Copy of sdp-rplan-form-3-reporting~6.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-21-1025-DOCFS-9813-59896
- Issued by
- Norfolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report Form #3 for a state contract in Massachusetts. The form requires the contractor to provide information on their company's spending with SDP partners, including the partner company name, certification type, and quarterly spending amounts. The contractor must submit this form within 45 days of the end of each quarter to the Commonwealth Contract Manager. The form includes instructions, contractor information, SDP partner information, and a certification statement.
The related state and local contract opportunity is for the installation of conduit at MCI - Cedar Junction in Massachusetts. The project is identified as DRM 2018-46 #2 Conduit Installation. Plans and specifications are available starting on 3/18/21, and bid intent forms must be submitted by noon on 3/26/21. No other details about the project scope, schedule, or contract terms are provided.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Intent Form~12.rtf | RTF text file | |
| Prevailing Wages~11.pdf | ||
| Prevailing Wage Statement of Compliance~36.pdf | ||
| Where to get plans and specs~17.docx | DOCX document | |
| Bid Package_DRM 2018-46 2.doc | DOC document | |
| Plan Holders List~16.docx | DOCX document | |
| Bid Results~37.doc | DOC document | |
| Addendum No. 1~4.pdf | ||
| Prevailing Wage Payroll Report Form~36.pdf | ||
| Site Visit List~3.pdf | ||
| Bidder Checklist~27.doc | DOC document | |
| DRM 2018-46 2 Conduit Installation CLARIFICATION - Typographical Error Pre-Bide Site Visit Date.docx | DOCX document |
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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 | Annual 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 (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.
| Name | Supplier Diversity Certification Acronyms: | |
| Title | MBE - Minority Business Enterprise | |
| Phone | WBE - Woman Business Enterprise | |
| M/WBE - Minority and Woman Business Enterprise | ||
| Authorized Signature | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise | |
| (May be left blank if submitted electronically) | VBE - Veteran-Owned Business Enterprise | |
| Date | M/NPO - Minority Non-Profit Organization | |
| W/NPO - Women Non-Profit Organization | ||
| *This is your company's SDP Plan commitment percentage submitted in your Bid Response | M/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 contact | LGBTBE - 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/sdo | Revised: March 8, 2016 |
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File details come from the government source that posted it. Updated .