SDP Plan Form 1 Commitment 3 8 16~1.docx

DOCX document 38 KB Posted

Attached to
19CBBORIMLICENSERFR: RFR for the Physician Online Initial Licensing Application
Solicitation number
BD-19-1039-EHS01-EHS01-39914
Issued by
Middlesex County, Massachusetts

About this file

This document is a Supplier Diversity Program (SDP) Plan Form for a state and local contract opportunity issued by the Commonwealth of Massachusetts. The contract opportunity is for the development, implementation, maintenance, and support of an Online Initial Licensing Application integrated with the existing applications of the Commonwealth of Massachusetts Board of Registration in Medicine (BORIM), as well as Managed Support Services for BORIM's Applications Portfolio. The form requires the bidder to provide a specific 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 provides information on SDP resources and trainings offered by the Operational Services Division.

The document outlines pricing and funding requirements, stating that prime bidders that are certified as an M/WBE, M/WNPO, VBE, and SDVOBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners. Additional details on the contract opportunity, such as the contract/RFR document number, award dates, and contract term, are not provided in this SDP Plan Form.

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Other files

File Type Posted
Attachment 1 Requirements for the Online Initial Licensing Application~1.docx DOCX document
Certification of Non-Collusion Form~2.doc DOC document
Certification with Regard to Financial Condition~5.docx DOCX document
Disclosures~5.docx DOCX document
Amendment 1 to the RFR for the Physician Online License Management System.docx DOCX document
Amendment 4 to the RFR for the Physician Online License Management System.docx DOCX document
Attachment 5 EOHHS Secretariat Application Reference Manual~1.pdf PDF
BORIM RFR QA Document 1.docx DOCX document
Certification Regarding Debarment and Suspension~4.docx DOCX document
Copy of Attachment 3 Cost Response Worksheet Revised 20190626.xlsx XLSX spreadsheet
Amendment 2 to the RFR for the Physician Online Initial Licensing Management System.docx DOCX document
Amendment 3 to the RFR for the Physician Online License Management System.docx DOCX document
Amendment 5 to the RFR for the Physician Online License Management System.docx DOCX document
Attachment 2 Template Statement of Work~1.docx DOCX document
Attachment 4 Initial Limited License Application Kit~1.pdf PDF
BORIM RFR QA Document 2.docx DOCX document
Commonwealth Terms Conditions~12.doc DOC document
Contractor Authorized Signatory Listing~19.doc DOC document
Massachusetts Substitute W9 Form~12.doc DOC document
Attachment 4 Full License Application Kit DRAFT~1.pdf PDF
Prompt Pay Discount Form~5.doc DOC document
RFR for the Physician Online License Management System New.docx DOCX document
Standard Contract Form 3~2.doc DOC document
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Text version

Supplier Diversity Program (SDP) Plan Commitment SDP Plan Form #1

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 with your Quote.

Important: Prime bidders that are certified as an M/WBE, M/WNPO, VBE and SDVOBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners.

Part I Bidder/Contractor Information (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.

Part II Annual Financial Commitment (Required)

Provide a specific 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.

Annual SDP Percentage Committed in Bid Response for Life of Contract:

Click here to enter percentage.%

Supplier Diversity Program (SDP) Resources:

· Lists of M/WBEs, M/WNPOs, VBEs and SDVOBEs certified or verified by the Supplier Diversity Office (SDO) are located at www.mass.gov/sdo.

· Additional resources to assist Prime Bidders in finding potential Certified Partners can be found at www.mass.gov/sdp.

· The Operational Services Division offers trainings on compliance with the SDP Plan requirements. Registration information for upcoming trainings can be found on the Supplier Diversity Program Trainings webpage.

Revised: March 8, 2016

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