sdp-plan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- HSP40 Medical Commodities
- Solicitation number
- BD-14-1080-OSD01-OSD10-00000000422
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form that must be completed and submitted quarterly by contractors working on a Commonwealth of Massachusetts contract. The form requires the contractor to report their quarterly and annual spending with their SDP partner(s), including the partner company names, certification types, and amounts spent each quarter. The contractor must also provide their overall SDP spending commitment percentage and attest to the accuracy of the information provided.
The related state and local contract opportunity is for the procurement of HSP40 Medical Commodities for the Commonwealth of Massachusetts. The contract term and any renewal options are not specified in the provided information.
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| eppform.doc | DOC document | |
| ppd.doc | DOC document | |
| sdp-plan-form-1-commitment.docx | DOCX document | |
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| RFRHSP40_RFRChecklist Rev 1.doc | DOC document | |
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| Units of Measure.xlsx | XLSX spreadsheet | |
| sdp-plan-form-2-declaration.docx | DOCX document | |
| standard_contract_frm HSP40.doc | DOC document | |
| w_9.doc | DOC document | |
| EFT_FORM.pdf | ||
| QuarterlyTemplateReport_Sales_and_SDP_Form3_Etzel_6_7_13.xlsx | XLSX spreadsheet | |
| RFR HSP40 6-3-14.doc | DOC document | |
| RFR HSP40 Rev A 10-30-14.doc | DOC document |
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Text version
SDP Spending Report
| Supplier Diversity Program (SDP) Spending Report |
| SDP Plan Form #3 |
| Document Number/Name: |
| Instructions: This form must include information on your company's spending with your Supplier Diversity Program (SDP) Partner(s) and must be completed and submitted |
| within 45 days of the end of each quarter to Commonwealth Contract Manager. |
Part I Contractor Information (Required)
| Contractor Company | Contact Name | Total Supplier Diversity | Quarterly Contract Sales | Fiscal Year | |||
| Name | Spending Commitment %* | Quarter 1 (7/1-9/30) | Quarter 2 (10/1-12/31) | Quarter 3 (1/1-3/31) | Quarter 4 (4/1-6/30) | Total (calculates automatically) | |
| $ - 0 |
Part II SDP Partner Information (Required) (Insert additional lines as needed)
| SDP Partner(s) Company | Email Address** | Certification Type*** | Quarterly Spending with Supplier Diversity Partner(s) | Fiscal Year | |||
| Name | (Choose One) | Quarter 1 (7/1-9/30) | Quarter 2 (10/1-12/31) | Quarter 3 (1/1-3/31) | Quarter 4 (4/1-6/30) | Total (calculates automatically) | |
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| Year-To-Date Compliance Check (Do not change this line) | $ - 0 |
If not in compliance, please explain why and what actions will be taken to bring your company to compliance with the annual spending commitment:
Part III By signing below I attest to the accuracy of the information provided in this report:
| Name | Supplier Diversity Certification Acronyms: |
| Title | MBE - Minority Business Enterprise |
| Phone | WBE - Woman Business Enterprise |
| MWBE - Minority and Woman Business Enterprise | |
| Authorized Signature | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise |
| (leave blank if submitted electronically) | |
| Date |
| *This is your company's SDP Plan commitment percentage submitted in your Bid Response or established through negotiation. |
| **The Supplier Diversity Office and contracting department reserves the right to contact SDP Partners at any time to request that they attest to the amounts reported to have been |
| paid to them by the Contractor. |
| ***Certification Status for SDP Partner(s) can be checked at www.mass.gov/sdo |
&"-,Bold"&10Last Edit: &"-,Regular"&D
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