Mwbe Certification Of Good Faith Efforts (Cgfe) - Required Form (Page 3 of 3) in pdf

Mwbe Certification Of Good Faith Efforts (Cgfe) - Required Form Page 3

M/WBE 400 (Revised 1/11)

MWBE CERTIFICATION OF GOOD FAITH EFFORTS (CGFE) - REQUIRED FORM

Company

Solicitation Contract No.

Attending pre-bid, pre-award, or other meetings scheduled by CIO/OFT or the NYS Department of Economic Development or its designee to

inform minority and women business enterprises of contracting, subcontracting or supplier opportunities available on the project. List the

specific pre-bid meetings you attended in the past year, dates, names, and locations of such meetings, or your plans to attend such pre-bid

meetings in the upcoming year.

During the past year, we made the following efforts:

During the upcoming year, we plan to make the following efforts:

Using the services of community organizations, contractor groups, state and federal business assistance offices and other organizations

identified by the NYS Department of Economic Development or its designee that provide assistance in the recruitment and placement of

MWBEs. Provide the names of all such organizations and the dates upon which you used or plan to use their services.

During the past year, we made the following efforts:

During the upcoming year, we plan to make the following efforts

Any other good faith efforts not identified above that you have engaged in during the past year, or that you plan to engage in during the

upcoming year, in order to increase participation of certified minority and women business enterprises on this project.

During the past year, we made the following efforts:

During the upcoming year, we plan to make the following efforts

The undersigned hereby certifies under penalty of perjury that the company on whose behalf s/he is submitting this Certification of Good Faith

Efforts has taken or intends to take the specific good faith efforts described above and in any additional pages or documentation the undersigned

has attached to this form:

____________________________________________

Sworn to before me this _____ day of ____________ 20___

Signature

Date

_________________________________________________

Notary Public

Print Name

Seal:

_________________________________________________

Title

_________________________________________________

Company

Submit copy via email:

mwbe@cio.ny.gov

or fax: (518) 474-6329. Originals need to be mailed to: NYS CIO/OFT, ESP, PO Box 2062, Albany, NY 12220

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Mwbe Certification Of Good Faith Efforts (Cgfe) - Required Form Page 3