Attachment 9 State of Delaware Subcontracting (2nd tier) Quarterly Report Prime Name: Report Start Date: Contract Name/Number Report End Date: Contact Name: Today's Date: Requested detail Contact Phone: *Minimum Required Veteran/Service Work 2nd tier Contract Vendor Vendor Report Report Amount Paid M/WBE Disabled 2nd tier 2nd tier 2nd tier Description 2nd tier Vendor Vendor Performed by Supplier Date Name/ Contact Contact Start End to Certifying Veteran Supplier Supplier Supplier of Work Supplier Name* TaxID* Subcontractor Phone Paid Number* Name* Phone* Date* Date* Subcontractor* Agency Certifying Name Address email Performed Tax Id UNSPSC Number Agency A copy of the Usage Report will be sent by electronic mail to the Awarded Vendor Note: Completed reports be saved in an Excel format, and submitted to the following email address: Bobbi.DiVirgilio@state.de.us
Attachment 9 State of Delaware Subcontracting (2nd tier) Quarterly Report Prime Name: Report Start Date: Contract Name/Number Report End Date: Contact Name: Today's Date: Contact Phone: *Minimum Required Requested detail Vendor Name* Vendor TaxID* Contract Name/ Number* Vendor Contact Name* Vendor Contact Phone* Report Start Date* Report End Date* Amount Paid to Subcontractor* Work Performed by Subcontractor UNSPSC M/WBE Certifying Agency Veteran/Service Disabled Veteran Certifying Agency 2nd tier Supplier Name 2nd tier Supplier Address 2nd tier Supplier Phone Number 2nd tier Supplier email Description of Work Performed 2nd tier Supplier Tax Id Date Paid Note: A copy of the Usage Report will be sent by electronic mail to the Awarded Vendor Completed reports be saved in an Excel format, and submitted to the following email address: Bobbi.DiVirgilio@state.de.us
DOL_15061VoiceResponse_RFP(2).docx