SDP Form 3 Spending Report Required if Awarded Final.xlsx

XLSX spreadsheet 25 KB Posted

Attached to
CTF Child Sexual Abuse Prevention RFR FY24
Solicitation number
BD-23-1037-2CTF0-CTFS-88424
Issued by
Suffolk County, Massachusetts

About this file

This document is the Supplier Diversity Program (SDP) Spending Report form that must be completed and submitted quarterly within 45 days of the end of each quarter by contractors who have been awarded a Commonwealth contract. It requires the contractor to provide information on their company's spending with SDP Partner(s), which are businesses certified under one or more categories such as Minority Business Enterprise (MBE), Woman Business Enterprise (WBE), Service-Disabled Veteran-Owned Business Enterprise (SDVOBE), and others. The form includes fields for the contractor to report their annual SDP spending commitment percentage, quarterly contract sales, and detailed information on their SDP Partner(s) including certification type, relationship type (subcontracting or ancillary), and quarterly spending amounts. This data is used to monitor the contractor's compliance with meeting their annual SDP spending commitment.

The form also provides instructions and resources related to the Supplier Diversity Program, including links to searchable databases of eligible SDP partners. Contractors are required to maintain accurate records and may be subject to audits by the Commonwealth to verify the information reported on this form.

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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) CompanyRelationship TypeCertification Type**Quarterly Spending with Supplier Diversity Partner(s)Fiscal Year
Name* (Enter the name as it appears in the database)(Subcontracting or Ancillary) (Choose One)**(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
SubcontractingYear-To-Date Compliance Check (Do not change this line)$ - 0
Ancillary Products and Services
If not in compliance, please explain why and what actions will be taken to bring your company to compliance with the annual spending commitment:
*Eligible SDP Partners can be found by searching:**All SDP Partners must possess one or more of
Supplier Diversity Office Directory of Certified Businessesthe following certification types:
U.S. Dept of Veterans Affairs Vendor Information PagesMBE - Minority Business Enterprise
WBE - Woman Business Enterprise
Part IIIUnder the pains and penalties of perjury I certifyM/WBE - Minority and Woman Business Enterprise
that the information provided in this report is accurate.SDVOBE - Service-Disabled Veteran-Owned Business Enterprise
NameVBE - Veteran-Owned Business Enterprise
TitleM/NPO - Minority Non-Profit Organization
PhoneW/NPO - Women Non-Profit Organization
EmailM/W/NPO - Minority and Women Non-Profit Organization
Authorized SignatureDOBE - Disability-Owned Business Enterprise
(May be left blank if submitted electronically)LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise
DateForm updated 11/12/2020

FORM INSTRUCTIONS

Overall Contractors are required to file a "Supplier Diversity Program (SDP) Spending Report" form. This requirement includes contractors who have already been certified by the Supplier Diversity Office (SDO) as a diverse business. 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.

Parts of the Form that Require Completion Please complete the fields shaded in yellow.

Part I - Contractor Information

● Contractor Company Name: Enter your company name.

● Contact name: Enter the sum of all sales under the contact made during the quarter.

● Annual Supplier Diversity Spending Commitment %: Enter your company's SDP Plan commitment percentage submitted in your Bid Response or established through negotiation.

● Quarterly Contract Sales: Enter the sum of all sales under the contact made during the quarter.

Part II - Contractor's SDP Partner Information All SDP Partner(s) listed on the form must be certified in one or more of the certification categories listed on Page 1 of this form. Links to searchable databases of eligible SDP partners are also available on Page 1 of the form.

Contractors certified by the Supplier Diversity Office or another recognized certification organization may not list their own organization as an SDP partner.

● Certification Type: Select the partner's certification type from the menu. For partners with multiple certification types, please select the one that is highest on the dropdown list.

● Relationship Type: Select one of the following types:

- Subcontracting, defined as a partnership in which the SDP partner is involved in the provision of products and/or services to the Commonwealth. Such relationships typically, but not always, involve a formal written agreement between the SDP partner and the prime contractor.

- Ancillary Products and Services, defined as a business relationship in which the SDP partner provides products or services that are not directly related to the prime contractor’s contract with the Commonwealth. In most cases, this type of partnership is related to the prime contractor’s general business needs. Note: If the Commonwealth receives a portion of the products or services that are provided through this relationship type, the portion received by the Commonwealth may be reported as subcontracting while the remainder of the amount may be reported as ancillary products and services.

● Quarterly Spending with Supplier Diversity Partner(s): Enter the amount (as an exact dollar figure) that your company expended with SDP partner(s) during the quarter.

Additional Resources

● More information about the Supplier Diversity Program (SDP) is available at www.mass.gov/sdp

● More information about supplier diversity certifications is available at www.mass.gov/sdo https://www.vip.vetbiz.va.gov/https://www.sdo.osd.state.ma.us/BusinessDirectory/BusinessDirectory.aspx

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