REQ - Supplier Diversity Program Form~19.doc

Supplier Diversity Program (SDP) Plan Commitment & Declaration of SDP Partner(s)

(To be submitted with Bid Response)

RFR Document Number:

Instructions: Completing all parts of this form is mandatory. Please read instructions in the SDP section of the solicitation. Complete one form and submit with Bid. An SDP partner must be identified before a contract can be executed. See SDP and SDVOBE Resource information below to assist in partnering with certified businesses.

Part I Contractor Information (Required)

Email address:

Please note that prime bidders who are SDO-certified must also submit an SDP Plan Form and may not list themselves as an SDP Partner. Check any of the following that are applicable to the Bidder:

Minority-owned Business Enterprise (MBE); Certification Expiration Date (If applicable):

Women-owned Business Enterprise (WBE); Certification Expiration Date (If applicable):

Service-Disabled Veteran-owned Business Enterprise (SDVOBE); Certification Expiration Date (If applicable):

Identify Business Opportunities for SDP Partners (Optional):

SDP Percentage Committed for Life of Contract:

Part II Contractor’s SDP Partners (Required)(Fill in Applicable Lines; Insert Additional Rows as Needed)

SDP Partner’s Company Name

WBE

SDVOBE

WBE

SDVOBE

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*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:

· Resources available to assist Prime Bidders in finding potential Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) partners can be found on the Supplier Diversity Program Webpage (www.mass.gov/sdp).

· Resources available to assist Prime Bidders in finding potential Service-Disabled Veteran-Owned Business Enterprise (SDVOBE) partners can be found on the Supplier Diversity Office Webpage (www.mass.gov/sdo).

· The Supplier Diversity Program offers training on the SDP Plan requirements. The dates of upcoming trainings can be found on the OSD Training & Outreach Webpage. In addition, the SDP Webinar can be located on the Supplier Diversity Program Webpage (www.mass.gov/sdp).

· The Supplier Diversity Business Directory can be found at https://www.sdo.osd.state.ma.us/BusinessDirectory/BusinessDirectory.aspx Page | 2