Attachment 2 SDP Form.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- DHCD2023-39 EA Hotel Motel Provider Services
- Solicitation number
- BD-23-1076-OCDDE-HS003-87275
- Issued by
- Massachusetts
About this file
The document provided is the Supplier Diversity Program (SDP) Form for Purchase of Service (POS) Providers, which must be completed annually by providers holding POS contracts with Commonwealth departments in Massachusetts. The form requires the contractor to provide information on their total POS state expenditures, gross revenue, and details on any SDP partner companies they have engaged, including the certification type, relationship type, expended amount in the prior fiscal year, and committed amount for the current fiscal year.
The related state and local contract opportunity is for DHCD2023-39 EA Hotel Motel Provider Services in the state of Massachusetts. This contract is for the provision of hotel and motel services as part of the Massachusetts Department of Housing and Community Development's Emergency Assistance (EA) program.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Hotel RFR 2023 - Final.pdf | ||
| Award Notification Memo_DHCD2023-39.docx | DOCX document | |
| finding-open-rolling-enrollment-bids-when-logged-in-commbuys.pdf | ||
| Attachment 1 EA Hotel RFR Response Form.docx | DOCX document |
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Text version
SDP Spending Report for POS Supplier Diversity Program (SDP) Form for Purchase of Service (POS)
| Providers must complete all parts of this form in order to be qualified to contract with Commonwealth Agencies for POS services. |
| This form is due annually with a provider's UFR Report, and a copy of the completed form is to be submitted when responding to POS contract opportunities with an Executive Department. |
Submission for Fiscal Year Please do not convert to PDF. See "How to Submit" for instructions.
Part I Contractor Information (Required)
| Business Name | Contact Name | Contact Email | Contact Phone | Fiscal Year Total POS State Expenditures for the Reporting Year (e.g. 2022) | The Contractor's Gross Revenue for the Reporting Year (e.g. 2022) |
| $ - 0 | $ - 0 | ||||
| Subcontracting | |||||
| Part II | SDP Partner Information (Required) (Insert additional lines as needed) | Ancillary Products and Services | |||
| Providers that are currently SDO Certified may not list themselves as a Partner in this section. | |||||
| Planned and Current SDP Partner Company Name(s) (as it appears in a database of eligible partners)* | Certification Type (Choose One)** | Relationship Type (Subcontracting or Ancillary) (Choose One) | Expended Amount in the UFR Reporting Year/Prior Fiscal Year (e.g. 2022) | Committed Amount in Current Fiscal Year (e.g. 2023) | |
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| TOTAL | $ - 0 | $ - 0 | |||
| PERCENT (%) OF POS SPEND | 0% |
| *Eligible SDP Partners can be found by searching: | **All SDP Partners must possess one or more of |
| Supplier Diversity Office Directory of Certified Businesses | the following certification types: |
| U.S. Dept of Veterans Affairs Vendor Information Pages | MBE - Minority Business Enterprise |
| WBE - Woman Business Enterprise | |
| M/WBE - Minority and Woman Business Enterprise | |
| How to Submit this Form: | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise |
| • Complete the form electronically. No signature is required. | VBE - Veteran-Owned Business Enterprise |
| • "Save as" an Excel 97-2003 Workbook (*.xls) | M/NPO - Minority Non-Profit Organization |
| • Important: Do not use the current Excel Workbook (*.xlsx) format. | W/NPO - Women Non-Profit Organization |
| • Submit with your UFR filing. Enter "SDP Form" under Document Category. | M/W/NPO - Minority and Women Non-Profit Organization |
| DOBE - Disability-Owned Business Enterprise | |
| Form updated 08/24/2022 | LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise |
FORM INSTRUCTIONS
Overall Providers that hold POS contracts with Commonwealth departments are required to file a "Supplier Diversity Program (SDP) Form for Purchase of Service (POS)" each year and upload it with their Uniform Financial Report (UFR). This requirement includes Providers who have already been certified by the Supplier Diversity Office (SDO) as a Minority- and/or Women Business/Organization. Providers that are exempt from UFR filing requirements must submit the SDP form when they upload their exemption request. Providers responding to POS bids posted on COMMBUYS will be directed to submit the most recent completed copy of this form with their proposals/quotes.
Part I - Contractor Information
● Contractor Information: Business name, contact name, phone number and email.
● The Contractor's Gross Revenue for the Reporting Year: The contractor's gross revenue for the entire organization as reported to the Internal Revenue Service or the Massachusetts Department of Revenue.
● Fiscal Year Total POS State Expenditures can be found on the "POS Expenditure and Federal Funds Listing" posted by OSD on the provider’s UFR eFiling site.
Part II - Contractor's SDP Partner Information All SDP Partner(s) listed on the form must be certified in one or more of the certification categories listed on Page 1 of this form. Links to searchable databases of eligible SDP partners are also available on Page 1 of the form.
Providers certified by the Supplier Diversity Office may not list their own organization as an SDP partner.
● Certification Type: Select the partner's certification type from the menu. For partners with multiple certification types, please select the one that is highest on the dropdown list.
● Relationship Type: Select one of the following types:
- Subcontracting, defined as a partnership in which the SDP partner is involved in the provision of products and/or services to the Commonwealth. Such relationships typically, but not always, involve a formal written agreement between the SDP partner and the prime contractor.
- Ancillary Products and Services, defined as a business relationship in which the SDP partner provides products or services that are not directly related to the prime contractor’s contract with the Commonwealth. In most cases, this type of partnership is related to the prime contractor’s general business needs. Note: If the Commonwealth receives a portion of the products or services that are provided through this relationship type, the portion received by the Commonwealth may be reported as subcontracting while the remainder of the amount may be reported as ancillary products and services.
● Expended Amount in the UFR Reporting Year/Prior Fiscal Year: Enter the amount (as an exact dollar figure) that your organization expended with SDP partner(s) during the past fiscal year (UFR reporting year). If you are filing a UFR for Fiscal Year 2022, enter the amount spent with SDP partner(s) during Fiscal Year 2022.
● Committed Amount in Current Fiscal Year : Enter the amount (as an exact dollar figure) your organization is committed to spend with SDP partner(s) during the current Fiscal Year. If you are filing a UFR for Fiscal Year 2022, the commitment would be for Fiscal Year 2023.
Additional Resources
● More information about the Supplier Diversity Program (SDP) is available at www.mass.gov/sdp
● More information about supplier diversity certifications is available at www.mass.gov/sdo https://vetbiz.va.gov/basic-search/https://www.diversitycertification.mass.gov/BusinessDirectory/BusinessDirectorySearch.aspx
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