Common use of Reporting Entity Clause in Contracts

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ - December 31, 20_ Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ 20 - December 31, 20_ 20 Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force workforce Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ 20 - December 31, 20_ 20 Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force totalworkforce Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ 20 - March 31, 20 □ April 1, 20 - June 30, 20_ 20 □ July 1, 20_ 20 - September 30, 20 □ October 1, 20_ 20 - December 31, 20_ 20 Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Homes & Community Renewal, Office of Storm RecoveryFair Housing & Equal Opportunity, 00 Xxxxxx Xxxxxx000 Xxxxxxxxx Xxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) XXXXX@xxxxxx.xxx General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.. Instructions for completing:

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ 20 - March 31, 20 □ April 1, 20 - June 30, 20_ 20 □ July 1, 20_ 20 - September 30, 20 □ October 1, 20_ 20 - December 31, 20_ Contractor20 Offeror’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force ContractorOfferor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form for OGS contract to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx General Services Office of Minority/Woman-owned Business Enterprise Program Operations Xxxxxxx Xxxxx, Xxx Xxxx00XX Xxxxx Xxxxxx Xxxxx Xxxxx, XX 00000Xxxxxx XX, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 00000 EEO 101 (revised 2/2012Revised 6/08) General Instructions: The work force utilization utilization/compliance report (EEO 101) is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or or subcontractor’s total work force, the contractor and/or or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or or subcontractor’s total work force, information on the contractor's total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit OGS within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a written statement of no change or submit a copy of the previously submitted report indicating no change with the date and reporting period updated.

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ - December 31, 20_ Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force workforce Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.. Instructions for completing:

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ - December 31, 20_ Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force totalworkforce Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ - December 31, 20_ Contractor’s Name: Report includesIncludes Contractor’s/Subcontractor’s: □ Work force to be utilized on this contract □ Contractor/Total work force Offeror’s Name: □ Contractor □ Subcontractor Subcontractor’s total work force Contractorname Offeror’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-EEO – Job Category Total Work force Force Work force by Gender Work force by Race/Ethnic Identification Total Male (M) Total Female (F) White (M) (F) Black (M) Black (F) Hispanic (M) (F) Asian (M) Asian (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Officials / Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices / Apprentices Totals PREPARED BY Prepared by (Signature): TELEPHONE NO.Telephone: EMAIL ADDRESSEmail: DATEDate: NAME AND TITLE OF PREPARER (Print or Type): Name & Title of Preparer: Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, with bid or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 proposal M/WBE 101 (revised 2/2012Rev 03/11) General Instructions: The All Offerors and each subcontractor identified in the bid or proposal must complete an EEO Staffing Plan (MWBE 101) and submit it as part of the bid or proposal package. Where the work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the State contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor Offeror shall submit a Utilization Report of complete this form only for the work force utilized on the contract. When the anticipated work force to be utilized on the State contract. Where the work force to be utilized in the performance of the State contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the Offeror shall complete this form for the contractor’s and/or subcontractor’s total work force shall be included in the Utilization Reportforce. Utilization reports are to be completed Instructions for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.completing:

Reporting Entity. □ Contractor □ Subcontractor Reporting Period: □ January 1, 20_ - March 31, 20 □ April 1, 20 - June 30, 20_ □ July 1, 20_ - September 30, 20 □ October 1, 20_ - December 31, 20_ Contractor’s Name: Report includes: □ Work force to be utilized on this contract □ Contractor/Subcontractor’s total work force workforce Contractor’s Address: Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Male (M) Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed form to: NYS Governor’s Office of Storm Recovery, 00 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxx Xxxx, XX 00000, or XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx PROC-5 (revised 2/2012) General Instructions: The work force utilization is to be submitted on a quarterly basis during the life of the contract to report the actual work force utilized in the performance of the contract broken down by the specified categories. When the work force utilized in the performance of the contract can be separated out from the contractor’s and/or subcontractor’s total work force, the contractor and/or subcontractor shall submit a Utilization Report of the work force utilized on the contract. When the work force to be utilized on the contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, information on the total work force shall be included in the Utilization Report. Utilization reports are to be completed for the quarters ended 3/31, 6/30, 9/30 and 12/31 and submitted to the M/WBE Program Management Unit within 15 days of the end of each quarter. If there are no changes to the work force utilized on the contract during the reporting period, the contractor can submit a copy of the previously submitted report indicating no change with the date and reporting period updated.