commbuys.sdp.pln.report.frm3.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- DEP-BWSC-ERIRA-2017-14
- Solicitation number
- BD-17-1045-BWSC0-BWSC1-15649
- Issued by
- Massachusetts
About this file
The document provided is an SDP Spending Report Form #3 related to a Massachusetts state and local contract opportunity. The form requires the contractor to provide information on their spending with Supplier Diversity Program (SDP) partners, including the partner names, certification types, and quarterly spending amounts. The contractor must complete and submit this form within 45 days of the end of each quarter to the Commonwealth Contract Manager. The related state and local contract opportunity is for the Emergency Response/Immediate Response Action Support Services Contract (DEP-BWSC-ERIRA-2017-14) issued by the Massachusetts Department of Environmental Protection (MassDEP) to provide professional environmental services in support of Emergency Response and Immediate Response Actions associated with M.G.L. Chapter 21E and the Massachusetts Contingency Plan (MCP) regulations.
The form includes sections for the contractor to report their total supplier diversity quarterly contract sales, as well as the specific spending amounts with each SDP partner. The contractor must also provide their annual SDP spending commitment percentage and explain any non-compliance with meeting that commitment. The form requires the contractor to certify under pains and penalties of perjury that the information provided is accurate.
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Text version
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 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 .