When it comes to understanding the important forms and paperwork related to business, there can be a lot of complicated and overwhelming information out there. One essential form for many businesses is Mwbe Form 100, which must be submitted every year in order to remain compliant with certain regulations. This form is particularly vital for minority-owned companies as it helps ensure that they are given equal access to government contract opportunities. For business owners who want or need to understand what this document entails, this blog post provides a comprehensive overview on Mwbe Form 100 and everything you need to know about its purpose and filing requirements.
| Question | Answer |
|---|---|
| Form Name | Mwbe Form 100 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | utilization report sample, fund utilization report sample excel, budget utilization report sample, funds utilisation report format |
NEW YORK STATE INSURANCE FUND - M/WBE UTILIZATION PLAN
INSTRUCTIONS: All Offerors must complete this MWBE Utilization Plan and submit it as part of their Proposal. The Plan must contain a detailed description of the supplies and/or services to be provided by each Minority and
Offeror’s Name: |
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Federal Identification No.: |
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Address: |
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City, State, Zip Code: |
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Solicitation No.: |
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M/WBE Goals in the Contract: MBE |
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WBE |
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1. M/WBE Subcontractors/Suppliers |
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2. Classification |
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3. Federal ID No. |
4. Detailed Description of Work |
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5. Dollar Value of Subcontracts/ |
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Name, Address, Email Address, Telephone No. |
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(Attach additional sheets, if necessary) |
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Supplies |
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1. |
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NYS ESD CERTIFIED |
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MBE |
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WBE |
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2. |
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NYS ESD CERTIFIED |
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MBE |
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WBE |
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6. WAIVER REQUESTED: MBE:______ YES |
______NO IF YES, submit form MWBE101 / WBE: _____YES _______NO IF YES, submit form MWBE101 |
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PREPARED BY (Signature): |
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TELEPHONE NO.: |
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EMAIL ADDRESS: |
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DATE: |
Offeror’s Certification Status:_____MBE |
_____WBE |
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NAME AND TITLE OF PREPARER (Print or Type): |
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SUBMISSION OF THIS FORM CONSTITUTES THE OFFEROR’S ACKNOWLEDGEMENT AND AGREEMENT TO |
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COMPLY WITH THE M/WBE REQUIREMENTS SET FORTH UNDER NYS EXECUTIVE LAW, ARTICLE |
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FAILURE TO SUBMIT COMPLETE AND ACCURATE INFORMATION MAY RESULT IN A FINDING OF |
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NONCOMPLIANCE AND/OR PROPOSAL DISQUALIFICATION. |
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****FOR NYSIF USE ONLY**** |
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REVIEWED BY: |
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DATE: |
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UTILIZATION PLAN APPROVED: |
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NO |
DATE: |
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MBE CERTIFIED: _____YES |
____NO |
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WBE CERTIFIED: _____YES |
____NO |
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WAIVER GRANTED: ____YES ____NO |
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____TOTAL WAIVER ____PARTIAL WAIVER |
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NOTICE OF DEFICIENCY ISSUED:
YES
NO DATE:______________
NOTICE OF ACCEPTANCE ISSUED:
YES
NO DATE:_____________
MWBE FORM 100