ONONDAGA COUNTY WATER AUTHORITY MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISE POLICY

Similar documents
Fayette County Public Schools. Supplier Diversity Program Contract Forms

TABLE OF CONTENTS ARTICLE NUMBER DESCRIPTION PAGE. I Application 1. II Minority Business Enterprise Goals 1. III Subcontractor Payment Requirements 2

Part A: PRIME CONTRACTOR PROJECT SUMMARY FORM

SPECIAL PROVISION. Disadvantaged Business Enterprise in State Funded Construction

CHAPTER 57 ARTICLES II & III

METROPOLITAN ST. LOUIS SEWER DISTRICT BUSINESS DIVERSITY. MWBE Utilization and Workforce Program Construction Projects with Federal Funding

SPECIAL PROVISION. Disadvantaged Business Enterprise/Historically Underutilized. in State Funded Construction

Officer Jamie L, Rhee Y 31,2015 Y 31, By Order of the Chief Procurement Officer: Signed: chi. Published: Effective: Date:

VMWARE MAINTENANCE AND SUPPORT SERVICES EVENT NO SPECIFICATIONS AND SPECIAL CONDITIONS

CHAPTER 57 ARTICLES II & III

ATTACHMENT H MBE FORMS A-E MARYLAND JUDICIARY (MJUD) CERTIFIED MBE UTILIZATION AND FAIR SOLICITATION AFFIDAVIT MBE FORM A

MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AND SERVICE-DISABLED VETERAN-OWNED BUSINESS AGREEMENT

SPECIAL PROVISION Disadvantaged Business Enterprise in Federal-Aid Construction

MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AND SERVICE-DISABLED VETERAN-OWNED BUSINESS AGREEMENT

DISADVANTAGED BUSINESS ENTERPRISE

ADDENDUM NO. 01 REQUEST FOR PROPOSALS NO CONSTRUCTION MANAGER AT RISK (CMAR)- CNG FUELING INFRASTRUCTURE UPGRADES

METROPOLITAN ST. LOUIS SEWER DISTRICT BUSINESS DIVERSITY. MBE Utilization and Workforce Program Building Construction Projects

Operational Procedure: Section TABLE OF CONTENTS

CITY & COUNTY OF SAN FRANCISCO CONTRACT MONITORING DIVISION. CMD ATTACHMENT 1 Requirements for Construction Contracts

Commercial Non-Discrimination and Columbia Disadvantaged Business Enterprise (CDBE) Utilization Policy (Last Revised: November, 2016)

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM INFORMATION FOR BIDDERS

Illinois State Toll Highway Authority SPECIAL PROVISION FOR DISADVANTAGED BUSINESS ENTERPRISE PARTICIPATION

Snow Removal Services

CARROLL COUNTY CARROLL COUNTY DISADVANTAGED BUSINESS ENTERPRISE POLICY

Federal Transit Administration (FTA) Federal Aviation Administration (FAA)

Special Provision to Item 000 Disadvantaged Business Enterprise in Federal Aid Contracts

NOTICE TO BIDDERS EXHIBIT E

SPECIAL PROVISION Disadvantaged Business Enterprise in Federal Aid Contracts

STATEMENT OF BIDDER'S QUALIFICATIONS

HOUSING AUTHORITY OF THE CITY OF MILWAUKEE (HACM)

B. B.E.P.D. means an entity certified as a Business enterprise owned or operated by people with disabilities as defined in MCC

CITY & COUNTY OF SAN FRANCISCO CONTRACT MONITORING DIVISION CMD ATTACHMENT 3

University of Louisville PURCHASING DEPARTMENT LOUISVILLE, KENTUCKY

CALTRANS DBE/ UDBE REQUIREMENTS

PART 6B. JACKSONVILLE SMALL EMERGING BUSINESS PROGRAM. Sec [Percentage of work to be accomplished by JSEBs.]

Document A701 TM. Instructions to Bidders. for the following PROJECT: (Name and location or address)address): Orig A

Metropolitan Washington Airports Authority PROCUREMENT AND CONTRACTS DEPT. AMENDMENT OF SOLICITATION

Alameda County Transportation Commission SAMPLE PROGRAM COMPLIANCE LANGUAGE: CONSTRUCTION

Disadvantaged Business Enterprise in Federal-Aid Construction for Non-Traditional Contracts

OFFICE OF STATE AID ROAD CONSTRUCTION MISSISSIPPI DEPARTMENT OF TRANSPORTATION

APPENDIX H DISADVANTAGED BUSINESS ENTERPRISE REQUIREMENTS

MWBE Utilization and Workforce Program Construction Projects with Federal Funding

SPECIAL CONDITIONS REGARDING MINORITY OWNED BUSINESS ENTERPRISE AND WOMEN OWNED BUSINESS ENTERPRISE FOR WORK SERVICES

Small Business Enterprise (SBE) Subcontracting Program. Policies and Procedures Manual

CHAPTER 6 MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISE PROGRAM AND OTHER CONTRACTING PROCEDURES

NEW CASTLE COUNTY Purchasing Division New Castle County Government Center 87 Read s Way New Castle, DE (302)

a00014 CHANGES TO SPECIFICATIONS: APPENDIX C DSP4 Provision Name:

Mecklenburg County Minority, Women, and Small Business Enterprise Provisions

Target Market Professional Services Master Consulting Agreements MBE/WBE SPECIAL CONDITIONS

City And County Of San Francisco Office Of Contract Administration LED LUMINAIRE WITH WIRELESS MONITORING AND CONTROL SYSTEM

City of Cincinnati SUBCONTRACTING OUTREACH PROGRAM SUMMARY

SPECIAL CONDITIONS REGARDING MINORITY BUSINESS ENTERPRISE COMMITMENT AND WOMEN BUSINESS ENTERPRISE COMMITMENT FOR MBE/WBE PROFESSIONAL SERVICES

ISLAND LIGHTING COMPANY

This project is subject to Title 49, Part 26.13(b), Code of Federal Regulations [49 CFR 26.13(b)]:

ORDINANCE NO N.S.

Attachment E DISADVANTAGED BUSINESS ENTERPRISE REQUIREMENTS

Draft Minority/Women Business Enterprise Plan

INFORMATION FOR BID. Tee Shirts (School Nutrition)

Programs TARGET MARKET PROGRAM...3 SMALL BUSINESS INITIATIVE...3

AUSTIN COMMUNITY COLLEGE DISTRICT (ACC) SMALL BUSINESS DEVELOPMENT PROGRAM SBDP FORM A - SLBE PARTICIPATION COMMITMENT. Name of Offeror/Proposer:

CITY & COUNTY OF SAN FRANCISCO CONTRACT MONITORING DIVISION

MULTNOMAH COUNTY GOOD FAITH EFFORT PROGRAM SUBCONTRACTOR and SELF-PERFORMED WORK LIST (FORM 1)

Table of Contents CHAPTER 1: SBE POLICY ON CONSTRUCTION CHAPTER 2: SBE PROGRAM ON CONSTRUCTION I. DEFINITIONS...

CITY & COUNTY OF SAN FRANCISCO CONTRACT MONITORING DIVISION CMD ATTACHMENT 8A

ATTACHMENT B DISADVANTAGED BUSINESS ENTERPRISE UTILIZATION

This project is subject to Title 49, Part 26.13(b), Code of Federal Regulations [49 CFR 26.13(b)]:

Procurement Enhancement Program Policies and Procedures Manual Contract Compliance measures

CITY OF LOS ANGELES NONDISCRIMINATION EQUAL EMPLOYMENT PRACTICES AFFIRMATIVE ACTION

ATTACHMENT D MINORITY BUSINESS ENTERPRISE FORMS

Targeted Business Certification Program Application

BID PROPOSAL. PROPOSAL OF, a corporation, a partnership consisting of. an individual doing business as

BALTIMORE CITY PUBLIC SCHOOLS MINORITY AND WOMEN BUSINESS ENTERPRISE PROGRAM AND PROCEDURES MANUAL FOR CITY-FUNDED CONTRACTS

REPRESENTATIONS AND CERTIFICATIONS

CITY & COUNTY OF SAN FRANCISCO CONTRACT MONITORING DIVISION

SAN DIEGO CONVENTION CENTER CORPORATION

ANTI-DISCRIMINATION POLICY of the SCHOOL DISTRICT OF PHILADELPHIA ADOPTED NOVEMBER 14, 2007

REQUIRED CONTRACT PROVISION FEDERAL AID CONTRACTS UTILIZATION OF DISADVANTAGED BUSINESSES

SUPPLEMENTAL CONDITIONS (For Federally Assisted Projects for Single Family Housing Rehabilitation)

GUILFORD COUNTY SCHOOLS Invitation for Bids

MANUAL OF PROCEDURE. Small Local Business Enterprises Initiative Incentives

RFP GENERAL TERMS AND CONDITIONS

SECTION EEO & AFFIRMATIVE ACTION REQUIREMENTS

INSTRUCTIONS TO BIDDERS

REQUEST FOR PROPOSAL: 8/25/2012 NUMBER OF COPIES TO SUBMIT: TWO (2) Page 1

APPLICATION FOR STATE CERTIFICATION

REQUEST FOR QUALIFICATION (RFQ) PROJECT NUMBER February 13, 2017

ALL AGENCY SERVICE CONTRACT PROCUREMENT GUIDELINES Adopted by the Board on March 21, 2018

REQUEST FOR QUOTATION For CHAIRS FOR THE CHATHAM COUNTY E911 CALL CENTER QUOTE NUMBER:

Note to all City Departments. Request for Bid (RFB)

FIXTURING/INSTALLATION AGREEMENT

City of Providence STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

DRAFT GOOD FAITH EFFORT BOARD OF EDUCATION (BOE) POLICY REVISED GOOD FAITH EFFORT BID FORMS

NOTICE TO GENERAL CONTRACTORS PROJECT VALUED BY THE STATE ARMORY BOARD, OVER $150,000

OKLAHOMA DEPARTMENT OF TRANSPORTATION DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 CFR PART 26 APPLICATION FOR CURRENTLY CERTIFIED FIRM

BID REQUIREMENTS INVITATION TO BID #C19-14

BOROUGH OF ELMWOOD PARK REQUEST FOR QUALIFICATIONS AND PROPOSAL FOR MUNICIPAL BOND COUNSEL

PHILADELPHIA REGIONAL PORT AUTHORITY (PHILAPORT)

BID FOR LUMP SUM CONTRACT

DIVERSITY & ECONOMIC OPPORTUNITY DEPARTMENT SBE CONTRACT COMPLIANCE MANUAL (NON- FEDERAL)

ALL BIDS MUST BE EXTENDED AND TOTALED. (SEE ATTACHED FOR CONDITIONS AND INSTRUCTIONS)

Transcription:

ONONDAGA COUNTY WATER AUTHORITY MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISE POLICY I. Policy It is the policy of the Onondaga County Water Authority (OCWA or Authority) to foster and encourage minority and women-owned business enterprise participation in the construction contracts of the Authority. Through the setting of minority/women business enterprise goals and careful monitoring of CONTRACTOR compliance, the Authority will ensure the fullest possible participation in construction activities by qualified minority and women-owned firms. A. Applicability This policy shall apply to all contracts, or orders for work, material, or supplies, performed or furnished in connection with construction executed by OCWA which are estimated to exceed $100,000.00. B. Definitions Minority or Women-Owned Business Enterprise - a business at least fifty-one percent (51%) of which is owned and controlled by minority group members and/or women. Minority Group Member a citizen of the United States who is Black, Hispanic, Native American, Asian or Pacific Islander. C. Goals The Authority has determined that a combined goal of fifteen percent (15%) of the total contract value represents a fair share of minority/women business utilization on each construction contract awarded. Further, neither the MBE or WBE participation should be less than 7% of the total contact amount. If the prime contract is with a MBE, the participation requirement shall be 7% for WBE only and vice versa if the prime contract is with a WBE. If an outside funding agency has special MWBE requirements, the Authority will follow those requirements. 1

D. MWBE Requirements MWBEs must be certified by New York State in order to be credited toward the 15% goal. A list of certified MWBEs can be obtained at ny.newnycontracts.com/frontend/vendorsearchpublic.asp. In addition, the minority and/or women ownership interest must be real, substantial and continuing. II. Contractor Responsibilities and Guidelines A. Applicable MWBE Services Recipients of applicable Authority construction contracts must utilize MWBEs for supplies, services and professional services, allowing these sources the maximum feasible opportunity to compete for contracts, subcontracts and third-tier contracts to be performed. B. Positive Steps All prime CONTRACTORS awarded applicable Authority contracts must take positive steps to afford fair opportunities to MWBEs. Positive steps shall include, but not be limited to, (a) utilizing a source list of bona fide minority/women business enterprises, (b) solicitations of bids from MWBEs, particularly of those located in OCWA s service territory (Onondaga, Oswego, Madison, Oneida and Cayuga counties), (c) giving minority/women firms sufficient time to submit proposals in response to solicitations, and (d) maintaining records showing minority/women business enterprises and specific efforts to identify and award contracts to these companies. C. Submissions The CONTRACTOR is to supply the Authority with information regarding contracts for services and products with minority/women business enterprises and the dollar amount of each contract on the following attached forms: 1. MWBE Utilization Plan A successful bidder shall submit to the Authority a MWBE Utilization Plan within 10 calendar days of receipt of a Notice of Award. The Utilization Plan shall include a list of MWBEs with whom the CONTRACTOR is negotiating a contract or has signed a binding contractual agreement. The Authority will not issue a Notice to Proceed where the CONTRACTOR fails to submit this Plan or where an examination 2

of the Plan evidences failure by the CONTRACTOR to comply with the affirmative action requirements of the contract. At the same time it submits its Utilization Plan, the successful bidder shall submit letters of intent to enter into subcontracts or purchase agreements signed by minority/women businesses, contingent upon the contract award, indicating the agreed upon price and scope of work. The prime CONTRACTOR shall not substitute or delete the listed minority/women business enterprise(s) without the written consent of the Authority. A Notice to Proceed with construction shall not be issued until acceptable documentation is received. 2. Joint Venture Disclosure Affidavit In the event a joint venture is the successful bidder, the Joint Venture Disclosure Affidavit must be submitted with the Utilization Plan by all parties involved. Only to the extent that a minority/women business enterprise contributes to and is paid for its participation in a joint venture will that dollar be credited towards the 15% goal of minority participation in the OCWA MWBE Program. 3. Application for Waiver of MWBE Participation Goal An Application for Waiver of MWBE Participation Goal may be completed and submitted along with the MWBE Utilization Plan within 10 calendar days of Notice of Award. Waivers shall be granted only where the availability of MWBEs in the market area of the project is less than the 15% goal. Sufficient information must be provided on the Waiver Application to ascertain whether a waiver should be approved, conditionally approved or rejected by the Authority. A waiver approval limits the CONTRACTOR s obligation to solicit MWBEs only for the particular project in question. It does not relieve the CONTRACTOR of MWBE utilization for any other OCWA project on which it submits a bid. Conditional approval of the waiver request makes it necessary for the CONTRACTOR to continue soliciting MWBEs for contracting purposes, after it has been issued a Notice to Proceed. 3

A MWBE Waiver Application will be rejected if the CONTRACTOR: i. Fails to provide information on the MWBE Utilization Plan with its bid; ii. Provides fraudulent information on any of its MWBE reports; iii. Fails to make an honest, good faith effort to recruit and contract with MWBEs; or iv. Takes any other action which is contrary to the spirit and intent of the law or this policy. THE INFORMATION PROVIDED ON THE MWBE WAIVER APPLICATION AND THE MWBE UTILIZATION PLAN WILL BE CONSIDERED CONCURRENTLY TO DETERMINE IF A WAIVER SHOULD BE APPROVED, CONDITIONALLY APPROVED OR REJECTED. 4. Minority Business Enterprise Utilization Report - Part A When the project is thirty percent (30%) complete, the CONTRACTOR shall submit to the Authority the Minority Business Enterprise Utilization Report - Part A. Part A lists the MWBEs on the project, the dollar amounts paid to that date and the estimated amount remaining to be spent. The Authority reserves the right to request this report sooner than the specified percentage complete. 5. Minority Business Enterprise Utilization Report - Part B The Minority Business Enterprise Utilization Report - Part B certifies the actual dollar amount expended to MWBEs. Part B must be completed by the prime CONTRACTOR and submitted at the seventy-five (75%) percent payment level. The Authority reserves the right to request this report sooner than the specified percentage complete. 6. Minority Business Enterprise Utilization Report - Part C The Minority Business Enterprise Utilization Report - Part C certifies the total dollar amount expended to MWBEs. Part C is to be submitted with the request for final payment. III. Noncompliance A. Effect of Failure to Meet Participation Goal In the event that the MWBE goal for the contract is not met, the CONTRACTOR shall provide sufficient documentation to establish that every positive effort was made to identify, solicit and negotiate with MWBEs in pursuit of the goal. Such documentation includes, but is not limited to, advertisement in minority-focused media, written contract 4

with minority businesses indicating sufficient bidder s price along with evidence showing the work to be performed is the same, and not a reduced portion thereof. B. Effect of failure to comply with this policy In the event a CONTRACTOR fails to comply with these provisions, it shall constitute a breach and the Authority may, among other things: 1. Summon the CONTRACTOR to a hearing; 2. Withhold progress payments in part or in full; 3. Cancel the contract; 4. Bar award of future Contracts until the CONTRACTOR can demonstrate that it will comply; 5. Execute a full or partial forfeiture of the Bid Bond; and/or 6. Exercise any other remedies that may be affected in the Agreement, the General Conditions of the contract and/or the law. 5

Listing of FORMS ATTACHED: NAME OF FORM PAGE NUMBER(S) Contractor s MWBE Utilization Plan 7 Minority/Women Business Enterprise 8 Joint Venture Disclosure Affidavit Application for Waiver of MWBE Participation Goal 9-10 Minority/Women Business Enterprise 11-12 Utilization Report - Part A Minority/Women Business Enterprise 13-14 Utilization Report - Part B Minority/Women Business Enterprise 15-16 Utilization Report - Part C 6

F O R O C W A U S E O N L Y CONTRACTOR S MWBE UTILIZATION PLAN Revised Plan Contract No.: REMINDER: 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. Contractor s Name, Address and Federal ID No.: Contract Description/Location: Bid Date: MWBE GOALS Contract Amount: MBE% WBE% Federal ID No.: Certified MBE/WBE Name, Address and Phone No. MBE WBE Description of Subcontracting/Supplies Anticipated performance/purchase date(s) Dollar Value of Subcontract/Supplies Federal ID No.: Federal ID No.: Federal ID No.: Federal ID No.: Pursuant to OCWA MWBE Policy, my firm will engage in good faith efforts to achieve the MWBE goals on this contract. I understand that failure to make good faith efforts can result in the contract being awarded to another contractor. I understand that all listed sub-contractors may be contacted for verification of solicitation. Contractor s Comments: Contractor s Signature: Enter Name: Title: Email Address: Date: For OCWA Use Only: Accepted Accepted as Noted Notice of Deficiency Issued MBE% MBE $ WBE% WBE $ OCWA Authorized Signature: Name: Date: 7

ONONDAGA COUNTY WATER AUTHORITY MINORITY/WOMEN BUSINESS ENTERPRISE JOINT VENTURE DISCLOSURE AFFIDAVIT To Be Submitted With Part A Where Applicable Joint Venturers: Name of Joint Venture: Address: _ Principal Office: Office Phone: Email: Percent of minority ownership in terms of profit and loss sharings: Capital contributions by each joint venture and accounting therefore: Equipment and supply contributions by each joint venturer and accounting therefore: Any ownership options for ownership or loans between the joint venturers - identify terms thereof: How and by whom the on-site work will be supervised and administered: I,, as representative of Company, do hereby swear or affirm that I am authorized to act on its behalf and that in this capacity and to the best of my knowledge and belief, the information provided herewith relevant to the joint venture of is accurate, complete and current, and fairly represents the joint venture; further, that I have personally reviewed the material and assured myself of its accuracy. It is recognized and acknowledged that the statements herein are being given under oath and any material misrepresentation will be grounds for terminating any contract which may be awarded in reliance hereon. SIGNATURE 8

APPLICATION FOR WAIVER OF MWBE PARTICIPATION GOAL (must be submitted with MWBE Utilization Plan) Section 1: Basic Information Contractor s Name: Federal Identification Number: Street Address: E-Mail Address: City, State, Zip Code: Telephone: ( ) - Contract Number: MWBE CONTRACT GOALS MBE % WBE % Section 2: Type of MWBE Waiver Requested MBE Waiver Total Partial If partial waiver, please enter the revised MBE percentage: WBE Waiver Total Partial If partial waiver, please enter the revised WBE percentage: Please explain the reason for the waiver request: Section 3: Supporting Documentation Provide the following documentation as evidence of your good faith efforts to meet the MWBE goals set forth in the contract and in support of your waiver application: Attachment A. List of the general circulation, trade and MWBE-oriented publications and dates of publications soliciting for certified MWBE participation as a subcontractor/supplier and copies of such solicitation. Attachment B. List of the certified MWBEs appearing in the Empire State Development MWBE directory that were solicited for this contract. Provide proof of dates or copies of the solicitations and copies of the responses made by the certified MWBEs. Describe specific reasons that responding certified MWBEs were not selected. Attachment C. Descriptions of the contract documents/plans/specifications made available to certified MWBEs by the contractor when soliciting their participation and steps taken to structure the scope of work for the purpose of subcontracting with or obtaining supplies from certified MWBEs. Attachment D. Description of the negotiations between the contractor and certified MWBEs for the purposes of complying with the MWBE goals of this contract. Attachment E. Identify dates of any pre-bid, pre-award or other meetings attended by contractor, if any, scheduled by OGS with certified MWBEs whom OGS determined were capable of fulfilling the MWBE goals set in the contract Attachment F. Other information deemed relevant to the request. Section 4: Signature and Contact Information By signing and submitting this form, the contractor certifies that a good faith effort has been made to promote MWBE participation pursuant to the MWBE requirements set forth under the contract. Failure to submit complete and accurate information may result in a finding of noncompliance, non-responsibility, and a suspension or termination of the contract. Prepared By: (Signature) Date: Name and Title of Preparer (Print or Type) 9

For OCWA Use Only Reviewed By: Date: Decision: Full MBE waiver granted Partial MBE waiver granted; revised MBE goal: % MBE waiver denied Full WBE waiver granted Partial WBE waiver granted; revised WBE goal: % WBE waiver denied Approved By: Date: Date Notice of Determination Sent: Comments 10

ONONDAGA COUNTY WATER AUTHORITY MINORITY/WOMEN BUSINESS ENTERPRISE UTILIZATION REPORT - PART A CONTRACTOR CONTRACT NAME I. List all bona fide minority/women business enterprises, subcontractors, suppliers, professional personnel, or joint venture firms, with whom you have entered into a binding agreement in accordance with the MWBE Utilization Goal set forth by the Onondaga County Water Authority. This information must be submitted to OCWA when the project is 30% complete. MINORITY/WOMEN OWNED FIRM TYPE OF WORK DATE CONTRACT EXECUTED AND AMOUNT TOTAL EXPENDED TO DATE AMOUNT REMAINING MBE OR WBE 11

II. Onondaga County Water Authority reserves the right to require documentation including, but not limited to, canceled checks to verify these amounts: Total Dollar Amount to be subcontracted to/supplied from minority/women business enterprise(s): $ III. Total dollar amount expended to date: $ IV. Total amount of bid: $ V. MWBE Percent (%) of project bid: $ I, as an official representative of, do hereby certify that the information listed above is correct and complete. NAME TITLE DATE 12

ONONDAGA COUNTY WATER AUTHORITY MINORITY/WOMEN BUSINESS ENTERPRISE UTILIZATION REPORT - PART B (To be completed by the prime CONTRACTOR and submitted at the 75% payment level) CONTRACTOR: CONTRACT: MINORITY/WOMEN OWNED FIRM TYPE OF WORK DATE CONTRACT EXECUTED AND AMOUNT TOTAL EXPENDED TO DATE AMOUNT REMAINING MBE OR WBE 13

Onondaga County Water Authority reserves the right to require documentation including, but not limited to, canceled checks to verify these amounts: III. Total Dollar Amount to be subcontracted to/supplied from minority/women business enterprise(s): $ III. Total dollar amount expended to date: $ VI. Total amount of bid: $ VII. MWBE Percent (%) of project bid: $ I, as an official representative of, do hereby certify that the information listed above is correct and complete. NAME TITLE DATE 14

ONONDAGA COUNTY WATER AUTHORITY MINORITY/WOMEN BUSINESS ENTERPRISE UTILIZATION REPORT - PART C FINAL CERTIFICATION OF EXPENDITURES TO MWBEs (to be completed by the prime CONTRACTOR and submitted with the request for final payment) CONTRACTOR: CONTRACT: MINORITY/WOMEN OWNED FIRM TYPE OF WORK DATE CONTRACT EXECUTED AND AMOUNT TOTAL EXPENDED TO DATE AMOUNT REMAINING MBE OR WBE 15

TOTAL OF ALL MWBE SUB-CONTRACTS $ AMOUNT OF CONTRACT FINAL MWBE PERCENTAGE $ Explanation for variance from goal: I,, as an official representative of, do hereby certify that the information listed above is correct and complete. NAME TITLE DATE 16