New York State
Failure to submit this form will result in non-compliance MWBE 105 AGENCY MWBE Program Management Page 1 5/9/2013 MWBE Quarterly Report of NYSOFA Contract No. _____ Project No. _____ The following information indicates the payment amounts made by the grantee/contractor to the NYS Certified MWBE subcontractor on this project. ................
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