SDP plan form 3 - reporting~39.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- BD-24-1025-DOCFS-9816-100798
- Issued by
- Norfolk County, Massachusetts
About this file
The document provided is an SDP Spending Report Form 3, which is required to be completed and submitted by contractors working on a contract with the Commonwealth of Massachusetts. The form requires the contractor to report on their quarterly spending with Supplier Diversity Program (SDP) partners, including the names of the SDP partners, their certification types, and the amount spent with each partner. The contractor is also required to report on their overall Supplier Diversity Program spending commitment percentage and provide an explanation if they are not in compliance with their annual spending commitment.
The related state and local contract opportunity is for the refinishing of fire escapes at the MCI-Norfolk facility in Norfolk County, Massachusetts. The plans and specifications for this project are available electronically starting on April 4, 2024, and bid intent forms as well as completed entrance waivers are due by 9:00 AM on April 10, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| Prevailing Wage Payroll Report Form~66.pdf | ||
| Prevailing Wage Payroll Report Form~67.pdf | ||
| Where to get plans and specs~43.docx | DOCX document | |
| Bid Intent Form~19.doc | DOC document | |
| Bid Results~55.doc | DOC document | |
| Bid Package~30.doc | DOC document | |
| Plan Holder's List DRM 2023-65 Fire Escape Refinishing Norfolk.docx | DOCX document | |
| DRM 2023-65 Site Visit Attendees.pdf | ||
| Prevailing Wage Statement of Compliance~66.pdf |
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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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