SDP-PlanForm-2-Declaration~3.docx
DOCX document 49 KB Posted
- Attached to
- Book Distributors
- Solicitation number
- BD-20-1034-0009-DSS91-44156
- Issued by
- Suffolk County, Massachusetts
About this file
The document is a Supplier Diversity Program (SDP) Plan Form #2 related to a state and local government contract opportunity. The form requires the prime bidder to provide the specific percentage of sales from the contract that will be spent with certified SDP Partners, list the planned SDP Partners, and certify the accuracy of the information provided. The contract involves an opportunity for Book Distributors in the state of Massachusetts. The SDP Plan must be submitted within 30 days of contract execution. The prime bidder must meet the stated percentage commitment for spending with certified SDP Partners for the life of the contract.
The form allows prime bidders that are certified as Minority/Women-Owned Business Enterprises (M/WBE), Minority/Women Non-Profit Organizations (M/WNPO), Veteran-Owned Businesses (VBE), and Service-Disabled Veteran-Owned Businesses (SDVOBE) to submit the SDP Plan, but they cannot list themselves or their affiliates as SDP Partners. The Supplier Diversity Office (SDO) maintains lists of certified businesses that can be utilized as potential partners.
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Text version
Supplier Diversity Program (SDP) Plan - Declaration of SDP Partner(s) SDP Plan Form #2
Contract/RFR Document Number: Click here to enter text.
Instructions: Completing all parts of this form is mandatory. Please read all sections of the Bid related to the SDP. Complete one form and submit within a period of up to 30 days (or as stated in RFR) of Contract Execution. See SDP Resources information below to assist in partnering with certified businesses.
Important: Prime bidders that are certified as an M/WBE, M/WNPO, VBE and SDVOBE must also submit an SDP Plan Form and may not list themselves or their affiliates as SDP Partners.
Part I Contractor Information and Annual Financial Commitment (Required)
| Business Name: Click here to enter text. |
| Contact Name: Click here to enter text. |
| Phone #: Click here to enter phone number. |
| Email address: Click here to enter email address. |
Provide a specific final percentage of Bidder/Contractor sales derived from this contract to be spent with all certified SDP Partners on a Massachusetts fiscal year (July 1-June 30) basis.
Final Annual SDP Percentage Committed for Life of Contract:
Click here to enter percentage.%
Part II Contractor’s SDP Partners (Required) (Fill in Applicable Lines; Insert Additional Rows as Needed)
| Planned SDP Partner Company Name |
| Check Planned SDP Partner’s Certification(s) |
| Certifying Organization |
| Functions to be Performed by the Partner (optional unless otherwise stated in the RFR) |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Click here to enter text. | Choose an item. | Choose an item. | Click here to enter text. | |
| Alternative to Contractor Providing List of SDP Partners: | ||||
| ☐ | If specifically authorized in the Request for Response (RFR) to utilize this option, by checking this box, the Contractor acknowledges that they do not yet have any SDP Partners but will meet the percentage commitment in Part I (above) and all other contract requirements and will work with the SDO to identify and establish business relationships with SDO Partners. |
Part III Under the pains and penalties of perjury I certify that the information provided on this form is accurate. (Required)
| Name: Click here to enter text. |
| Title: Click here to enter text. |
| Signature: |
(May be left blank if submitted electronically) Date: Click here to enter a date.
Supplier Diversity Program (SDP) Resources:
· Lists of M/WBEs, M/WNPOs, VBEs and SDVOBEs certified or verified by the Supplier Diversity Office (SDO) are located at www.mass.gov/sdo.
· Resources to assist Prime Bidders in finding potential Certified Partners can be found at www.mass.gov/sdp.
· The Operational Services Division offers trainings on compliance with the SDP Plan requirements. Registration information for upcoming trainings can be found on the Supplier Diversity Program Trainings webpage.
Revised: March 8, 2016
Page | 2
File details come from the government source that posted it. Updated .