consultant’s MWBE utilization plan Procurement No.: Term Contract REMINDER: Utilize the New York State Contract System located at to report MWBE payments on a monthly basis. Making false representations or including Contract No.: (FOR OGS USE ONLY) information evidencing a lack of good faith as part of, or in conjunction with, the submission of a Utilization Plan is prohibited by law and may result in penalties including, but not limited to, termination of a contract for cause, loss of eligibility to submit future bids, and/or withholding of payments. Firms that do not perform commercially useful functions may not be counted toward MWBE utilization. MWBE GOALS Consultant’s Name, Address and Federal ID No.: Contract Description/Location: MBE% WBE% Federal ID No.: Subcontract/Supplier SEE BDC Certified MBE/WBE Name, Address and Phone No. Federal ID No. MBE WBE Description of Sub-consulting Services Dollar Value** 327.1 Not Required for Term Contracts ONLY USE OGS FOR **Not Required for Term Contracts. Participation will be monitored based on work order assignments. Pursuant to Executive Law Article 15-A, my firm will engage in a good Consultant’s Comments: faith effort to achieve the MWBE goals on this contract. Consultant’s Signature: Enter Name: FOR OGS USE ONLY Title: Accepted Accepted as Noted Notice of Deficiency Issued MBE % MBE $** WBE % WBE $** E-Mail Address: Date: OGS Authorized Signature: Enter Name: Date:
consultant’s MWBE utilization plan Term Contract Procurement No.: REMINDER: Utilize the New York State Contract System located at to report MWBE payments on a monthly basis. Making false representations or including information evidencing a lack of good faith as part of, or in conjunction with, the submission of a Utilization Plan is prohibited by law and may result in penalties including, but not limited to, termination of a contract for cause, loss of eligibility to submit future bids, and/or withholding of payments. Firms that do not perform commercially useful functions may not be counted toward MWBE utilization. (FOR OGS USE ONLY) Contract No.: Consultant’s Name, Address and Federal ID No.: Contract Description/Location: MWBE GOALS MBE% WBE% Federal ID No.: Certified MBE/WBE Name, Address and Phone No. Federal ID No. MBE WBE Description of Sub-consulting Services Subcontract/Supplier Dollar Value** Not Required for Term Contracts FOR OGS USE ONLY SEE BDC 327.1 **Not Required for Term Contracts. Participation will be monitored based on work order assignments. Pursuant to Executive Law Article 15-A, my firm will engage in a good faith effort to achieve the MWBE goals on this contract. Consultant’s Comments: Consultant’s Signature: Enter Name: FOR OGS USE ONLY Title: Accepted Accepted as Noted Notice of Deficiency Issued MBE % MBE $** WBE % WBE $** E-Mail Address: Date: OGS Authorized Signature: Enter Name: Date:
bdc327.docx