sdp-plan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-15-1080-OSD01-OSD10-00000001627
- 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 to the Commonwealth Contract Manager. The form requires contractors to report their total quarterly spending with their SDP partner(s), including the partner's name, email address, certification type, and the amount spent each quarter. The contractor must also provide their overall SDP spending commitment percentage and explain any non-compliance with the annual spending commitment. The form must be signed by an authorized representative.
The related state and local contract opportunity is for the HSP40 Medical Commodities contract in the state of Massachusetts. This appears to be a reopening for additional quotes on this contract.
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Other files
| File | Type | Posted |
|---|---|---|
| RFR HSP40 rev 2 10-30-14.doc | DOC document | |
| standard_contract_frm HSP40.doc | DOC document | |
| sdp-plan-form-1-commitment.docx | DOCX document | |
| Reference_Letter_Template_HSP40.docx | DOCX document | |
| consig contractor authorized signatory.doc | DOC document | |
| w_9.doc | DOC document | |
| QuarterlyTemplateReport_Sales_and_SDP_Form3_Etzel_6_7_13.xlsx | XLSX spreadsheet | |
| sdp-plan-form-2-declaration.docx | DOCX document | |
| Units of Measure.xlsx | XLSX spreadsheet | |
| ppd.doc | DOC document | |
| EFT_FORM.pdf | ||
| eppform.doc | DOC document | |
| RFRHSP40_RFRChecklist Rev 1.doc | DOC document | |
| HSP40_VENDORNAME_CATALOG.xlsx | XLSX spreadsheet | |
| c-tc.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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