sdp-rplan-form-2-declaration-2018~11.docx
DOCX document 51 KB Posted
- Attached to
- 16-DOC-1000-Photo ID Systems & Supplies
- Solicitation number
- BD-19-1025-DOCFS-FISCM-41085
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Plan Declaration of SDP Partner(s) form, which is required as part of a state and local contract opportunity. The form requires the prime contractor to provide information about their SDP partners, including the company name, certification, and the functions to be performed. The contractor must also commit to a minimum annual percentage of sales from the contract that will be spent with the SDP partners. If the contractor does not have any SDP partners at the time of submission, they can acknowledge that and commit to working with the Supplier Diversity Office to identify and establish relationships with certified partners.
The related state and local contract opportunity is for photo ID systems and supplies, with the contract being issued by the Massachusetts state government. The contract term and any renewal options are not specified.
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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, SDVOBE, DOBE or LGBTBE 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, SDVOBEs, DOBEs and LGBTBEs 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.
Revised: June 8, 2018
Page | 2
File details come from the government source that posted it. Updated .