SDP Form 3~86.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- FAC 104 Miles Standish Pavilion
- Solicitation number
- BD-21-1020-DCRCU-DC250-61853
- Issued by
- Plymouth County, Massachusetts
About this file
The document provided is a Supplier Diversity Program (SDP) Spending Report Form 3~86 for a state contract in Massachusetts. The form requires the contractor to report their quarterly spending with certified Supplier Diversity Program partners, including Minority Business Enterprises (MBEs), Woman Business Enterprises (WBEs), Service-Disabled Veteran-Owned Business Enterprises (SDVOBEs), and other certified diverse business types. The contractor must maintain an annual spending commitment percentage with these SDP partners, which is reported and tracked through this quarterly reporting process.
The related state and local contract opportunity is for the purchase and installation of a 24'x32' modular pavilion with a 14' peak at Myles Standish State Forest in South Carver, Massachusetts. The project includes a concrete slab foundation with 5' deep footings, pressure-treated columns, glue-lam roof beams, and an asphalt shingle roof. No additional details on pricing, set asides, funding sources, or other salient information are provided in the given documents.
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| SDP Form1~86.docx | DOCX document | |
| Standard Contract Form 7-1-20.docx | DOCX document | |
| FAC 104 RFQ-Pavilion Myles Standish.pdf | ||
| CASL_Form.rtf | RTF text file |
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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 .