SDP plan form 3 - reporting~46.xlsx
XLSX spreadsheet 27 KB Posted
- Solicitation number
- BD-25-1025-DOCFS-9815-111148
- Issued by
- Middlesex County, Massachusetts
About this file
This is a Supplier Diversity Program (SDP) Spending Report Form (Form #3) used by the Commonwealth of Massachusetts to track contractor spending with diverse suppliers. The form requires contractors to submit quarterly spending reports within 45 days of each quarter end, covering fiscal year quarters from July through June (Q1: 7/1-9/30, Q2: 10/1-12/31, Q3: 1/1-3/31, Q4: 4/1-6/30).
The form requires contractors to report total contract sales and spending with SDP partners, including Minority Business Enterprises (MBE), Woman Business Enterprises (WBE), Minority and Woman Business Enterprises (MWBE), Minority or Woman Non-Profit Organizations (MNPO/WNPO/MWNPO), and Service-Disabled Veteran-Owned Business Enterprises (SDVOBE). Contractors must document their compliance with their committed SDP spending percentage and provide explanations and corrective actions if they fall short of commitments. The form requires certification under penalty of perjury and allows the Supplier Diversity Office and contracting department to verify reported payments with SDP partners.
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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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File details come from the government source that posted it. Updated .