Attachment G sdprplanform3reporting.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- RFR LOT Number 1508 - Advertising Services
- Solicitation number
- BD-15-1062-LOT-00001-00000003432
- Issued by
- Suffolk County, Massachusetts
About this file
This document is an Attachment G SDP Spending Report for a Massachusetts State Lottery Commission (MSLC) contract opportunity for Advertising Services (COMMBUYS Bid Number: BD - 15-1062-LOT-00001-00000003432 - MSLC Document Number: RFR LOT #1508). The contract requires the selected vendor to provide a range of advertising services strategically designed to increase game sales and maximize net profit returned to the Commonwealth. The report tracks the contractor's spending commitments and quarterly expenditures with Supplier Diversity Program (SDP) partners as part of the contract requirements.
The report requires the contractor to provide information on their total quarterly contract sales, SDP spending commitment percentage, and detailed breakdowns of their quarterly spending with certified SDP partners. The contractor must certify the accuracy of the information provided under pains and penalties of perjury. The Commonwealth reserves the right to contact SDP partners at any time to verify the reported payment amounts.
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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 - 15-1062-LOT-00001-00000003432 - MSLC Document Number: RFR LOT #1508 |
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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File details come from the government source that posted it. Updated .