SDP_Form-for-POS~5.xls
XLS spreadsheet 55 KB Posted
- Solicitation number
- BD-21-1022-DMH08-8220A-53630
- Issued by
- Massachusetts
About this file
This document is a 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) as well as when responding to POS contract opportunities with the Commonwealth of Massachusetts Executive Departments. The form requires contractors to provide information on their overall POS state expenditures, gross revenue, and details on their current and planned SDP partners including the certification type, relationship type (subcontracting or ancillary), expended amounts in the prior fiscal year, and committed amounts for the current fiscal year. SDP partners must possess one or more of the specified certifications such as Minority Business Enterprise, Woman Business Enterprise, Service-Disabled Veteran-Owned Business Enterprise, etc.
The document also references a related State and Local Contract Opportunity issued by the Massachusetts Department of Mental Health (DMH) to establish a pool of qualified providers from which DMH Areas can purchase Site-Based Respite and/or Mobile Respite Services on an as-needed basis. No additional details are provided on this contract opportunity.
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SDP Spending Report for POS
| Supplier Diversity Program (SDP) Form for Purchase of Service (POS) | |||||
| Providers must complete all parts of this form in order to be qualified to contract with Commonwealth Agencies for POS services. | |||||
| This form is due annually with a provider's UFR Report, and a copy of the completed form is to be submitted when responding to POS contract opportunities with an Executive Department. | |||||
| Submission for Fiscal Year | Please do not convert to PDF. See "How to Submit" for instructions. | ||||
| Part I | Contractor Information (Required) | ||||
| Business Name | Contact Name | Contact Email | Contact Phone | Fiscal Year Total POS State Expenditures for the Reporting Year (e.g. 2021) | The Contractor's Gross Revenue for the Reporting Year (e.g. 2021) |
| $ - 0 | $ - 0 | ||||
| Subcontracting | |||||
| Part II | SDP Partner Information (Required) (Insert additional lines as needed) | Ancillary Products and Services | |||
| Providers that are currently SDO Certified may not list themselves as a Partner in this section. | |||||
| 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) | Expended Amount in the UFR Reporting Year/Prior Fiscal Year (e.g. 2021) | Committed Amount in Current Fiscal Year (e.g. 2022) | |
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | ||||
| TOTAL | $ - 0 | $ - 0 | |||
| PERCENT (%) OF POS SPEND | 0% | ||||
| *Eligible SDP Partners can be found by searching: | **All SDP Partners must possess one or more of | ||||
| Supplier Diversity Office Directory of Certified Businesses | the following certification types: | ||||
| U.S. Dept of Veterans Affairs Vendor Information Pages | MBE - Minority Business Enterprise | ||||
| WBE - Woman Business Enterprise | |||||
| M/WBE - Minority and Woman Business Enterprise | |||||
| How to Submit this Form: | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise | ||||
| • Complete the form electronically. No signature is required. | VBE - Veteran-Owned Business Enterprise | ||||
| • "Save as" an Excel 97-2003 Workbook (*.xls) | M/NPO - Minority Non-Profit Organization | ||||
| • Important: Do not use the current Excel Workbook (*.xlsx) format. | W/NPO - Women Non-Profit Organization | ||||
| • Submit with your UFR filing. Enter "SDP Form" under Document Category. | M/W/NPO - Minority and Women Non-Profit Organization | ||||
| DOBE - Disability-Owned Business Enterprise | |||||
| Form updated 06/28/2021 | LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise |
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) as a Minority- and/or Women Business/Organization. Providers that are exempt from UFR filing requirements must submit the SDP form when they upload their exemption request. 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.
Part I - Contractor Information
● Contractor Information: Business name, contact name, phone number and email.
● The Contractor's Gross Revenue for the Reporting Year: The contractor's gross revenue for the entire organization as reported to the Internal Revenue Service or the Massachusetts Department of Revenue.
● Fiscal Year Total POS State Expenditures can be found on the "POS Expenditure and Federal Funds Listing" posted by OSD on the provider’s UFR eFiling site.
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.
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, 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.
● Expended Amount in the UFR Reporting Year/Prior Fiscal Year: Enter the amount (as an exact dollar figure) that your organization expended with SDP partner(s) during the past fiscal year (UFR reporting year). If you are filing a UFR for Fiscal Year 2021, enter the amount spent with SDP partner(s) during Fiscal Year 2021.
● 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. If you are filing a UFR for Fiscal Year 2021, the commitment would be for Fiscal Year 2022.
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 U.S. Dept of Veterans Affairs Vendor Information Pages Supplier Diversity Office Directory of Certified Businesses
File details come from the government source that posted it. Updated .