SDP plan form 3 - reporting~48.xlsx
XLSX spreadsheet 27 KB Posted
- Solicitation number
- BD-25-1025-DOCFS-9843-113038
- 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. The document outlines a structured reporting format where contractors must provide their company information, contact details, and total contract sales.
The form requires detailed reporting of spending with SDP Partners, including partner company names, email addresses, and certification types (MBE, WBE, MWBE, MNPO/WNPO/MWNPO, SDVOBE). Contractors must document quarterly spending with each diversity partner and demonstrate compliance with their committed SDP spending percentage. The form includes a compliance check calculation and requires explanation if spending targets are not met. The document must be certified under penalty of perjury, with the Supplier Diversity Office and contracting department maintaining the right to verify reported payment amounts directly 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 .