SDP plan form 3 - reporting~14.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
DRM 2016-07/Cooling Tower Replacement @ Souza Baranowki Correctional Center
Solicitation number
BD-19-1025-DOCFS-9892-37449
Issued by
Worcester County, Massachusetts

About this file

The document provided is the SDP Spending Report, which is a form that must be completed and submitted by the contractor to the Commonwealth Contract Manager within 45 days of the end of each quarter. The form requires the contractor to report on their spending with Supplier Diversity Program (SDP) Partner(s) and includes information such as the contractor's company name, contact information, and the total supplier diversity quarterly contract sales. The form also requires the contractor to provide details on their SDP Partner(s), including the partner's company name, email address, certification type, and the quarterly spending with each partner.

The related state and local contract opportunity is for the DRM 2016-07/Cooling Tower Replacement at the Souza Baranowki Correctional Center in Massachusetts. The project involves the removal and replacement of the existing cooling tower, related components, and the existing exhaust vent and gravity damper.

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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 CompanyContact NameTotal Supplier DiversityQuarterly Contract SalesFiscal Year
NameSpending 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) CompanyEmail 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.

NameSupplier Diversity Certification Acronyms:
TitleMBE - Minority Business Enterprise
PhoneWBE - Woman Business Enterprise
EmailMWBE - Minority and Woman Business Enterprise
Authorized SignatureMNPO/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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File details come from the government source that posted it. Updated .