New Subcontractor Non-Capital Reporting Form.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
DKM-1251 Athletic Equipment, Apparel and Related Services
Solicitation number
RFP-124343
Issued by
Rockingham County, Virginia

About this file

This file is a New Subcontractor Non-Capital Reporting Form for James Madison University's SWaM (Small, Women-owned, and Minority-owned Business) subcontracting compliance program. The form is designed to track and report all subcontractor and supplier expenses for non-capital projects at JMU, including those from first and second-tier subcontractors. Prime contractors are required to submit the completed spreadsheet with their final payment requests, including all subcontractors regardless of current SWaM certification status, along with their Federal Tax IDs, contract dollar amounts, previous reported spend, and current project payments.

The form requires accurate reporting of subcontractor information to avoid potential payment withholding per contract terms. Key reporting requirements include identifying the JMU project name and number, original and current contract values inclusive of change orders, and the Schedule of Values numbers corresponding to payments being reported. The form captures multiple SWaM certification types including Minority-Owned Business (MB), Women-Owned Business (WB), Micro Business (O), Small Business (SB), Service Disabled Veteran (SDV), 8(a) certification, Economically Disadvantaged Woman-Owned Small Business (EDWOSB), Federal Service Disabled Veteran (FSDV), Disadvantaged Business Enterprise (DBE), and Airport Concession Disadvantaged Business Enterprise (ACDBE). Completed forms must be submitted to swamreporting@jmu.edu along with pay request documentation, with questions directed to Phillip Ewell or Caroline Dickens at the contact information provided.

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Text version

Instructions Reporting Instructions

1) Complete all information accurately
2) Contact Phillip Ewell (ewellpw@jmu.edu, swamreporting@jmu.edu or 540-568-7999) to discuss questions or concerns with reporting on this form
3) Include the Schedule of Values No.(s) that relate to the payments received and being reported on the current reporting (please note the Schedule of Values number(s) on this report may not be the same as the one you are submitting the form with)
4) ALL sub-contractors should be reported, even if they are not currently SWAM certified (our staff will attempt to contact them to see if they are capable of certifying)
5) The Schedule of Values should be completed entirely with a vendor name included regardless of whether you believe the firm is SWAM or not - this helps for matching between this report and the Schedule of Values - it also helps us to continue to follow up on certifications with vendors that may not be currently certified.
6) Suppliers should be reported as they are considered the same as sub-contractors

Reporting Form James Madison University - SWaM Subcontracting Expenses Non-Capital Projects

JMU Project Name:"project name"Certfication Types*Submit the entire spreadsheet with data filled into correct locations with the final payment request. *Subcontractor Reporting Form must be completed and submitted with pay request documentation, as well as e-mailed to swamreporting@jmu.edu *Payment may be withheld by terms of the contract if complete and accurate information is not submitted. *For questions or concerns contact Caroline Dickens (dickencm@jmu.edu or 540-568-7999)
JMU Project Number:"project number"MBMinority-Owned Business
Name of Prime Contractor:"name"WBWomen-Owned Business
Current Contract Value (original + change orders):"value"OMicro Business
Original Contract Value:"value"SDVService Disabled Veteran
SWAM Reporter Contact:"contact name"SBSmall Business
SWAM Reporter Contact E-mail:"e-mail"ESOEmployment Service Organization
SWAM Reporter Contact Phone:"phone"8(a)8(A)
Prime Contractor Fed. Tax ID:"FEIN"EDWOSBEconomically Disadvantaged Woman Owned Small Business
Prime Contractor SWAM #: (if applicable)"cert #"FSDVFederal Service Disabled Veteran
Schedule of Values #'s for current reporting period:"pay request no.(s)"DBEDisadvantaged Business Enterprise
ACDBEAirport Concession Disadvantaged Business Enterprise
Name of SubcontractorFirst / Second TierSubcontractor’s Fed. Tax ID #Certification Expiration DateCertification Type(s)Sub's Contract Total Dollar AmountPrevious Reported Spend (if applicable)Current Project PaymentsOverall Spend Per Contractor
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