2.3.6. SDP.Spending Report.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- RFQ 1701. Agent Location Hardware
- Solicitation number
- BD-17-1062-LOT-00001-00000009131
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report for a contract for Advertising Services with the Commonwealth of Massachusetts. The contract, identified by COMMBUYS Bid Number BD-16-1062-LOT-00001-00000007238 and RFR LOT #1604, requires the contractor to report their quarterly spending with Supplier Diversity Partner(s) as a percentage of their total contract sales. The report includes fields for the contractor's company information, total quarterly contract sales, and details on the Supplier Diversity Partner(s) engaged, including their certification type and quarterly spending amounts.
The related state and local contract opportunity is for the provision of Agent Location Hardware and associated peripherals including software to support an integration to the existing ProSys lottery host system and migration to an upgraded host platform for the Massachusetts State Lottery Commission. The request for qualifications (RFQ 1701) is open to interested companies, with no specific details provided on item quantities, response dates, award dates, or contract term.
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Other files
| File | Type | Posted |
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| 2.3.15. Certificate of Non-collusion.pdf | ||
| 2.3.8. Business Reference Form.doc | DOC document | |
| 2.3.12. Disclosure Statement.docx | DOCX document | |
| 2.3.10. EFT Form.pdf | ||
| 2.3.13. MSLC_Personal Data Certification.doc | DOC document | |
| 2.3.1. Standard Contract Form.doc | DOC document | |
| Agent Hardware RFQ.pdf | ||
| 2.3.6. SDP Plan. Declaration of SDP Partners.docx | DOCX document | |
| 2.3.7. Invest in MA Form.doc | DOC document | |
| 2.3.5. Consultant Contractor Mandatory Submission Form.doc | DOC document | |
| 2.3.14. EPP Form.doc | DOC document | |
| 2.3.7. Invest in MA Instructions.doc | DOC document | |
| 2.3.2. CoMA T and C.pdf | ||
| 2.3.9. Cert. of Good Standing.pdf | ||
| 2.3.4. Contractor Auth. Signatory Listing.pdf | ||
| 2.3.6. SDP Plan Commitment.docx | DOCX document | |
| 2.3.11. Prompt Payment Form.doc | DOC document | |
| 2.3.3. W9.pdf | ||
| 1701 Questions.xlsx | XLSX spreadsheet |
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Text version
SDP Spending Report
| Supplier Diversity Program (SDP) Spending Report |
| SDP Plan Form #3 |
| Document Number/Name: |
| Advertising Services COMMBUYS Bid Number: BD-16-1062-LOT-00001-00000007238 - MSLC Document Number: RFR LOT #1604 |
Part I Contractor Information (Required)
| Contractor Company | Contact Name | Total Supplier Diversity | Quarterly Contract Sales | Fiscal Year | |||
| Name | Spending Commitment %* | Quarter 1 (7/1-9/30) | Quarter 2 (10/1-12/31) | Quarter 3 (1/1-3/31) | Quarter 4 (4/1-6/30) | Total (calculates automatically) | |
| $ - 0 |
Part II SDP Partner Information (Required) (Insert additional lines as needed)
| SDP Partner(s) Company | Email Address** | Certification Type*** | Quarterly Spending with Supplier Diversity Partner(s) | Fiscal Year | |||
| Name | (Choose One) | Quarter 1 (7/1-9/30) | Quarter 2 (10/1-12/31) | Quarter 3 (1/1-3/31) | Quarter 4 (4/1-6/30) | Total (calculates automatically) | |
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| Year-To-Date Compliance Check (Do not change this line) | $ - 0 |
If not in compliance, please explain why and what actions will be taken to bring your company to compliance with the annual spending commitment:
Part III Under the pains and penalties of perjury I certify that the information provided in this report is accurate.
| Name | Supplier Diversity Certification Acronyms: |
| Title | MBE - Minority Business Enterprise |
| Phone | WBE - Woman Business Enterprise |
| MWBE - Minority and Woman Business Enterprise | |
| Authorized Signature | MNPO/WNPO/MWNPO - Minority or Woman Non-Profit Organization |
| (May be left blank if submitted electronically) | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise |
| Date |
| *This is your company's SDP Plan commitment percentage submitted in your Bid Response or established through negotiation. |
| **The Supplier Diversity Office and contracting department reserves the right to contact SDP Partners at any time to request that they attest to the amounts reported to have been |
| paid to them by the Contractor. |
| ***Certification Status for SDP Partner(s) can be checked at www.mass.gov/sdo |
&"-,Bold"&10Last Edit: &"-,Regular"&D
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