REQ - Supplier Diversity Program Form 10-10-2016 - Copy~3.docx
DOCX document 42 KB Posted
- Attached to
- RFR 191728 EMT Chief Examiners
- Solicitation number
- BD-18-1031-BHCSQ-HCS06-27786
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Plan Commitment & Declaration of SDP Partner(s) Form for a state and local contract opportunity. The form requires bidders to provide information on their annual financial commitment to spending with certified SDP partners, the specific SDP partners they plan to utilize, and the certifications held by those partners. The related state and local contract opportunity is for RFR 191728 EMT Chief Examiners, issued by the state of Massachusetts.
The form instructs bidders to complete all parts, including identifying an SDP partner before a contract can be executed. Bidders must provide the percentage of contract sales that will be spent with SDP partners on a Massachusetts fiscal year basis. The form also requires listing the planned SDP partner companies, their certifications, and the functions they will perform. The Supplier Diversity Office and contracting department reserve the right to contact the listed SDP partners to verify the reported amounts paid to them by the contractor.
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Text version
Supplier Diversity Program (SDP) Plan Commitment & Declaration of SDP Partner(s) (Form to be submitted with quote) Contract/RFR Document Number: Click here to enter text.
Instructions: Completing all parts of this form is mandatory. Please read all sections of the Bid related to the SDP. Complete one form and submit with your Quote. An SDP partner must be identified before a contract can be executed. See resource information below to assist in partnering with certified businesses.
Important: Prime bidders that are certified as an M/WBE, M/WNPO, VBE and SDVOBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners.
Part I Bidder/Contractor Information (Required)
| Business Name: Click here to enter text. |
| Contact Name: Click here to enter text. |
| Phone #: Click here to enter phone number. |
| Email address: Click here to enter email address. |
Part II Annual Financial Commitment (Required)
Provide a specific percentage of Bidder/Contractor sales derived from this contract to be spent with all certified SDP Partners on a Massachusetts fiscal year (July 1-June 30) basis.
Annual SDP Percentage Committed in Bid Response for Life of Contract:
Click here to enter percentage.%
Part III Contractor’s SDP Partners (Required) (Fill in Applicable Lines; Insert Additional Rows as Needed)
| Planned SDP Partner Company Name |
| Check Planned SDP Partner’s Certification(s) |
| Certifying Organization |
| Functions to be Performed by the Partner (optional unless otherwise stated in the RFR) |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. |
*The Supplier Diversity Office and contracting Department reserve 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.
** SDP Partner Certification Acronyms: MBE = Minority-owned Business Enterprise; WBE = Women-owned Business Enterprise; SDVOBE = Service-Disabled Veteran-owned Business Enterprise.
*** Certification Status can be checked on the Supplier Diversity Program Webpage (www.mass.gov/sdp).
Supplier Diversity Program (SDP) Resources:
· Lists of M/WBEs, M/WNPOs, VBEs and SDVOBEs certified or verified by the Supplier Diversity Office (SDO) are located at www.mass.gov/sdo.
· Additional resources to assist Prime Bidders in finding potential Certified Partners can be found at www.mass.gov/sdp.
· The Operational Services Division offers trainings on compliance with the SDP Plan requirements. Registration information for upcoming trainings can be found on the Supplier Diversity Program Trainings webpage.
· The Supplier Diversity Business Directory can be found at https://www.sdo.osd.state.ma.us/BusinessDirectory/BusinessDirectory.aspx.
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