commbuys.sdp.pln.report.frm3.6.8.18.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
DEP-BAW-DPE-EQE-LAW-2014-Ambient Air-MA - REOPENED
Solicitation number
BD-21-1045-BAW00-BAW01-56643
Issued by
Massachusetts

About this file

This document is a Supplier Diversity Program (SDP) Spending Report form required to be completed and submitted quarterly by contractors to the Commonwealth of Massachusetts. The form captures the contractor's annual SDP spending commitment percentage and the quarterly and fiscal year-to-date spending with their SDP partners, which include minority-owned, woman-owned, veteran-owned, and other certified diverse businesses. Contractors must provide details on their SDP partner companies, such as their name, certification type, and quarterly spending amounts. The form also requires the contractor to certify the accuracy of the information provided under pains and penalties of perjury.

The related state and local contract opportunity is for the Massachusetts Department of Environmental Protection (MassDEP) to establish an "Open Enrollment" contract for Ambient Air Quality Instrumentation, Parts, Supplies, Maintenance Agreements, and Repair. This contract is designed to create a large pool of pre-qualified contractors and vendors from which the various departments throughout the Commonwealth can select services as needed. The contract has no specified term length or renewal options.

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SDP Spending Report

Supplier Diversity Program (SDP) Spending Report
SDP Plan Form #3
Document Number/Name:
Instructions: This form must include information on your company's spending with your Supplier Diversity Program (SDP) Partner(s) and must be completed and submitted
within 45 days of the end of each quarter to Commonwealth Contract Manager.

Part I Contractor Information (Required)

Contractor CompanyContact NameAnnual Supplier DiversityQuarterly Contract SalesFiscal Year
NameSpending 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) CompanyEmail Address**Certification Type***Quarterly Spending with Supplier Diversity Partner(s)Fiscal Year
Name (as it appears on a list at www.mass.gov/sdo)(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.

NameSupplier Diversity Certification Acronyms:
TitleMBE - Minority Business Enterprise
PhoneWBE - Woman Business Enterprise
EmailM/WBE - Minority and Woman Business Enterprise
Authorized SignatureSDVOBE - Service-Disabled Veteran-Owned Business Enterprise
(May be left blank if submitted electronically)VBE - Veteran-Owned Business Enterprise
DateM/NPO - Minority Non-Profit Organization
W/NPO - Women Non-Profit Organization
*This is your company's SDP Plan commitment percentage submitted in your Bid ResponseM/W/NPO - Minority and Women Non-Profit Organization
or established through negotiation.DOBE - Disability-Owned Business Enterprise
**The Supplier Diversity Office and contracting department reserves the right to contactLGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise
SDP Partners at any time to request that they attest to the amounts reported to have been
paid to them by the Contractor.
***Certification Type for SDP Partner(s) can be checked at www.mass.gov/sdoRevised: March 8, 2016

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File details come from the government source that posted it. Updated .