SDP Plan Form 3~5.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- DRM 2018-46 #8 Conduit Installation @ NECC
- Solicitation number
- BD-23-1025-DOCFS-9821-78375
- Issued by
- Middlesex County, Massachusetts
About this file
The document provided is the Supplier Diversity Program (SDP) Spending Report Form 3-5 from the Commonwealth of Massachusetts. It requires contractors to report their spending with SDP partners on a quarterly basis. The form collects information on the contractor's annual SDP spending commitment percentage, quarterly spending with individual SDP partners, and certification types of those partners. It also includes a section for the contractor to explain any non-compliance with the annual spending commitment.
The related state and local contract opportunity is for Conduit Installation at the Northeast Correctional Center in Massachusetts. The plans and specifications for this project will be available by appointment starting August 18, 2022, and bid intent forms are due by August 26, 2022.
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Other files
| File | Type | Posted |
|---|---|---|
| Plan Holders List~21.docx | DOCX document | |
| Prevailing Wage Payroll Report Form~47.pdf | ||
| Bid_Intent_Form~2.doc | DOC document | |
| Bid Results~47.doc | DOC document | |
| Bid Package~10.doc | DOC document | |
| Site Visit Attendees~5.pdf | ||
| Bidder Checklist~39.doc | DOC document | |
| DRM 2018-46 8 Conduit Installation - NECC - Addendum 1.pdf | ||
| Prevailing Wages~19.pdf | ||
| Where to get plans and specs~22.docx | DOCX document | |
| Prevailing Wage Statement of Compliance~47.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 | Annual 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 (as it appears on a list at www.mass.gov/sdo) | (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 | |
| M/WBE - Minority and Woman Business Enterprise | ||
| Authorized Signature | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise | |
| (May be left blank if submitted electronically) | VBE - Veteran-Owned Business Enterprise | |
| Date | M/NPO - Minority Non-Profit Organization | |
| W/NPO - Women Non-Profit Organization | ||
| *This is your company's SDP Plan commitment percentage submitted in your Bid Response | M/W/NPO - Minority and Women Non-Profit Organization | |
| or established through negotiation. | DOBE - Disability-Owned Business Enterprise | |
| **The Supplier Diversity Office and contracting department reserves the right to contact | LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise | |
| SDP Partners at any time to request that they attest to the amounts reported to have been | ||
| paid to them by the Contractor. | ||
| ***Certification Type for SDP Partner(s) can be checked at www.mass.gov/sdo | Revised: March 8, 2016 |
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File details come from the government source that posted it. Updated .