SDP Form 3~12.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
FAC 105 Procurement of Winter Sticks and Associated Gear
Solicitation number
BD-21-1020-DCRCU-DC250-55849
Issued by
Suffolk County, Massachusetts

About this file

The document provided is a Supplier Diversity Program (SDP) Spending Report Form 3-12, which is required to be submitted by contractors to the Commonwealth of Massachusetts Contract Manager on a quarterly basis. The form collects information on the contractor's annual SDP spending commitment percentage and the actual quarterly and year-to-date spending with SDP partners, including the partner's company name, certification type, and spending amounts. The document is related to a state and local contract opportunity for the procurement of winter sticks and associated gear for moorings placed at various islands, issued by the Commonwealth of Massachusetts.

The report requires the contractor to provide contact information, annual SDP spending commitment percentage, and detailed quarterly spending with each certified SDP partner, including the partner's certification type. The contractor must certify the accuracy of the information provided under the pains and penalties of perjury. The Commonwealth reserves the right to contact SDP partners to verify the reported spending amounts.

View the file

Other files

File Type Posted
eppform~5.docx DOCX document
CASL_Form.rtf RTF text file
Standard Contract Form 7-1-20.docx DOCX document
COMMBUYS create-a-quote-v1~4.docx DOCX document
busreffm.doc DOC document
FAC 105 Winter Sticks 2020.docx DOCX document
Commonwealth Terms and Conditions for Information Technology Contracts 7-1-20.pdf PDF
SDP Form1~12.docx DOCX document
w-9 form march 2020.pdf PDF
promptpaydiscountform.docx DOCX document
EFT form.docx DOCX document
Standard Contract Form Instructions and Contractor Certifications 7-1-20.pdf PDF
SDP Form2~12.docx DOCX document
Clarification 1.docx DOCX document
Clarification 2.docx DOCX document
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Sheet1

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)
$-

Part II SDP Partner Information (Required) (Insert additional lines as needed)

SDP Partner(s) CompanyEmail 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)
$-
$-
$-
$-
$-
$-
Year-To-Date Compliance Check (Do not change this line)$-

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.

NameSupplier Diversity Certification Acronyms:
TitleMBE - Minority Business Enterprise
PhoneWBE - Woman Business Enterprise
EmailM/WBE - Minority and Woman Business Enterprise
Authorized SignatureSDVOBE - Service-Disabled Veteran-Owned Business Enterprise
(May be left blank if submitted electronically)VBE - Veteran-Owned Business Enterprise
DateM/NPO - Minority Non-Profit Organization
W/NPO - Women Non-Profit Organization
*This is your company's SDP Plan commitment percentage submitted in your Bid ResponseM/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 contactLGBTBE - 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/sdoRevised: March 8, 2016

File details come from the government source that posted it. Updated .