SDP Form2~58.docx

DOCX document 42 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

The provided document is a Supplier Diversity Program (SDP) Plan Form that the prime bidder must complete and submit for a state and local contract opportunity. The contract opportunity is for the Commonwealth of Massachusetts, 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 prime bidder must 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 bidder must also list their planned SDP Partners along with the partner's certifications and the functions they will perform. If authorized, the bidder can acknowledge that they do not yet have any SDP Partners but will work with the Supplier Diversity Office (SDO) to identify and establish relationships with certified partners.

The contract opportunity does not provide any details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information. The document focuses solely on the SDP Plan requirements for the prime bidder to fulfill the Commonwealth's supplier diversity goals for this contract.

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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

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