SDP plan form 3 - reporting~27.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
DRM 2018-46 #3 Conduit Installation @ Massachusetts Treatment Center
Solicitation number
BD-22-1025-DOCFS-9852-67299
Issued by
Plymouth County, Boston City, Massachusetts

About this file

This document is the Supplier Diversity Program (SDP) Spending Report that must be completed and submitted quarterly by the contractor to the Commonwealth Contract Manager. The report requires the contractor to provide information on their spending with SDP partners, including the partner's company name, certification type, and quarterly spending amounts. The contractor must also indicate their overall quarterly and annual SDP spending commitment percentages. If the contractor is not in compliance with their annual spending commitment, they must explain why and what actions will be taken to bring the company into compliance.

The related state and local contract opportunity is for the DRM 2018-46 #3 Conduit Installation @ Massachusetts Treatment Center project in Massachusetts. The bid intent forms are required to be submitted by noon on 10/15/21, and the plans and specifications are available starting 10/7/21 by contacting Darlene Keane.

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Other files

File Type Posted
Prevailing Wage Statement of Compliance~38.pdf PDF
DRM 2018-46 3 Bid Package.doc DOC document
DRM 2018-46 3 Addendum 1.pdf PDF
Plan Holders List~19.docx DOCX document
Bid Intent Form~13.rtf RTF text file
Prevailing Wage Payroll Report Form~38.pdf PDF
Site Visit Attendees~6.docx DOCX document
Prevailing Wages~13.pdf PDF
Where to get plans and specs~19.docx DOCX document
Bidder Checklist~29.doc DOC document
Bid Results~41.doc DOC document
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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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