Common use of Senior Managers Clause in Contracts

Senior Managers. Please fill in the required identification information for all senior managers who oversee any of the entity’s relevant transactions with the City (e.g., contract managers if this form is for a contract award/proposal, grant managers if for a grant, etc.). Senior managers include anyone who, either by title or duties, has substantial discretion and high-level oversight regarding the solicitation, letting or administration of any transaction with the City. At least one senior manager must be listed, or the Data Form will be considered incomplete. If a senior manager has been identified on a previous page, fill in his/her name and write “See above.” If the entity is filing a Change Form, list individuals who are no longer senior managers at the bottom of this section. If more space is needed, attach additional pages labeled “Additional Senior Managers.” First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: Name: Name: Removal Date: Removal Date: Name: Signature: Date: Entity Name: Title: Work Phone #: The Department has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this contract in accordance with §102-12 of the Standard Specifications. This goal is expressed as a percentage of the total contract bid price. It is the Contractor's responsibility to secure utilization in the work of the contract by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance ("EODC") for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the contract bid price for the work. Disadvantaged Business Enterprise Utilization Goal: See Part E - Schedule A A current listing of certified DBEs is available, upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Bidder-Designated DBE Officer: (Name, Title) Telephone: (Revised 04/04/03)

Senior Managers. Please fill in the required identification information for all senior managers who oversee any of the entity’s relevant transactions with the City (e.g., contract managers if this form is for a contract award/proposal, grant managers if for a grant, etc.). Senior managers include anyone who, either by title or duties, has substantial discretion and high-level oversight regarding the solicitation, letting or administration of any transaction with the City. At least one senior manager must be listed, or the Data Form will be considered incomplete. If a senior manager has been identified on a previous page, fill in his/her name and write “See above.” If the entity is filing a Change Form, list individuals who are no longer senior managers at the bottom of this section. If more space is needed, attach additional pages labeled “Additional Senior Managers.” First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: Name: Name: Removal Date: Removal Date: Name: Signature: Date: Entity Name: Title: Work Phone #: The Department has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this contract in accordance with §102-12 of the Standard Specifications. This goal is expressed as a percentage of the total contract bid price. It is the Contractor's responsibility to secure utilization in the work of the contract by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance ("EODC") for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the contract bid price for the work. Disadvantaged Business Enterprise Utilization Goal: See Part E - Schedule A A current listing of certified DBEs is available, upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Bidder-Designated DBE Officer: (Name, Title) Telephone: (Revised 04/04/03)) IRAN DIVESTMENT ACT COMPLIANCE RIDER FOR NEW YORK CITY CONTRACTORS

Senior Managers. Please fill in the required identification information for all senior managers who oversee any of the entity’s relevant transactions with the City (e.g., contract managers if this form is for a contract award/proposal, grant managers if for a grant, etc.). Senior managers include anyone who, either by title or duties, has substantial discretion and high-level oversight regarding the solicitation, letting or administration of any transaction with the City. At least one senior manager must be listed, or the Data Form will be considered incomplete. If a senior manager has been identified on a previous page, fill in his/her name and write “See above.” If the entity is filing a Change Form, list individuals who are no longer senior managers at the bottom of this section. If more space is needed, attach additional pages labeled “Additional Senior Managers.” First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: Name: Name: Removal Date: Removal Date: Name: Signature: Date: Entity Name: Title: Work Phone #: The Department has established the following Disadvantaged Minority Business Enterprise (DBEMBE) and Women's Business Enterprise (WBE) utilization goal goals for this contract in accordance with §102-12 of the Standard Specificationscontract. This goal is expressed as a percentage of the total contract bid price. It is the Contractor's responsibility to secure utilization in the work of the contract by DBEs MBEs and 'WBEs in satisfaction of the goalgoals, and to document satisfactory good-faith efforts taken to fulfill the goalgoals. DBE MBE and WBE firms must be certified by New York Empire State Department Development Division of Transportation Equal Opportunity Minority and Women's Business Development and Compliance ("EODC") for all items to be performed. Utilization is measured as the amount actually paid to DBEsMBEs and WBEs, not the contract bid price for the work. Disadvantaged Minority Business Enterprise Utilization Goal: Goal See Part E - Schedule A A current listing of certified DBEs is available, upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Women Business Enterprise Officer will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Bidder-Designated DBE Officer: (Name, Title) Telephone: (Revised 04/04/03)Utilization Goal See Part E - Schedule A