SDP plan form 3 - reporting~11.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-19-1025-DOCFS-9816-35829
- Issued by
- Norfolk County, Massachusetts
About this file
The document provided is the SDP Spending Report Form 3 for a state and local contract opportunity in Massachusetts. This quarterly report form must be completed by the contractor and submitted within 45 days of the end of each quarter to the Commonwealth Contract Manager. The form requires the contractor to provide information on their total supplier diversity spending commitment percentage and the actual quarterly and year-to-date spending with their Supplier Diversity Program (SDP) partners. The SDP partners must be identified along with their certification type. If the contractor is not in compliance with their annual spending commitment, they must explain why and what actions will be taken to bring them into compliance.
The related state and local contract opportunity is for the DRM 2018-58 #02 Exercise Yards at Building 8, MCI Norfolk project located in Norfolk County, Massachusetts. This project does not provide any additional details on the scope of work, response requirements, or contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| Updated Plan Holders List DRM 2018-58 No. 2 Exercise Yards.docx | DOCX document | |
| Chapter 30 Bidding Package DRM_2018-58 No.2.docx | DOCX document | |
| Prevailing Wage Payroll Report Form~14.pdf | ||
| Bid Closeout Form.doc | DOC document | |
| Prevailing Wage Statement of Compliance~14.pdf | ||
| Site Visit Attendees~5.docx | DOCX document | |
| Prevailing Wage DRM 2018-58 No. 2.pdf | ||
| Where to get plans and specs~7.docx | DOCX document | |
| Bid Results~20.doc | DOC document | |
| Bid_Intent_Form~25.rtf | RTF text file | |
| Plan Holders List DRM 2018-58 No.2 Exercise Yards.docx | DOCX 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 Under the pains and penalties of perjury I certify that the information provided in this report is accurate.
| Name | Supplier Diversity Certification Acronyms: |
| Title | MBE - Minority Business Enterprise |
| Phone | WBE - Woman Business Enterprise |
| MWBE - Minority and Woman Business Enterprise | |
| Authorized Signature | MNPO/WNPO/MWNPO - Minority or Woman Non-Profit Organization |
| (May be left blank if submitted electronically) | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise |
| 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 |
| Revised: November 13, 2013 |
&"-,Bold"&10Last Edit: &"-,Regular"&D
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