Attachment G.3 - SDP.Spending Report.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- BD-20-1062-LOT-LOTDO-49154
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report for a criminal background screening services contract solicited by the Massachusetts State Lottery Commission (MSLC). The report details the contractor's quarterly spending and compliance with the SDP requirements for the contract. It includes sections for the contractor's information, SDP partner information, and a certification of the accuracy of the reported data. The underlying contract opportunity, RFR 2103 - Criminal Background Screening Services, seeks suppliers to provide criminal background screening records check services to MSLC in accordance with its statutory and regulatory mandates.
The report requires the contractor to provide quarterly spending information for the contract, broken down by the contractor's total supplier diversity spending and spending with specific SDP partner companies. The contractor must also certify the accuracy of the reported data and explain any non-compliance with the annual SDP spending commitment. The contract opportunity does not provide additional details on pricing terms, set-asides, incumbents, funding sources, or other salient information.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A_comm-termsconditions.pdf | ||
| Attachment D casl-form.pdf | ||
| Attachment J_EFT.pdf | ||
| Attachment F_References.doc | DOC document | |
| Attachment G.2 - SDP Plan. Declaration of SDP Partners.docx | DOCX document | |
| Attachment L.doc | DOC document | |
| Attachment N - Bidder Questionnaire.xlsx | XLSX spreadsheet | |
| Attachment I_Certificate_of_Non-collusion.pdf | ||
| RFR 2103. Criminal Background Screening Services.pdf | ||
| Attachment K_PPD.doc | DOC document | |
| Attachment H.1 - Invest in MA Form.doc | DOC document | |
| Attachment E certgoodstandingform~1.pdf | ||
| Attachment G.1 - SDP Plan Commitment.docx | DOCX document | |
| 2103. Phase I Template.docx | DOCX document | |
| Attachment H.2 - Invest in MA Instructions.doc | DOC document | |
| Attachment M - Cost Table.docx | DOCX document | |
| Attachment C newmass-w9.pdf | ||
| Attachment B Contract Form.pdf | ||
| RFR 2103. Q and A.pdf |
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Text version
SDP Spending Report
| Supplier Diversity Program (SDP) Spending Report |
| SDP Plan Form #3 |
| Document Number/Name: |
| Criminal Background Screening Services RFR COMMBUYS Bid Number: BD-20-1062-LOT-LOTDO-49154 MSLC Document Number: RFR LOT #2103 |
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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