SDP_PlanForm3_Reporting.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Special litter bags - Mdotfcs110
- Solicitation number
- BD-16-1030-0H100-0H099-00000006796
- Issued by
- Suffolk County, Massachusetts
About this file
This document is the Supplier Diversity Program (SDP) Spending Report Form 3 for a Commonwealth of Massachusetts contract. The form requires contractors to report their quarterly spending with certified SDP partners, including the partner's name, certification type, and the amount spent each quarter. The contractor must also provide their total quarterly contract sales and the percentage of those sales that were spent with SDP partners. The form must be completed and submitted within 45 days of the end of each quarter.
The related state and local contract opportunity is for the purchase of special litter bags by the Massachusetts Department of Transportation. No other details about this contract opportunity are provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| SDP_PlanForm1_Commitment.docx | DOCX document | |
| newmass-w9.doc | DOC document | |
| eppform~2.doc | DOC document | |
| MassDOTTermsandConditions~1.doc | DOC document | |
| prompt-pay-frm.doc | DOC document | |
| Questions and answers for RFRMDOTFCS110.docx | DOCX document | |
| SDP_PlanForm2_Declaration.docx | DOCX document | |
| AuthorizedSignatoryForm~1.doc | DOC document | |
| MDOTFCS110.doc | DOC document | |
| busreffm.doc | DOC document | |
| StandardContractForm .doc | DOC document |
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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 | NPO - 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 |
&"-,Bold"&10Last Edit: &"-,Regular"&D
File details come from the government source that posted it. Updated .