Subconsultant Staffing List27.docx

DOCX document 84 KB Posted

Attached to
SUCF# 161070 Upgrade Mechanical Systems - Mann Library
Solicitation number
2109513
Issued by
Sullivan County, New York

About this file

This document is a Subconsultant Staffing List related to a state and local contract opportunity for SUCF# 161070 Upgrade Mechanical Systems - Mann Library, which is being issued by Cornell University. The project involves replacing obsolete HVAC controllers in the Mann Library building to keep the building's heating and air conditioning system functional. The scope of services includes design development, construction documents, bidding, and construction administration. Cornell University is committed to promoting participation from certified Minority- and Women-Owned Business Enterprises (MWBE) and Service-Disabled Veteran-Owned Businesses (SDVOB), with specific participation goals listed in the opportunity. Prospective consultants are required to submit qualifications, experience, approach, subconsultant team, and MWBE/SDVOB utilization details. Proposals are due by May 21, 2024, and the contract term is expected to be 1-2 years. No fee information is to be submitted with the proposal, and a fee proposal will be requested only after a consultant selection is made.

The MWBE participation goals for this project are 2.9% for minority-owned businesses and 4.6% for women-owned businesses. The SDVOB participation goal is 6%. There are no service-disabled veteran-owned set-asides for this contract, and no identical or substantially similar procurements have been awarded within the past five years.

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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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