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OSC Use Only:
Reporting Code:
~~K'OI- OOOLj~45 - I;)qOooo Category Code:
Date Contract Aooroved:
FORMA (~ 'IQMState Consultant Services - Contractor's Planned Employment
From Contract Start Date Throuah The End Of The Contract Term
State Agency Name: NYS OPR&HPContractor Name: Chazen Engineering, Land Surveyingand Landscape Architecture Co., DPCContract Start Date: 05/01/2016
Agency Code: 1290000
Contract Number: 0004845Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEmployment Category EmDlovees be worked Under the Contract
17-2051.00 20 2,500 275,000
17-2081.00 2 500 55,000
17-2081.01 4 1,000 110,000
17-1022.00 6 1,000 110,000
17-3031.01 12 2,000 220,000
19-1020.01 2 200 25,000
17-1012.00 8 1,000 110,000
17-3011.02 4 1,000 95,000
Total this Dace
Grand Total 58 9,200 1,000,000
Name of person who prepared this report: Eric JohnsonTitle: Engineering Director.n ••. ;>Preparer's Signature: ~ I .Date Prepared: 7/22/2016
(Use additional pages, if necessary)
Phone #: 518-266-7347
Page 1 of 1
ose Use Only:Reporting Code:Category Code:Date Contract A roved:
FORMA
State Consultant Services - Contractor's Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term
State Agency Name: NYS OPR&HPContractor Name: Saratoga AssociatesContract Start Date: 05/0112016
Agency Code: 1290000Contract Number: 0004845
Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEmclovment Cateaorv Emclovees be worked Under the Contract
11-1011.00 2 13 $2.62511~9041.00 2 18 $2,62517-1011.00 3 31 $3,95Q17-2081.00 1 a $1,32517-3011.01 2 32 $2,62517-1012.00 5 59 $6,57511-3011.00 3 38 $3,95019-3051.00 1 13 $1,325
Total this DaceGrand Total 19 212 $25.000
Name of person who prepared this report: Chris SmithTitle: Senior Associate ./'7 _/7Preparers Signature: ~J4..--Date Prepared: 6/9/2016(Use additional pages, if necessary)
Phone #: 518 587-2550
Page 1 of 1
OSC Use Only:
Reporting Code:Category Coda:Date Contract A roved:
FORMA
State Consultant Services - Contractor's Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term
State Agency Name: NYS OPR&HP Agency Code: 1290000Contractor Name: Friedman Fisher Associates Contract Number: 0004845Contract Start Date: 05/0112016 Contract End Date: 0413012019
Number of Number of hours to Amount PayableEmDloyment Cateaory Emplovees be worked Under the Contract
Mechanical Engineer 6 85 $12,500Electrical Engineer 4 45 $6,250Mechanical Drafter 1 40 $3,125Electrical Drafter 1 40 $3,125
Total this oaCle
Grand Total 12 210 $25,000Name of person who prepared this report: Shaun DeMaranvilleTitle: Principal Phone #: 518-391-5322Preparer's Signature: .>h~v~~ _Date Prepared: 06/08/2016(Use additional pages, if necessary) Page 1 of 1
OSC lie. Only:
i Reporting Code:
ICategory Code:
Date Contract Approved:r Rto \- 0004'64 5' -1~qO(X)O
MState Consultant Services - Contractor's Planned Employment
From Contract Start Date Throu h The End Of The Contract Term
State Agency Name: NYS OPR&HP Agency Code: 1290000Contractor Name: Jade Stone Engineering, PLLC Contract Number: 0004845Contract Start Date: 05/01/2016 Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEm Dloyment Category Emplovees be worked Under the Contract
Principal 2 930 40000
Sr. Engineer 2 1143 40000
Jr. Engineer 2 1212 40000
Engineering Technician 1 800 20000
CADD Draftsperson 2 2545 56000
Clerical 1 200 4000
Total this page
Grand Total 10 6830 200000
Name of person who prepared this report: Jada L. WalldroffTitle: Chief Financial Officer Phone #: 315-755-0664
Preparer's Signature: 9~ 1 IJ~Date Prepared: 06/2112016(Use additional pages, if necessary) Page 1 of 1
OSC Use Only:
Reporting Code:
Category Code:
Dale Contract A roved:
FORMA
State Consultant Services - Contractor's Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term
State Agency Name: NYS OPR&HP Agency Code: 1290000Contractor Name: Spring Line Design Architecture + Engineering Contract Number: 0004845Contract Start Date: 05/01/2016 Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEmolovment Cateqorv Employees be worked Under the Contract
17-1011.00 4 240 $25,00017-2051.00 3 240 $25,000
Total thispage
Grand Total $50,000Name of person who prepared this report: Kristin KnickerbockerTitle: Principal Architect Phone #: 518.487.4755 x101Preparer'sSignature: ~,h ~
Date Prepared: 06/08/2~(USB additional pages, if necessary) Page of
OSC Use Only:
Reporting Code:
Category Code:Date Contract roved;
C'FORMA
State Consultant Services - Contractor's Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term
state Agency Name: NYS OPR&HPContractor Name: Adelaide Environmental HealthAssociates, Inc.Contract Start Date: 05/01/2016
Agency Code: 1290000
Contract Number: 0004845Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEmplovment Cateaorv Emplovees be worked Under the Contract
17-1011.00 2 200 14,9700019-4091.00 4 300 9,600.00
Total this pace
Grand Total 6 500 $24,570.00
Name of person. WhO~. ared this re~.o.rt:Stephanie A. SoterTitle: President n a.._ ; Phone #: 845-278-7710
Preparer's Signature:! . '-f ~Date Prepared: 06/08 016(Use additional pages, if necessary) Page 1 of 1
OSC Use Only;Reporting Code;
Category Code:
FORMA MState Consultant Services - Contractor's Planned Employment
From Contract Start Date Throu h The End Of The Contract Term
Date Contract roved:
State Agency Name: NYS OPR&HP Agency Code: 1290000Contractor Name: Matrix New World Engineering Contract Number: 0004845Contract Start Date: 05/01/2016 Contract End Date: 04/30/2019
Number of Number of hours to Amount PayableEmplovment Cateaorv Employees be worked Under the Contract
Principal 1 24 3000Sr. Engineer 1 40 8000
Project Manager 1 120 22000Engineer 1 80 14000
Jr. Engineer 2 120 19000
Sr. Environmental Scientist 1 60 10000
Environmental Scientist 2 120 17000
Technical Specialist 1 120 15000
Professional Surveyor 1 40 7000
Field Surveyor 2 60 6000
CAD Specialist 1 40 4000
Total this Daae
Grand Total 125000
Name of person who prepared this report: Andrew Raichle, PETitle: Vice President ~ ~~:~~:~~="~~G'CDIT1Phone #: 973-240-1800Preparer's Signature: cn-aroichl •• matlf",eworkI.<XIft1
0a""20:6.06.2115'1~"5-{)~'00'
Date Prepared: 06118/2016(Use additional pages, if necessary) Page 1 of 1
OSC Us. Only:
Reporting Code:
Category Code:
Date Contract A roved:
FORMA
State Consultant Services - Contractors Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term
State Agency Name: NYS OPR&HP Agency Code: 1290000Contractor Name: Watts Architecture & Engineering Contract Number: D004845Contract Start Date: 06/01/2016 Contract End Date: 05/31/2019
Number of Number of hours to Amount PayableEmployment Category Employees be worked Under the Contract
17-2081.00 Environmental Engineers3 92 7,563
17-3011.00 Architectural and Civil Drafters2 44 3,617
17-3025.00 Environmental engIneeringTechnicians 9 200 16,461
17-3029.99 Engineering Technidans, ExceptDrafter 1 22 1,609
19-2041.00 Environmental Scientists andSpecialist 11 250 20,550
Total this paoe 26 608 50,000Grand Total 26 608 50,000
Name of person who prepared this report: Tina L. MellottTitle: Sr. AssociateiAcctg Group Mgr.Preparer's Signature: ~,".',~",.Date Prepared: 6/912016(Use additional pages, if necessary)
Phone #. 716-206-5114
Page 1 of 1