SDP Form2~43.docx
DOCX document 42 KB Posted
- Solicitation number
- BD-21-1020-DCRCU-DC250-58758
- Issued by
- Hampshire County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Plan - Declaration of SDP Partner(s) form related to a state and local contract opportunity from the Massachusetts Department of Conservation and Recreation (DCR) for insect detection and monitoring materials. The contract is for the purpose of purchasing goods for the DCR Forest Health Program to perform insect monitoring/detection protocols, including traps, chemical lures, and insect collection tools. The form requires the prime bidder to provide a specific final percentage of their sales derived from this contract to be spent with all certified SDP Partners on a Massachusetts fiscal year basis. The form also requires the prime bidder to list their SDP Partners, including their certification types and the functions to be performed by each partner.
The contract opportunity does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient financial information. However, it does note that the prime bidder that is certified as an M/WBE, M/WNPO, VBE, SDVOBE, DOBE or LGBTBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners.
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Text version
Supplier Diversity Program (SDP) Plan - Declaration of SDP Partner(s) SDP Plan Form #2
Contract/RFR Document Number: Click here to enter text.
Instructions: Completing all parts of this form is mandatory. Please read all sections of the Bid related to the SDP. Complete one form and submit within a period of up to 30 days (or as stated in RFR) of Contract Execution. See SDP Resources information below to assist in partnering with certified businesses.
Important: Prime bidders that are certified as an M/WBE, M/WNPO, VBE, SDVOBE, DOBE or LGBTBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners.
Part I Contractor Information and Annual Financial Commitment (Required)
| Business Name: Click here to enter text. |
| Contact Name: Click here to enter text. |
| Phone #: Click here to enter phone number. |
| Email address: Click here to enter email address. |
Provide a specific final percentage of Bidder/Contractor sales derived from this contract to be spent with all certified SDP Partners on a Massachusetts fiscal year (July 1-June 30) basis.
Final Annual SDP Percentage Committed for Life of Contract:
Click here to enter percentage.%
Part II Contractor’s SDP Partners (Required) (Fill in Applicable Lines; Insert Additional Rows as Needed)
| Planned SDP Partner Company Name |
| Check Planned SDP Partner’s Certification(s) |
| Certifying Organization |
| Functions to be Performed by the Partner (optional unless otherwise stated in the RFR) |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Alternative to Contractor Providing List of SDP Partners: | ||||
| ☐ | If specifically authorized in the Request for Response (RFR) to utilize this option, by checking this box, the Contractor acknowledges that they do not yet have any SDP Partners but will meet the percentage commitment in Part I (above) and all other contract requirements and will work with the SDO to identify and establish business relationships with SDO Partners. |
Part III Under the pains and penalties of perjury I certify that the information provided on this form is accurate. (Required)
| Name: Click here to enter text. |
| Title: Click here to enter text. |
| Signature: |
(May be left blank if submitted electronically) Date: Click here to enter a date.
Supplier Diversity Program (SDP) Resources:
· Lists of M/WBEs, M/WNPOs, VBEs, SDVOBEs, DOBEs and LGBTBEs certified or verified by the Supplier Diversity Office (SDO) are located at www.mass.gov/sdo.
· Resources to assist Prime Bidders in finding potential Certified Partners can be found at www.mass.gov/sdp.
Revised: June 8, 2018
Page | 2
File details come from the government source that posted it. Updated .