Subconsultant Staffing List.docx
DOCX document 84 KB Posted
- Solicitation number
- 2140165
- Issued by
- Tioga County, New York
About this file
This is a Subconsultant Staffing List form (Form 7555-15) used by SUNY for architecture and engineering consultant projects, specifically applicable to Cornell University's cooling tower replacement project at Kenneth Post Laboratory. The form requires consultants to identify all proposed subconsultants, including prime consultant firms, and designate their respective work scope percentages and discipline areas. Consultants must list partner in charge and key staff members with relevant professional license numbers for disciplines such as civil engineering, structural, mechanical, electrical, and cost estimating. The form requires consultants to certify that all information provided is accurate and complete for compliance with reporting requirements under New York State Executive Law Article 15-A.
The form mandates identification and documentation of Minority and Women-Owned Business Enterprise (MWBE) subconsultants and Service-Disabled Veteran-Owned Business Enterprise (SDVOB) participants in accordance with goals specified in the project advertisement. For each MBE, WBE, or SDVOB subconsultant, consultants must provide a brief summary of services and justification for their estimated participation percentage. The instructions specify that percentages should total 100 percent and that dollar values should not be entered when submitting qualifications; however, an updated Subconsultant Staffing List with dollar values is required at the time of cost proposal submission if the firm is selected. Any proposed changes to an approved staffing list must be reviewed and approved by SUNY's Project Coordinator.
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Text version
Form 7555-15
Subconsultant Staffing List – Architecture and Engineering Consultant Name: Campus:
List your firm’s name for self-performed work. List all Subconsultants. Complete page two for MBE or WBE Subconsultants.
SUNY Project No.: Project Title: Date:
GOALS: % MBE % WBE (As specified in the Project Advertisement)
Consultant / Subconsultant / Design Area Name and Address
| Federal ID No. |
| MBE or WBE |
| SDVOB |
Y or N NYS Business Y or N Contract Value Percentage % Contract Dollar Value $ Include ONLY IF this form is being submitted as part of a COST PROPOSAL
| Partner in Charge and/or Key Staff |
| Phase or date service begins |
Architecture
License #
Civil Engineering
License #
Landscape Architecture
License #
Structural
License #
Plumbing / Fire Protection
License #
HVAC
License #
Electrical
License #
Cost Estimating
License #
Asbestos / Hazmat
License #
Other (Please Specify)
License #
Will New York State Businesses be used in the performance of this contract? ______ ______ Yes No
Minority and Women Owned Business Enterprises
Firm Name
MBE or WBE Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
MBE or WBE Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
MBE or WBE Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
MBE or WBE Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
MBE or WBE Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Certification: I hereby certify that the information provided on this form is true, accurate and complete. I understand that the information provided is to be used to comply with the reporting requirements of Article 15-A of the Executive Law.
Signature (Officer of the Company): __________________________________________________ Date:_____________________ Name: ________________________________________________________________________ Title:_________________________________________________________________________
For internal use only.
MWBE Program Coordinator Approval: ________________________________________________ Date:_____________________
Service Disabled Veteran Owned Business Enterprises
Firm Name
Type
SDVOB
Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
Type
SDVOB
Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
Type
SDVOB
Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
Type
SDVOB
Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Firm Name
Type
SDVOB
Discipline Has your firm held contracts with this firm in the past? Y or N
Brief summary of services to be provided with justification of estimated participation:
Certification: I hereby certify that the information provided on this form is true, accurate and complete. I understand that the information provided is to be used to comply with the reporting requirements of Article 17-B of the Executive Law.
Signature (Officer of the Company): __________________________________________________ Date:_____________________ Name: ________________________________________________________________________ Title:_________________________________________________________________________
For internal use only.
Program Coordinator Approval: ________________________________________________ Date:_____________________
Instructions for completing form 7555-15:
1. Fill in all requested information including your firm name, SUNY Project No., Project Title, Campus, date, the Minority and Women Owned Business Enterprise goals, and the Service-Disabled Veteran-Owned Business goals as specified in the Project Advertisement.
2. In the Consultant/Subconsultant fields, enter both your firm as prime and any proposed subconsultant firms. Firms located out of New York State should have the appropriate approvals in place to practice in NYS. If a firm, including your firm provides service in multiple disciplines, list them for each area of expertise. Discipline areas may be modified as appropriate. Add additional pages if necessary.
3. Enter the Federal ID number for your firm and any subconsultant firms.
4. Enter “M” or “W” if your firm or any proposed subconsultant firms are certified by NY State as a Minority or Woman-Owned Business Enterprise. Identify if a firm is a Service Disabled Veteran Owned Business Enterprise.
5. With the submittal of qualifications: Enter the estimated percentage of the work scope for your firm and any identified subconsultants. Do not enter dollar values. Do not enter “TBD”. The sum of the individual percentages should add up to 100%.
6. Enter the name of the Partner in Charge and/or Key Staff member from your firm and subconsultants firms. Also include the individual’s license number if providing professional services.
7. Complete page 2 with the name of each certified MBE or WBE subconsultant identified on page 1 of the Subconsultant staffing list, note whether the firm is an MBE or WBE and their discipline. Provide a brief summary of the services to be provided by the certified MBE or WBE with justification to support the estimated participation.
8. Complete page 3 with the name of each certified Service Disabled Veteran Owned Business Enterprise subconsultant identified on page 1 of the Subconsultant staffing list. Provide a brief summary of the services to be provided by the certified MBE or WBE with justification to support the estimated participation.
9. The certification must be signed and dated by an individual from your firm who is authorized to sign on behalf of your company.
10. Retain a copy for your files and as a reference for proposing any future changes. Any proposed changes to an approved Subconsultant Staffing list must be reviewed with the Project Coordinator and approved by SUNY.
11. If your firm is selected, at the time the cost proposal is submitted an updated Subconsultant Staffing List with Dollar Values is required.
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