm is at least 51% owned and controlled by women or minority group members, and the location of their product manufacturing. The form also asks for information about the bidder's "Principal Place of Business." This questionnaire appears to be part of the requirements for this contract opportunity.
The document does not provide additional details about the specific products or services being procured, the project overview, response dates, award dates, or contract term. It is focused solely on gathering information about the bidder's business status and qualifications as it relates to MWBE certification and preferences.
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| Vendor Survey Disclosure Statement - CNY Version7.doc | DOC document | |
| 2016-21 Psychiatric Services Final Bid Tab Awards.pdf | ||
| 2018 Lawn Care Services Bid Tab.xlsx | XLSX spreadsheet | |
| 2016-21 Psychiatric Services Otsego, Delaware, HRB, Tompkins & VRCIT Bid Package.pdf | ||
| 2018 CNYDDSOO Lawncare Services IFB.pdf | ||
| Substitute W9 Form Updated 4-154.pdf | ||
| Vendor Reference Form - Central NY DDSOO7.docx | DOCX document | |
| Vendor Responsibility Questionnaire For Profit 17.pdf |
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Text version
Sheet1
| MINORITY AND/OR WOMEN-OWNED BUSINESS | ||
| ENTERPRISE QUESTIONNAIRE | ||
| Company/Bidder Name | ||
| Address | ||
| City, State, Zip Code | ||
| BIDDERS PLEASE ANSWER THE FOLLOWING QUESTIONS: | ||
| 1. | Are you a New York State resident business: | ______Yes ______No |
| 2. | Total number of people employed by your business: | ______ |
| 3. | Total number of people employed by your business in | |
| New York State: | ______ | |
| 4. | Is your company independently owned and operated: | ______Yes ______No |
| 5. | Is your firm at least 51% owned and controlled by women, | ______Yes ______No |
| or 51% owned and controlled by minority group members | ______Women-Owned Firm | |
| (i.e., Black, Hispanic, Asian, Pacific Islander, American | ______Minority-Owned Firm | |
| Indian, Alaskan Native)? | ||
| If yes, have you been certified or registered? | ______Yes ______No | |
| List certification or registration authority: | _________________________ | |
| 6. | Place of Manufacture of Product(s) Bid: | |
| (Please indicate Yes or No for either A, B or C) | ||
| A. All NYS Manufacture | ______Yes ______No | |
| B. All Manufactured outside NYS | ______Yes ______No | |
| C. Manufactured In NYS and Outside NYS | ______Yes ______No | |
| If yes to C above, Location (State) where more than | ||
| half the value is added to the product(s) bid: | State of __________________ | |
| 7. | Bidder's "Principal Place of Business" | State of __________________ |
| "Principal Place of Business" is the location of the primary control, direction and management of the enterprise. |
Sheet2
Sheet3
File details come from the government source that posted it. Updated .