APPENDIX 0 FORMB. State Consultant Services Contractor's Annual Employment Report ReDort Period: April 1, 15 to March 31, 16

Transcription

1 State Insurance Fund

2 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Category Code: ReDort Period: April 1, 15 to March 31, 16 Contracting State Agency Name: NYSIF Contract Number: C Contract Term: 10/1/13 / to 9riO!1fi Contractor Name: EisnerAmper LLP Contractor Address:750 Third Avenue, New York, New York Description of Services Being Provided: Independent Audit and Accounting Services Agency Code: Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing III Paralegal 0 Legal 0 Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Auditor Actuary (subcontractor) 1 20 Consultant (subcontractor) Amount Payable Under the Contract 478, Total this page , $478, Grand Total Name of person who prep Preparer's Signature: - ~~~~~== : ::: ).. =- Title: Partner Phone #: Date Pre ared: 5/9/161 _ Use additional pages if necessary) Page of

3 Consultant Disclosure Form B FORMS OSC Use Only: Reporting Code: Category Code: Contractor's Annual Employment Report Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYSIF Agency Business Unit: MSC01 Contract Number: COO0467 Agency Code: Contract Term: 7/23/2015 to 7/22/2016 Contractor Name: Tech Valley Talent Contractor Address: 1360 Kania Rd., Amsterdam, NY Description of Services Being Provided: Website Redesign Analysis0 Evaluation0 Research0 Training0 Data Processing0 Computer Programming ~ Other IT consulting ~ Engineering D Architect Services D Surveying D EnvironmentalServices D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other Consulting D 'Employment Category Number of Emolovees Number of Hours Worked Amount Payable Under the Contract Web Developers IT Project Mgr Total this page $ Grand Total Name of person who p~red 7J~rt: Rene Guzek Preparer's Signature: j p) f j~_.j Title: Operations Manag'ir " U Phone #: Date Preoared: 5/5/2016 (Use additional pages if necessary) Page of.. ". (Note: Access the O"NET database, which IS available through the US Department of Labor's EmploYlT!ent and Training Administration, on-line at online.onetcenter.org to find a list of occupations.)

4 Consultant Disclosure Form B FORMB OSC Use Only: Reporting Code: CateQorv Code: State Consultant Services Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYSIF Agency Business Unit: MSC01 Contract Number: C Agency Code: Contract Term: 2/10/2015 to 2/10/2016 Contractor Name: Tech Valley Talent Contractor Address: 1360 Kania Rd., Amsterdam, NY Description of Services Being Provided: Content EditorlWebsite Redesign Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming ~ Other IT consulting ~ Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0 Number of 'Employment Category Amount Payable Number of Hours Worked Emplovees Under the Contract Web Develooers Total this page Grand Total $ Name of person who p~. red t~ refljort:rele ~uzek Preparer's Signature: kv AtU-~ Title: Operations Manag > hone #: Date Prepared: 5/5/2016 (Use additional pages if necessary) Page of *. (Note: Access the O*NET database, which IS available through the US Department of Labor's Employment and Training Administration, on-line at online.onetcenter.org to find a list of occupations.)

5 APPENDIX 0 FORMB OSC Use Only: RepOlting Code: Cate~orv Code: Report Period: April 1,2<.'/)-to March 31, 2-,:), (., Contracting State Agency Name: NYSIF Agency Code: Contract Number: C L 00 (.').1- - D l' Contract Term: 3/1 / /) to 2 /211 ZO.. Contractor Name: D ill()~ ftonw;h. -r 60 (d {-lei';'" L- Lf Contractor Address: II 1-/ a llol/<, S fr I.(<-t..(. 2 ()1L. f ((1,!Ve...wtr'if;{, AJY 1000;- Description of Services Being Provided: U /.. J L J~j ~lt/ict'..j Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal)3C Other Consulting 0 Employment Category Amount Payable Under the Nwnber of Employees.. Number of Hours Worked Contract Vc,h f' 'D (A...I..J I.._- 2 2-'~ 0 PI1.r.{.-...: J I -? t{'i{ lorn l.c~l J ~ d)-' '< ;;...(..,\"-<j) IA-t'IJ' A.-i..,:r.-. I + (") ') Total this page ~ ~-~3 '3 g~)n Grand Total I Name of person who prep~ r~port: Preparer's Signature: ~ 2 Title: lj tjil Id<.ll).pe r Date Prepared: //3/ IL Phone #: 2-t V,f-- 'I tj /l) Use additional pages if necessary) Page / of /

6 APPENDIX 0 FORMB lose Use Only: I Reponing Code: Category Code: Report Period: April 1, 15 to March 31, 16 Contracting State Agency Name: l'l'l'sif Agency Code: Contract Number: CL Contract Term: 3/35/ / I ~ to ~i#j 2-CJ Contractor Name: Hurwitz & Fine, P.C. Contractor Address: 424 Main Street Suite 1300 Buffalo New York Description of Services Being Provided: ' Legal Services Analysis D Evaluation D Research 0 TrainingD Data Processing D Computer Programming D Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal [j] Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Legal Services Total this page $51, Grand Total 7: / J Name of person who prepared this epy~/ Preparer's Signature: /~_A - Title: Secretary Phone #: Date Prepared: 51i7l15 Use additional pages if necessary) Page $1 of $1

7 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Category Code: Report Period: April I, 20& to March 31, 2016 Contracting State Agency Name: NYSIF Contract Number: CL Contract Term: 3/1rYS / to 2d9/2fJ Contractor Name: Herzfeld & Rubin, P.C. Contractor Address:125 Broad Street New York NY Description of Services Being Prov'ided: ' Legal services Agency Code: Scope of Contract (Choose one that best fits): Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal [j] Other ConSUlting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Lawyers Paralegals Total this page $43, Grand Total $43, Title: Controller Date Pre ared: 5/'14/113 Use additional pages if necessary) Page $1 of $1

8 APPENDIX 0 FORMB OSC Use Only: Reporting Code: CateJ!:OryCode: Report Period: Aprill. O!O15to March 3l.~OI (p Contracting State Agency Name: N'i $lr\s UrlH\u? fu ndagency Code: 70 i 0 Q a 4 Contract Number: C L 00 1a 7 -f) ';;;) Contract Term: 31 I 1 IS to:j. 1:J.Cf/~ D Contractor Name: S'!y\I~) N\.1r.ph~ <lschoef~,le i LLP Contractor Address: ;) q 5 t--.icl\ (\ S-tf'u+ 1 Sui -\e 7 t!j(p I 8utkA.lO / "-J. 'I, l4 J03 Description of Services Being Provided: Le 8Q \ 0.. \{\ d. parla.. \...(?SCl I Scope of Contract (Choose one that best fits): Analysis D Evaluation D Research D Training D Data Processing D Computer Programming D Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal ~ Legal~ Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract :1 ~ - /0 } I I d. /0 "'$ 31 S,()O Total this page (l 1/ <; - () 0 Grand Total /: </~t tj () Name of person who pi' Preparer's Signature:_==H'---t=---f---j'h''--'-h''l-7~ _ Title: fh rl-h-e..1'"" Phone #: 71tr 05 a-i S If.'-i- Date Pre ared: 5" ho / I (_p Use additional pages if necessary) Page I of I -0.4-

9 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Category Code: Reoort Period: Aorill, 200 to March 31, 2010 Contracting State Agency Name: NYSIF Contract Number: CL Contract Term: g/ I / 15 to ~ /3 /;;1.0 Contractor Name: Gitto & Niefer, LLP Contractor Address: 2 Court Street, Binghamton, NY Description of Services Being Provided: Legal services Agency Code: Analysis 0 Evaluation 0 Research 0 Training D Data Processing D Computer Programming 0 Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal [j] Legal [j] Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Attomeys Paralegals Total this page $19, Grand Total Name of person who prepared this report: P~eparer's Signature: ~ a~ Title: Dir Finance/HR Date Pre ared: :Le1 Phone #: Use additional pages if necessary) Page $1 of $1

10 APPENDIX 0 FORM B OSC Usc Ollly: Reporting Code: Category' Code: Report Period: April 1, 15 to March 31, 16 Contracting State Agency Name: NYS I F Agency Code: -=10\ 0(;)0\...\ Contract N urnber: CL Contract Term: Bl1Ifis / to 71i1l2ri Contractor Name: The Law Of fices of Mel issa A. Day, PLLC Contractor Address: 2390 North Forest Rd, Ste 10, Amherst, NY Description of Services Being Provided: Legal counsel - workers' compensation defense Scope of Contract (Choose one that best fits): Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting 0 Engineering 0 Architect Services 0 Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal [j] Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract ,00 Lawyers ,057..._ Total this page Grand Total $44, ~,' -- Name ofpe~son who prepared thi~t\t"io,',rt} t/},. t,; t' J Ml~hael Ryan Preparer's SIgnature: ~~l{j!-."'i)...' (1_>('_"'-_"_- _ Title: Office Manager V \.,,' Phone #: Ext 2 Date Pre ared: 5/13/1 f( Use additional pages if necessary) Page $1 of $1-0.4-

11 APPENDIX 0 FORM B OSC Use Only: Reporting Code Category Code: Report Period: April 1, 15 to March 31, 16 Contracting State Agency Name: NYSIF Contract Number: CL Contract Term:sl1Ir5 / to 7ri1l2d Contractor Name: Stockton, Barker & Mead, LLP Contractor Address:433 River Street, Suite 6002, Troy, NY Description of Services Being Provided: Legal Services Agency Code: 70 I 0204 Analysis D Evaluation D Research D Training D Data Processing D Computer Programming D Other IT consulting D Engineering 0 Architect Services 0 Surveying 0 Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal!j] Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Lawyers Legal Support Workers, AllOther 9 No Data Paralegals and Legal Assistants Total this page 20, $91,38747 Grand Total Name of person who prepared this report: Preparer's Signature:_M_at_t_he_w_R_,M_ea_d ~_,;..,_"".:::_::_:;~_.7._2~_ 1:_-:'~_ _ "_' "_ _-'"_-_.-_'.~ ~_""_<.-_<.'_< _ Title: Partner Date Prepared: 6/14/1, Phone #: Use additional pages if necessary) Page $1 of $1

12 FORM B OSC Use Only:. Reporting Code: Cateqorv Code: State Consultant Services Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name:NYSIF Agency Code: "1-0 \ oaol1 Contract Number: Contract Term: lito 1 1 Contractor Name: Gifford Fang Associates Contractor Address: 3658 Mt. Diablo Blvd., Suite 200, Lafayette, CA Description of Services Being Provided: Investment Management Services Scope of Contract (Choose one that best fits): Analysis D Evaluation D Research D Training D Data Processing D Computer Programming D Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other Consulting D Employment Category Number of Employees Amount Payable Under Number of Hours Worked the Contract Investment Money Manaqer 3 1, $980, Total this paqe Grand Total $980, $980, Name of person who prep Tina Diaz Preparer's Signature:_--it-booW-f-L-If- _ Title: Accountant Phone #: x 1012 Date Pre ared: 04/26/2016 Use additional pages if necessary) Page of

13 FORM B OSC Use Only: Reporting Code: Cateqorv Code: Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYSIF Agency Code: Contract Number: i-olo~oli Contract Term: lito 1 1 Contractor Name: Gifford Fong Associates Contractor Address: 3658 Mt. Diablo Blvd., Suite 200, Lafayette, CA Description of Services Being Provided: Fixed Income Analytic Services Scope of Contract (Choose one that best fits): Analysis D Evaluation 0 Research 0 Training 0 Data Processing0 Computer Programming0 Other IT consulting 0 Engineering0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Investment Money Manaqer $602, Total this paqe Grand Total Name of person who prepa Preparer's Signature:---Jure:r::1!..,(_ Title: Accountant Date Pre ared: 04/26/2016 Use additional pages if necessary) Tina Diaz _ Phone #: x 1012 Page $602, $602, of

14 FORM B OSC Use Only: Reporting Code: CateQory Code: Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYS OGS HBITS/NYSIF Agency Code: Contract Number: PH65772 Contract Term: 11/01/2012 to 10/31/2017 Contractor Name: GENESYS Consulting Services, Inc. Contractor Address: 1 Marcus Blvd, Suite 102, Albany, NY Description of Services Being Provided: Hourly Based IT Services Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing D Computer Programming [gj Other IT consulting D Engineering 0 Architect Services D Surveying 0 Environmental Services D Health Services D Mental Health Services 0 Accounting 0 Auditing D Paralegal 0 Legal 0 Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Information Technolooy Project Manaoers 2 1, $156, Total this paqe 2 1, $156, Grand Total 9~~: 2 1, $156, Name of person who preparxd,this_ report: Maiello Preparer's Signature: emdl<milutlp Title: Business Office Manager Phone #: Date Pre ared: 5/11/16 Use additional pages if necessary) Page 1 of 1

15 FORMB OSC Use Only: Reporting Code: Category Code: Report Period: April 1, 2015 to March 31,2016 Contracting State Agency Name: NYS IF Contract Number: PH65773 Contract Term: 10101/2012 to 09/30/2017 Contractor Name: lit Inc Agency Code: =+Ol\)d.OL\ Contractor Address: 6 CORNISH COURT, SUITE 101, HUNTINGTON STATION, NY Description of Services Being Provided: IT Services Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming [gj Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Computer Proqrammers $ Total this paqe $ Grand Total $ Name of person who prepared this report: Dinesh Gulati Preparer's Signature: --' ,f--- Title: Managing Director Date Prepared: 5/5/2016 Use additional pages if necessary) Page 1 of 1

16 FORMB New York Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYS Office of General Servicesl NYS Insurance Fund Contract Number: PH65775 Agency Business Unit:. Contract Term: 11/1/2012 to 10/31/2017 Agency Department ID: :c'lotorotf Contractor Name: NTT DATA, Inc. Contractor Address: 18 Corporate Woods Blvd., Albany, NY Description of Services Being Provided: Consulting Services o Analysis DEvaluation o Research o Training o Data Processing o Computer Programming ~Other IT consulting o Engineering o Architect Services o Surveying o Environmental Services o Health Services o Mental Health Services o Accounting o Auditing o Paralegal o Legal o Other Consulting Employment Category Computer Systems Engineers/ Architects Number of Number of Amount Payable Employees Hours Worked Under the Contract $173, Total this page $173, Grand Total $173, Name of person who prepared this report: Carol Fitzgerald Title: Delivery Director.-A _ () ~ Preparer's Signature:~~ Date Prepared: 5/9/2016 (Use additional pages, if necessary) Phone #: Page 1 of 1

17 AC 3272-S (Effective 4/12) FORM B New York Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: New York State Insurance Fund (NYSIF) Contract Number: PH65776 Agency Business Unit: Contract Term: 11/01/2012 to 10/31/2017 Agency Department 10:'101()d..._OL\ Contractor Name: Knowledge Builders Inc. Contractor Address: 1977 Western Avenue; Ste #1; Albany, NY Description of Services Being Provided: Technical Architect [gj Analysis DEvaluation D Research D Training D Data Processing [gj Computer Programming [gj Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other Consulting Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract , $597, Total this Page 9 7, $597, Grand Total 9 7, $597, Name of person who prepared this report: Sanjay Kapalli Title: Executive Vice President Phone #: Preparer's Signature: Date Prepared: 05/05/2016 _ (Use additional pages, if necessary) Page 1 of 1

18 FORM B OSC Use Only: Reporting Cateqorv Code: Code: Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYS Insurance Fund Contract Number: PH65780 Contract Term: 11/1/12 to 10/31/17 Contractor Name: MVP Consulting Plus, Inc. Contractor Address: 435 New Karner Road Albany, NY Description of Services Being Provided: Computer Consulting (Various) Analysis Evaluation Research Training Data Processing Computer Programming (X) Other IT consulting Engineering Architect Services Surveying Environmental Services Health Services Mental Health Services Accounting Auditing Paralegal Legal Other Consulting Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract $101, $22, $24, $39, $170, $152, Total this paqe $512, Grand Total $512, Name of person who prep~ectjhis Preparer's Signature:_---o:::J.-_ ;..._o.o..tl1 ;;;;;;,._,,; Use additional pages if necessary) report: Ilakumari N. Patel Title: CEO/CFO Phone #: Date Pre ared: 4/20/16 _ Page 1 of 1

19 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Categorv Code: Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: NYSIF Agency Code: Contract Number: PH Contract Term: 11/1/12 to 10/30/17 Contractor Name: PSI INTERNATIONALInc. Contractor Address: 4000 LegatoRoad, Suite850 FairfaxVA Description of Services Being Provided: ITServices Scope of Contract (Choose one that best fits): Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting!j] Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract Specialist - Senior Technical Architect - Senior Programmer-Mid Level Project Manager-Expert Total this page , $241, Grand Total Name of person who prepa~is ~ort: Preparer's Signature: ~ }va:; A-sA Title: Controller Date Pre ared: 6/15/16 ;4ne #: Use additional pages if necessary) Page 1 of 1

20 APPENDIX 0 FORMB OSC UseOoly: Reponing Code: Category Code: Report Period: ADrill, ~O/~arcb 31,'1j, Contracting State Agency Name: NYSIF Contract Number: PR65787 Contract Term: 11/1/12 / to 1oi31 1i7 Contractor Name: TemPositions (DBA CompuForce) Contractor AddresS:420 Lexington Ave Suite 2100 NY, NY Description of Services Being Provided: IT Staffing Agency Code: Scope of Contract (Choose one that best fits): Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming III Other IT consulting III Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0 Employment Category Nwnber of Employees Number of Hours Worked Amount Payable Under the Contract Technical Architect Total this page , $2,063, Grand Total 11 21, $2.063;65.84 Name of person who prepared this report: Preparer's Signature:. -I-~..o<~c.---:- ==:: Title: Managing Director Date Pre ared: 5/14/115 Use additional pages if necessary) Page of

21 AC 3272-S (Effective 4/12) FORM B New York Report Period: April 1,2015 to March 31,2016 Contracting State Agency Name:NYSIF Contract Number: Agency Business Unit: fy\._sc-o\_ Contract Term: 1/12/2015 to 7/11/2015 Agency Department 10: Contractor Name: GCOM Software Inc_ Contractor Address: 24 Madison Avenue Ext., Albany NY Description of Services Being Provided: Consulting Services D Analysis DEvaluation D Research D Training D Data Processing r8j Computer Programming D Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other Consulting Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract Total this Page Grand Total Name of person who prepared this report: Holly Savarese Title: VP of Finance & A~i~ Preparer's Signature: l...11ij;(la Phone #: Date Prepared: 5/4/16 (Use additional pages, if necessary) Page 1 of 1

22 AC 3272-S (Effective 4/12) FORM B Contracting New York Report Period: April 1,2015 to March 31,2016 State Agency Name:NYSIF Contract Number: Contract Term: 1/26/2015 to 1/25/2016 Contractor Name: GCOM Software Inc. Contractor Address: 24 Madison Avenue Ext., Albany NY Description of Services Being Provided: Consulting Services Agency Business Unit: w\~c.a\.. Agency Department ID: Scope of Contract (Choose one that best fits): Analysis DEvaluation o Research o Training o Data Processing IZI Computer Programming o Other IT consulting o Engineering o Architect Services o Surveying o Environmental Services o Health Services o Mental Health Services o Accounting o Auditing o Paralegal o Legal o Other Consulting Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract Total this Page Grand Total 1 ' Name of person who prepared this report: Holly Savarese Title: VP of Finance & stetstrat~ Preparer's Signature: ).ll1 r a 1liOJ Date Prepared: 5/4/16 (Use additional pages, if necessary) Phone #: Page 1 of 1

23 AC (Effective 4/12) FORM B New York Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name:NYSIF Contract Number: Agency Business Unit: m"s,cu) ~ Contract Term: 1/26/2016 to 1/25/2018 Agency Department ID: Contractor Name: GCOM Software Inc. Contractor Address: 24 Madison Avenue Ext., Albany NY Description of Services Being Provided: Consulting Services D Analysis DEvaluation D Research D Training D Data Processing r8j Computer Programming D Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other Consulting Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract Total this Page Grand Total Name of person who &iki~ prepared this report: Holly Savarese Title: VP of Finance Preparer's Signature:. 1W1A2J Phone #: Date Prepared: 5/4/16 (Use additional pages, if necessary) Page 1 of 1

24 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Category Code: State Consultant Set'vices Re ort Period: A rill, 15 to March 31, 16 Contracting State Agency Name: NYSIF Contract Number: LEG Contract Term: 1211/1S / to 11/3otia Contractor Name: JASNE & FLORIO, L.L.P. Agency Code: Contractor Address: 30 Glenn Street, Suite 103, White Plains, NY Description of Services Being Provided: Legal/Collection Recovery Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing D Computer Programming D Other IT consulting D Engineering D Architect Services D Surveying D Environmental Services D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal II] Other Consulting D Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contrac! Attorney 1 32 $5544 Total this page $5, Grand Total Name of person who prepared this_?oji1;.. Pre parer's Signature: ~ -I / Title: Partner Date Pre ared: 6/i4/16 Use additional pages if necessary) (914) Page 1 of'

25 FORM B OSC Use Only: Reporting Code: Cateoory Code: Report Period: April 1, 2015 to March 31, 2016 Contracting State Agency Name: New York State Insurance Fund Agency Code: Contract Number: , C20526 Contract Term: : varies Contractor Name: Computer Aid, Inc. Contractor Address: 1390 Ridgeview Drive, A"entown, PA Description of Services Being Provided: IT Consulting Services Analysis DEvaluation D Research D Training D Data Processing D Computer Programming Engineering D Architect Services D Surveying D Health Services D Mental Health Services D Accounting D Auditing D Paralegal D Legal D Other IT consulting [8J Environmental Services D Other Consulting D Employment Category Computer Network Support Specialists Number of Employees Number of Hours Worked Amount Payable Under the Contract Programming and Software Dev $105, $11, Total this pa e Grand Total $116, $116, Name of person who pr Preparer's Signature:-I-_~~'-H~::::''';:;;~ =,=;r:.~[ _::::~ -==::-- _ Title: Sr. Director, Op Date Pre ared: 05/02/16 (Use additional pages if ne Page 1 of 1

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28 APPENDIX 0 FORMB OSC Use Only: Reporting Code: Categ;ory Code: Report Period: April 1, 2e',Sto March 31, :::;;_e\ '--i~ Contracting State Agency Name: NYSIF Agency Code: Contract Number: Contract Term: / / to / / Contractor Name: Contractor Address: (c..."". SIn::::; ~ \...''-''-'' {':'.~.--\,I:;;,~-..,._;.<~.::_ \.\CO \ Description of Services Being Provided: '\- '':::c>:-=-,,- \ "S ~::.y\..) ; <:"1'::5 ;'~\\co2 ~'--t i',,'i (22C "l. Analysis 0 Evaluation 0 Research 0 Training 0 Data Processing 0 Computer Programming 0 Other IT consulting 0 Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services 0 Accounting 0 Auditing 0 Paralegal 0 Legal1t1 Other Consulting 0 Employment Category Number of Employees Number of Hours Worked Amount Payable Under the Contract p-" i_" '. "_._ c_~ -; \~5,?_, /J!. \.t Cr_"') \...,;.'._,o( r (~\::,.~"' f4:) ~(.~C: ".!;~J:::::. -E:._j --7 ;. ( --:1. _. J '---I ';;' d"'50. Total this page \k.\ \ (,_~?~ If:',.'-l C\, Q4 ~'1 qs e'~_ Grand Total 1'-\ I \ (0 <:2-:;, "1 0 ;::,).<:~. -q. \..-t S C,t Name of person who prepflted tj-jisrepo\1:'. Preparer's Signature: ":( 0 -~'\ :'\ I ~'" \. Title:!.,~:.1<;;:;:~::~'~('0"\", \., \~) Date Pre ared:(, jj;j/ <~ ~5\e-q.)_-l q-ioc Phone #: Use additional pages if necessary) Page of