SDP-FORM-for-POS 042624 (1).xls

XLS spreadsheet 57 KB Posted

Attached to
HOUSING SEARCH ENTITIES 5/22
Solicitation number
BD-23-1071-MFP-MF00-89001
Issued by
Massachusetts

About this file

This document is the Supplier Diversity Program (SDP) Form for Purchase of Service (POS) Providers that must be completed annually and submitted with a provider's Uniform Financial Report (UFR). Providers holding POS contracts with Commonwealth departments are required to file this form, including those already certified by the Supplier Diversity Office (SDO) in one of the diverse business categories. The form collects information on the provider's revenue from Commonwealth POS contracts, total gross revenue, and details on SDP partner companies, including their certification type, relationship type (subcontracting or ancillary), previous year spending amount, and committed amount for the current fiscal year.

The related state and local contract opportunity is for the Massachusetts Rehabilitation Commission (MRC) to create a pool of qualified Housing Search Entities (HSEs) to perform specific housing search tasks for adults with disabilities and elders served by various MRC programs. The contract term and any renewal options are not provided.

View the file

Other files

File Type Posted
Appendix_8_Tracking_Log 1.docx DOCX document
Contractor Authorization Signatory Listing~51.rtf RTF text file
CORI Assurance Letter Agency~22.docx DOCX document
Appendix-12- Billing Attestation Third-Final payment.docx DOCX document
Provider Type 35~6.pdf PDF
Electronic Funds Transfer Sign Up Form REVISED AUG 2020~24.pdf PDF
Appendix_5_HSE_Needs_and_Preferences_Assessment 1.docx DOCX document
Appendix-9- Rating Form.docx DOCX document
Federally Required Disclosure Form Instructions~3.pdf PDF
NEW BID AMENDMENT_PER_EO599_MAY_2024.docx DOCX document
No Bid vs No Charge language~18.pdf PDF
MA DOR Certificate of Good Standing - 101718~31.docx DOCX document
Job Aid create-a-quote-in-commbuys~60.pdf PDF
Appendix_6_HSE_Roles_and_Responsibilities_Agreement.docx DOCX document
Appendix-8a-Participant Housing Search Tracking Tool.docx DOCX document
Appendix-11- Billing Attestation Second payment.docx DOCX document
Attachment 1 Cover Sheet~1.docx DOCX document
Appendix_4_Housing_Search_Referral_Form.docx DOCX document
MA Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation~8.pdf PDF
Business Reference Form~63.doc DOC document
HSE 2023 RFR _FY2023_5_22_23.docx DOCX document
CommonwealthTermsAndConditions 102519~17.pdf PDF
StandardContractFormAndInstructions 102519~29.pdf PDF
Appendix_7_HSE_Sample_Letter_to_Individual_with_Housing_Options.docx DOCX document
Job Aid using-q-and-a-tab-within-a-commbuys-bid~45.pdf PDF
CORI Form~17.pdf PDF
Response_Evaluation_and_Scoring_for_POS_Bid_89001_April_2024.docx DOCX document
Instructions for Vendors Responding to Bids~7.docx DOCX document
RFR Vendor Response Checklist_April_2024~1.docx DOCX document
Appendix-10- Billing Attestation first payment.docx DOCX document
Appendix_3_Listing_of_Cities_and_Towns_by_MFP_Region.xlsx XLSX spreadsheet
eppform~8.docx DOCX document
Federally Required Disclosure Form~4.pdf PDF
Contracting Qualification Form~27.docx DOCX document
W9 Form~6.pdf PDF
Contracting Qualification Form Instructions~12.pdf PDF
Appendix 3a-Waiver regions Map.docx DOCX document
Prompt Payment Discount Form~60.doc DOC document
Show all 38

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

SDP Plan Form for POS

Supplier Diversity Program (SDP) Form for Purchase of Service (POS)
Providers must complete this form in its entirety to be qualified to contract with Commonwealth Agencies for POS services.
This form must be filed annually with a provider's UFR Report, and a copy of the completed form must be submitted when responding to POS contract opportunities with an Executive Department.
UFR Submission for Fiscal Year/Previous Year (YYYY)2023Please do not convert to PDF. See "How to Submit" for instructions.
Part IContractor Contact Information (Required)
Business NameContact NameContact EmailContact Phone
Part IIProvider Revenue Information for the UFR Reporting Year (Required)
Provider's Revenue from Commonwealth POS Contracts in the URF Reporting Year (FY2023)
Provider's Total Gross Revenue in the UFR Reporting Year (FY2023)
Part IIISDP Partner Information (Required) (Insert additional lines as needed)
Providers that are currently SDO Certified may not list themselves as a Partner.
Planned and Current SDP Partner Company Name(s) (as it appears in a database of eligible partners)*Certification Type (Choose One)**Relationship Type (Subcontracting or Ancillary) (Choose One)Previous Year Spending Amount (FY2023)Committed Amount for Current Fiscal Year (FY2024)
TOTAL$ - 0$ - 0
PERCENT (%) OF POS SPEND0%
Subcontracting (directly related to the contract)Ancillary (related to general business operations)
Acceptable Partnership Types2021**All SDP Partners must possess one or more of
● Subcontracting is a business relationship in which the SDP partner is involved in the provision of services directly to the client or to the Commonwealth.
● Ancillary Products and Services is 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 but instead are related to their general business operations.2022the following certification types:
2023MBE - Minority Business Enterprise
2024WBE - Woman Business Enterprise
*Eligible SDP Partners can be found by searching:2025SDVOBE - Service-Disabled Veteran-Owned Business Enterprise
Supplier Diversity Office Directory of Certified Businesses2026VBE - Veteran-Owned Business Enterprise
Veteran Small Business Certification (sba.gov)2027M/NPO - Minority Non-Profit Organization
2028W/NPO - Women Non-Profit Organization
How to Submit this Form:2029V/NPO - Veteran Non-Profit Organization
• Complete the form electronically. No signature is required.2030DOBE - Disability-Owned Business Enterprise
• "Save as" an Excel 97-2003 Workbook (*.xls)2031LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise
• Important: Do not use the current Excel Workbook (*.xlsx) format.Form updated 04/26/2024
• Submit with your UFR filing. Enter "SDP Form" under Document Category.

FORM INSTRUCTIONS

Overall Providers that hold POS contracts with Commonwealth departments are required to file a "Supplier Diversity Program (SDP) Form for Purchase of Service (POS)" each year and upload it with their Uniform Financial Report (UFR). This requirement includes Providers who have already been certified by the Supplier Diversity Office (SDO) in one of the diverse business categories, e.g. a Minority- and/or Women Business/Organization. Providers responding to POS bids posted on COMMBUYS will be directed to submit the most recent completed copy of this form with their proposals/quotes. Providers filing an Exempt UFR Filing are still required to include the completed SDP form with their filing.

Part I - Contractor Contact Information (Required)

● Contractor Information: Business name, contact name, phone number and email.

Part II – Provider Revenue Information for the UFR Reporting Year (Required)

● The Provider's Revenue from Commonwealth POS Contracts in the UFR Reporting Year can be found on the "POS Expenditure and Federal Funds Listing" posted by OSD on the provider’s UFR eFiling site.

● Provider's Total Gross Revenue in the UFR Reporting Year is the contractor's gross revenue for the entire organization as reported to the Internal Revenue Service or the Massachusetts Department of Revenue.

Note: The UFR Reporting Year is the completed fiscal year for which the UFR filing is being submitted.

Part III - 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.

Providers certified by the Supplier Diversity Office 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 is a business relationship in which the SDP partner is involved in the provision of services directly to the client or to the Commonwealth.

- Ancillary Products and Services is a business relationship in which the SDP partner provides products and/or services that are not directly related to the Provider’s contract with the Commonwealth but instead are related to their general business operations.

Note: If the Commonwealth only receives a portion of the products or services provided by a partner, the full amount should still be reported. 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.

● Expended Amount in the UFR Reporting Year: Enter the amount (as an exact dollar figure) that your organization spent with SDP partner(s) during UFR reporting year.

● Committed Amount in Current Fiscal Year: Enter the amount (as an exact dollar figure) your organization is committed to spend with SDP partner(s) during the current Fiscal Year.

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 Veteran Small Business Certification (sba.gov) Supplier Diversity Office Directory of Certified Businesses

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