SDP Form 3~58.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- DCR 843 Animal Feed, Supplies, and Equipment
- Solicitation number
- BD-21-1020-DCRCU-DC250-59789
- Issued by
- Norfolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report Form 3-58 for a Commonwealth of Massachusetts contract. The form requires the contractor to report their quarterly spending with SDP Partners, which can include Minority Business Enterprises (MBE), Woman Business Enterprises (WBE), Service-Disabled Veteran-Owned Business Enterprises (SDVOBE), and other certified diverse business types. Contractors must meet an annual SDP spending commitment percentage agreed to in their bid response. The form tracks each quarter's spending by SDP Partner and calculates the year-to-date compliance with the annual commitment.
The related state and local contract opportunity is for the Department of Conservation & Recreation (DCR) to purchase animal feed, bedding, health products, related supplies, and equipment for domestic farms, law enforcement, and wildlife animals on an as-needed basis. The contract term is not specified in the information provided.
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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 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) | |
| $- |
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) | |
| $- | |||||||
| $- | |||||||
| $- | |||||||
| $- | |||||||
| $- | |||||||
| $- | |||||||
| 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.
| 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 |
File details come from the government source that posted it. Updated .