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Employee Relations1120000 .
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31,2017
Contract Term: 01/01/2013 to 12131:2017Agency Business Unit: OER01Agency Department 10: 1120000
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: C12023
Contractor Name: WageWorks, Inc.Contractor Address: 1100 Park Place, San Mateo, CA 94403Description of Services Being Provided: Third Party Administrator of Flexible SpendingAccounts
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o TrainingIS! Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Services~ Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees HOIKS Worked Under the Contract
Employee Enrollment & Customer18.00 0.00 $516,470.74Service
RelatIonshIpManagement is. Payroii3.00 - - 0.00 - $86,078.46 ~
Interface.. .-
~~~=ting and Communications 2.00 0.00 $57,385.64Reporting 2.00 0.00 $57,385.64Compliance & Information Security 3.00 0.00 $86,078.46
._. -_------_Benefits Distribution 4.00 O.CO $114,77126
000 000 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0000.00 0.00 $000
Total this Page 32.00 0.00 $918,170.20Grand Total
Name of person who prepared this report: Darla Rosenfeld
Title: Relationship Managers [.·9' , n.. 4!'Preparer's Signature: ---(l,,-•.•-<-......;;OJ'lh_--_,~'-------..,ttf..l.~--__;_Date Prepared: 0511612017
Phone #: 617-630-0468
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORMS
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31,2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: C12028 Agency Business Unit: OER01Contract Term: 7/01/2013 to 12/31/2016 AgencyDepartmentlD: 1120000Contractor Name: Donna M Markessinis, M. Ed.
Contractor Address: 1764 Route 9 #204, Clifton Park, NY 12065
Description of Services Being Provided: Job Skills Curriculum Development
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research C8:J Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Training & Development Specialist 1.00 104.00 $3,250.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 1.00 104.00 $3,250.00Grand Total 1.00 104 $3250.00
Name of person who prepared this report: Donna Markessinis
Title: Independent ContractorDtJ-~M~Preparer's Signature: _
Date Prepared: 05/13/2017
Phone #: 518-858-8339
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contract Number: C 12030Contract Term: 04/01/2016 to 313112017
Agency Business Unit: OER01Agency Department 10: 1120000
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)
Contractor Name: Developing ProfessionalsContractor Address: 330 Pleasant View Drive, Lancaster, NY 14086Description of Services Being Provided: Development of Job Skills Training Curricula
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research [gI Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Education & Training 1.00 172.00 $21500.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 0.00 172.00 $21,500.00
Grand Total 1.00 172 21,5000.00
this report: Lori E. Miller
'. r:Q~I' 0 () ,,'Preparer's Signat re: ....,L..,,£..J....<....I..A._.(...._U-=:::..._:_;V\;~lL>UL--:::...=. _
Date Prepared: 041
Phone #: 716681-9988
(Use additional pages, if necessary) Page of
AC 3272-8 (Effective 4/12)
FORMS
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: C12031 Agency Business Unit: OER01Contract Term: 07/01/2013 to 12/31/2013 Agency Department 10: 1120000Contractor Name: Regina RobinsonContractor Address: 9 W Tulpehocken St, Phila., PA 19144Description of Services Being Provided: Job Skills Curriculum Development
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research 181 Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Emptoyees Hours Worked Under the Contract
Training and Development Specialists 1.00 192.00 $19,903.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 1.00 192.00 $19,903.00
Grand Total 1.00 192 $19,903.00
Name of person who prepared this report: Regina Robinson
Title: President ~ '~ _/Preparer's Signature: ~A t~ ~Date Prepared: 05/09/2017
Phone #: 267-251-8326
(Use additional pages, if necessary) Page 1 of 1
FORM B NYS GOER Award 66816
OSC Use Only:Reporting Code:Category Code:
State Consultant Services - Contractor's Annual Employment ReportReport Period: A ril 1,2016 to March 31,2017
State Agency Name: Governor's Office of Employee Relations Agency Code: OER01If;}..CJOOO
The Research Foundation for SUNY on behalf of theContractor Name: University at Albany, 1400 Washington Ave., Albany, Contract Number: OER01-C14037-1112000
NY 12222
Contract Start Date: 1/1/2014 Contract End Date: 12131/2017
Description of Services Being Provided: Job Skills and Professional DevelopmentScope of Contract (Choose one that best fits):Analysis Evaluation Research Training XData Processing Computer Programming Other IT ConsultingEngineering Architect Services Surveying Environmental ServicesHealth Services Mental Health ServicesAccountinq Auditinq Paraleqal Legal Other Consulting
Number of Number of hours Amount PayableEmployment Category Employees worked Under the Contract
Administrative Services Manaqers 11-3011.00 12 7,055.9 $ 408,629.22Computer Suppt. Specialist 15-1041.00 1 296.4 $ 14,876.64Computer Proqrammers 15-1021.00 3 553.6 $ 36,479.53Education Administr. -Postsec 11-9033.00 2 394.1 $ 65,583.16Exec. Secretaries & Admin. Assistants 43-6011.00 3 5,631.6 $ 188,315.65Graphic Desianer 27-1024.00 0 0.0 $ -Network & Computer SYS Adm 15-1071.00 0 0.0 $ -Office & Administrative Support, all other 43-9199.99 0 0.0 $ -Vocational Educ. Teacher - Postsec. 25-1194.00 5 6,340.4 $ 447,104.41Graduate Teachinq Assistant 25-1191.00 2 552.2 $ 12,924.55Social Scientists & Related Workers, All Other 19-3099.99 3 1,582.5 $ 94,122.01Traininq and Development Managers 11-3042.00 2 1,068.8 $ 65,294.16Social Science Research Assistant 19-4061.00 1 158.1 $ 13,022.70Business Teachers, Postsecondary 25-1011.00 2 735.0 $ 210,650.00
a 0.0 $ -a 0.0 $ -
a 0.0 $ -
Total this page 36 24,368.6 $ 1,557,002Grand Total 36 24,368.6 $ 1,557,002.00
Name of person who prepared this report: Julie Aversa
Title: Project Staff Associate
Phone No: 518-442-6566
Preparer's Signature: ~lu- Q'V-tJ\aO,_Date Prepared: 4/25/2017
Submit Form B to each of the following locations: NYS Office of the State Comptroller, Bureau of Contracts, 110 State Street, 11th Floor, Albany, NY 12236;Attn: Consultant Reporting, Fax (518) 474-8030 or (518)-473-8808; NYS Department of Civil Service, Alfred E. Smith Office Building, Albany, NY 12239;NYS Governor's Office of Employee Relations, Division for Administration, 2 Empire State Plaza, 8th Floor, Albany, NY 12223-1250, Fax (518) 473-6725.
Chapter 10 defines Consulting Services to include any contracts entered into by the University for analysis, evaluation, research, training, data processing, computerprogramming, engineering, environmental, health, and mental health services, accounting, auditing, paralegal, legal or similar services.
(Note: Access the O<NET database, which is available through the US Department of Labor's Employment and Training Administration,on-line at online.onetcenter.org to find a list of occupations.)
AC 3272-S (Effective 4/12)
FORM 8
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1,2016 to March 31,2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)
Contract Number: S15003 Agency Business Unit: OER01
Contract Term: 1111/2017 to 12/3112017 Agency Department ID 1120000Contractor Name: Jeffrey M. Selchick, Esq.
Contractor Address: PO Box 11280, Albany, NY 12211
Description of Services Being Provided: Regional Arbitrator for CSEA Expedited Process
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal ~ Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Regional Arbitrator 1.00 800.00 $48,600.000.00 0.00 $0.00000 000 $0.000.00 0.00 $0.000.00 000 $0 00000 000 50 000.00 0.00 $0 000.00 0.00 $0 000.00 000 $0 000.00 000 $0.00000 0.00 $0.00000 000 $0.00000 0.00 $0 00
Total this Page 1.00 800 00 $48,600.00Grand Total 1 00 1,000 $48,600 00
Title: Regional Arbitrator
Preparer's Signature:
Date Prepared: 05/10/201
518-783-0016
(Use additional pages, if n Page 1 of I
AC 3272-S (Effective 4/12)
FORM 8
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: S15004 Agency Business Unit: OER01Contract Term: 01/01/2013 to 12/31/2017 Agency Department 10: 1120000Contractor Name: Jay M. SiegelContractor Address: 12 Rock Street, Cold Spring, NY 10516Description of Services Being Provided: Labor Arbitrator
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal C8J Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Labor Arbitrator 1.00 550.00 $43,200.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 000 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 000 $0.00
0.00 0.00 $000
0.00 0.00 $0.00
Total this Page 1.00 600.00 $43,200.00
Grand Total 1.00 600 $43,200.00
Name of person who prepared this report: Jay M. Siegel
Title: Arbitrator
Preparer's Signatu re: --?--,I.:.....;:_--I---I'.--I--:..v.---=.,~f.--------
Date Prepared: 04/25/2017
Phone #: 845-265-3124
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31 , 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: S15005 Agency Business Unit: OER01Contract Term: 01/01/2017 to 12/31/2017 Agency Department 10: 1120000Contractor Name: Nancy E HoffmanContractor Address: PO Box 3719 Albany, NY 12203Description of Services Being Provided: ARBITRATOR
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services D Mental Health Services
o Accounting o Auditing o Paralegal o Legal I:8J Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
ARBITRATOR 1.00 512.00 $58,783.62
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 1.00 512.00 $58,783.62
Grand Total 1.00 512 $58,783.62
Name of person who prepared this report: NANCY E HOFFMAN
Title: ARBITRATOR 'li7_~ &0/Preparer's Signature: -~_'__---+-?--~-7f---l'--l-I--,-)~____,,,,,,,,,-,,_Date Prepared: 04/25/2017
Phone #: 518-441-5099
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: S15006Contract Term: 04/01/2016 to 03/31/2017
Agency Business Unit: OER01Agency Department 10: 1120000
Contractor Name: James E. Martin, Jr.
Contractor Address: 2201 Brooke Circle Watervliet, New York 12189Description of Services Being Provided: Arbitrator
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal [gI Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the ContractArbitrators, Mediators and Conciliators 1.00 1,560.00 $72,441.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00--~-'.
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 1.00 1,560.00 $72,441.00Grand Total 1.00 1,560.00 $72,441.00
Name of person who prepared this report: James E. Martin_ Jr.
Title: Permanent Umpire 1~~Il.Preparer's Signature: --~""_:J=>,,,-----_-<::J_. _Date Prepared: 05/0 J /2017
Phone #: 5 J 8 339-66 J 2
(Use additional pages, if necessary)Page 1 of 1
AC 3272-S (Effective 4/12)
FORMS
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governors Office of Employee Relations (GOER)Contract Number: S160012 Agency Business Unit: OER01Contract Term: 01/01/2017 to 12/31/2021 Agency Department 10: 1120000Contractor Name: John P KowalchykContractor Address: 211 Lower Rocky Point Road, Sound Beach, NY 11789Description of Services Being Provided: Job Skills and Adult Ed Basics Training
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research ~ Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Services
o Auditing .0 Paralegal o Legal- o Other Consultingo Accounting
Number of Numberof . Amount PayableEmplQyment C~tegory . ' , . J : Employees Hours Worked Under the Contract' <
Training and Develop Spec 1.00 206.00 $16351.700.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 1.00 I 0.00 $16,351.70
Grand Total 1.00 0 $16,351.70-
Title: Consultant
Pre parer's Sig nature, ~":__..l....lL-=--=''':_..L.f-~~=---=~---,4--\--_
Date Prepared: 041
Phone #: (631 )702-~498
Page 1 of 1(Use additional pages, if necessary)
AC 3272-8 (Effective 4/12)
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: S160014 Agency Business Unit: OER01Contract Term: 1/01/2017 to 12/31/2021 Agency Department ID: 1120000Contractor Name: Donna M Markessinis, M. Ed.
Contractor Address: 1764 Route 9 #204, Clifton Park, NY 12065
Description of Services Being Provided: Job Skills Curriculum Development and TrainingProgram Delivery
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research ~ Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Training & Development Specialist 2.00 52.00 $5,200.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 2.00 52.00 $5,200.00Grand Total 2.00 52 $5,200.00
Name of person who prepared this report: Donna Markessinis
Title: Independent Contractor
D~~M~Preparer's Signature: _
Date Prepared: 05/13/2017
Phone #: 518-858-8339
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)
Contract Number: S160028 Agency Business Unit: OER01
Contract Term: 1//1/2017 to 12/31/2021 Agency Department 10: 1120000
Contractor Name: Jeffrey M. Selchick, EsqContractor Address: PO Box 11280, Albany, NY 12211Description of Services Being Provided: Master Arbitrator for Article 34 Grievance Procedure
Scope of Contract (Choose one that best fits):
o Analysis DEvaluation o Research o Training
o Data Processing o Computer Programming o Other IT consulting
o Engineering o Architect Services o Surveying o Environmental Services
o Health Services o Mental Health Services
o Accounting o Auditing o Paralegal 1SJ Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Master Arbitrator 1 00 1.00000 $6480000
000 000 $0.00
000 000 $0.00
000 000 $0.00
000 000 $000
000 000 $000
000 000 $0.00
0.00 000 $0.00
0.00 000 $000
0.00 000 $0.00
000 000 $0.00
000 000 $000
000 000 $0.00
Total this Page 1 00 1,00000 $ 000
Grand Total 1.00 1,000 $64.800.00
Name of person. who prepared this reP>:Rrt: fey M. Selchick_ Esq.
Title: Ma~ter Arbitrator ~. : p_p() Phone #: 518-783-0016
Preparer S Signature: \ +---=-_,,_____.....::!'-~_-==----=-==...l....::::..+-Date Prepared: 05/10/20]7
"-(Use additional pages, if necessary) Page 1 of I
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: T14004 Agency Business Unit: OER01Contract Term: 6/01/2014 to 12/31/2016 Agency Department ID: 1120000Contractor Name: Donna M Markessinis, M. Ed.Contractor Address: 1764 Route 9 #204, Clifton Park, NY 12065Description of Services Being Provided: Job Skills Training Program Delivery
Scope of Contract (Choose one that best fits):D Analysis DEvaluation D Research [SJ TrainingD Data Processing o Computer Programming o Other IT consultingD Engineering D Architect Services D Surveying D Environmental ServicesD Health Services o Mental Health ServicesD Accounting o Auditing o Paralegal o Legal D Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Training & Development Specialist 2.00 104.00 $10400.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 2.00 104.00 $10,400.00Grand Total 2.00 104 $10,400.00
Name of person who prepared this report: Donna Markessinis
Title: Independent Contractor Phone #: 518-858-8339Preparer's Signature: D&-~ 711 ~Date Prepared: 05/13/2017
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORMS
New York State Consultant Services Contractor's Annual Employment Report . Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations
Contract Number: 0000000123 Agency Business Unit: OER01
Contract Term: 12/1/16 to 12/31/17 Agency Department ID: 1120000
Contractor Name: Michael J. Smith
Contractor Address: 84 Parkwyn Drive, Delmar NY 12054
Description of Services Being Provided: Arbitrator, Expedited Dispute Resolution Program CSEA/NYS
Scope of Contract (Choose one that best fits):
0Analysis 0 Evaluation 0 Research 0 Training
0 Data Processing 0 Computer Programming 0 Other IT consulting
D Engineering 0 Architect Services D Surveying 0 Environmental Services 0 Health Services 0 Mental Health Services
0 Accounting 0 Auditing 0 Paralegal 0 Legal ~ Other Consulting
Number of Number of Amount Payable Employment Category Employees Hours Worked Under the Contract
Arbitrator 1.00 848.00 $45, 160.85
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00.
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 1.00 848.00 $45,160.85
Grand Total 0.00 848 $45, 160.85
Name of person who prepared this report: Michael J. Smith
Title: EDR Arbitrator
Preparer's Signature:
Date Prepared: 5/10/17
-C'rk-/ {. Ad
(Use additional pages, if necessary)
Phone#: 518-439-1411
Page of
AC 3272-8 (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31 , 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: OER01-289 Agency Business Unit: OER01Contract Term: 4/1/2016 to 3/31/2017 Agency Department 10: 1120000Contractor Name: j Kimple & Associates, LLCContractor Address: !80 Merrill Road, Highland Mills, NY 10930Description of Services Being Provided: Preparation, development, and delivery of Labor-Management Committee training
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research ~ Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Training and Development Specialist 1.00 128.00 $17,400.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00
,$0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.000.00 000 $000
Total this Page 1.00 128.00 $17,400.00
Grand Total
Name of person who prepared this report: James A 'Kimple
Title: President I a_Preparet's S;9nature'-Gl ~Date Prepared: 5/101 0
Phone #: 845-534-2899
(Use additional pages, if necessary) Page 1 of 1
XX 0000000289
AC 3272-S (Effective 4/12)
FORMS
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: De (701 Oot)oaoo30s' Agency Business Unit: OER01Contract Term: 4- / J /ctUl~to_ ~ BI/ aOrt- Agency Department 10: 1120000Contractor Name: ~ j)f(lSm~ ,Contractor Address: LP:1.- -p '61b.f:- ed. L\j \n~rvy l~Qu;.5Description of Service Being Provloed: (
• I' . /'c& * det L
Scope of Contract (Choose one that best fits~:o Analysis 0 Evaluation 0 Research aining
o Data Processing 0 Computer Program ing 0 Other IT consultingo Engineering 0 Architect Services 0 Surveying 0 Environmental Services
o Health Services 0 Mental Health Services
o Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting
Empl9yment CategoryNumber of Number of Amount PayableEmployees Hours Worked Under the Contract
0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00, 0.00Total this Page
Grand Total
Name of person who prepared this report:l_£~ ~(Y\ ~
Titl;rra..l 'l-tr:C~ ~ Phone#: (j61-~I- 0/5'7-Preparer's Signature: ~~
Date Prepared5[)../clOL""1-(Use additional pages, if necessary) Page of
AC 3272-S (Effective 4/12)
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: O£i/Z(;}-1- OOOD'.;);.J()39lp Agency Business Unit: OER01
J.D i&Contract Term:,//- t03//Z.OI-/ • . ;. \ Ar Department 10: 1120000Contractor Name: 16 {,i<-1- LtV-L/''} ~ u~
D.. ~_ _ _ J f//((~'V"- J-Ilj 105- / ()Contractor Address: ~ /hl/eA~ef'f IJv· ) phO--l4:_i:<-/f..- . .Description of Services Being Provided: / ().- DD-yI !l(~.Jv hiS! ~~
\16nu ~ tN (_uo-'-fc-tP~
Scope of Contract (Choose one that b~
Analysis Evaluation Research rainingData Processing Computer Programming Other IT consultingEngineering Architect Services Surveying Environmental ServicesHealth Services Mental Health ServicesAccounting Auditing Paralegal Legal Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
!&-<..~-";__¥f ~ ~.e.lhL!L •.t- , /4S i- t( IfA7r-. 00~') oJ, -' '/~A....t'I-" 0.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
Total this Page 0.00 0.00 $ 0.00Grand Total /([ L/ _.. 00. 7 ~:,
Name of person who prepared this report. ~Title:tb'o/fr. ..Lf 6eJ---Hr h.~ ~ Phone #: q ) LJ 2 tv 0 2 & (c;.f(Preparer's Signature: ~-- _
Date Prepared: 1/ r:jl/\f, 7 "\('./)-........-.
AC 3272-S (Effective 4/12)
FORMB
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: 397 ~ 000 ()CilYl>3't! (/.0) Agency Business Unit: OER01Contract Term: 6/9/2016 to 3/22/17 Agency Department ID: 1120000Contractor Name: Dynamic Training Inc.Contractor Address: 40 West 84th Street, Suite 4A; NY, NY 10024Description of Services Being Provided: Development and delivery of nine sessions of an"LGBTQ Community" training program for NYS EAP Coordinators
Scope of Contract (Choose one that best fits):o Analysis DEvaluation o Research [gI Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal o Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Training and Development Specialist 1.00 500.00 $24,575.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 1.00 500.00 $24,575.00
Grand Total 1.00 500 $24,575.00
Title: President
Pre parer's Signature: -__,£..1,__-----'L_...J....J~::...=~~....:........::-=--
Date Prepared: 4/25/17
Phone #: 518-369-9353
~
(Use additional pages, if necessary) Page 1 of 1
AC 3272-S (Effective 4/12)
FORM B
New York State Consultant ServicesContractor's Annual Employment Report
Report Period: April 1, 2016 to March 31, 2017
Contracting State Agency Name: Governor's Office of Employee Relations (GOER)Contract Number: 446 & 409 Agency Business Unit: OER01Contract Term: 1 12016 to 1 12017 Agency Department 10: 1120000Contractor Name: Royal Temporaries, Inc.Contractor Address: 66 Hawley Street, Binghamton, NY 13901Description of Services Being Provided: Temporary staffing services
Scope of Contract (Choose one that oest fitsj:o Analysis DEvaluation o Research o Trainingo Data Processing o Computer Programming o Other IT consultingo Engineering o Architect Services o Surveying o Environmental Serviceso Health Services o Mental Health Serviceso Accounting o Auditing o Paralegal o Legal ~ Other Consulting
Number of Number of Amount PayableEmployment Category Employees Hours Worked Under the Contract
Secretaries and AdministrativeAssistants, Except Legal, Medical, and 2.00 1,277.70 $29,540.50Executive
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.00
0.00 0.00 $0.000.00 0.00 $0.000.00 0.00 $0.00
0.00 0.00 $0.00
Total this Page 2.00 1,277.70 $29,540.50
Grand Total 2.00 1,277 $29,540.50
Name of person who prepared this report: Jennifer Hughes
Title: Contract Administrato
Preparer's Signature:Date PreparedH 12'b1"W l
Phone #: (607) 772-8080
(Use additional pages, if necessary) Page 1 of 1