SDP plan form 3 - reporting~38.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- BD-24-1025-DOCFS-9816-97768
- Issued by
- Norfolk County, New Bedford City, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form required by the Commonwealth of Massachusetts for a state contract. The form must be completed and submitted within 45 days of the end of each quarter, and it requires the contractor to report their quarterly spending with certified SDP partners, including minority-owned, woman-owned, and service-disabled veteran-owned businesses. The report includes the contractor's total quarterly and annual SDP spending commitment percentage, as well as the specific quarterly spending amounts with each SDP partner.
The related state and local contract opportunity is for Electrical and Communication Conduit Installation at a facility in Norfolk, MA. Plans and specifications are available by appointment, and bid intent forms as well as completed entrance waivers are due by February 9, 2024. The contract is for the Commonwealth of Massachusetts, specifically the Department of Correction, located in Worcester County.
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Other files
| File | Type | Posted |
|---|---|---|
| DRM 2018-46 #9 Conduit Installation @ MCI-Norfolk ADDENDUM No. 1.pdf | ||
| Plan Holder's List DRM 2018-46 #9 Norfolk Conduit updated 2.16.24.docx | DOCX document | |
| Prevailing Wage~4.pdf | ||
| Bid Package~28.doc | DOC document | |
| DRM 2018-46 #9 - Site Visit.pdf | ||
| Bidder Checklist~57.doc | DOC document | |
| DRM 2018-46 #9 Conduit Install @ Norfolk - Addendum No. 2.pdf | ||
| Plan Holder's List DRM 2018-46 #9 Norfolk Conduit.docx | DOCX document | |
| Prevailing Wage Statement of Compliance~65.pdf | ||
| Prevailing Wage Payroll Report Form~65.pdf | ||
| Bid Intent Form~17.doc | DOC document | |
| Bid Results~53.doc | DOC document | |
| Where to get plans and specs~42.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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