sdp-rplan-form-2-declaration~17.docx

DOCX document 50 KB Posted

Attached to
Track Maintenance Power Tools
Solicitation number
BD-17-1030-0T100-0T281-13953
Issued by
Plymouth County, Massachusetts

About this file

This document is a Supplier Diversity Program (SDP) Plan Declaration of SDP Partner(s) related to a state and local contract opportunity for Track Maintenance Power Tools in Massachusetts. The form requires the prime contractor to provide information on their SDP percentage commitment for the life of the contract, as well as list any SDP partners they plan to utilize, including the partners' names, certifications, and the functions they will perform. The contractor must certify the accuracy of the information provided. The related state and local contract opportunity is for Track Maintenance Power Tools in the state of Massachusetts.

The SDP plan is required to be completed within 30 days of contract execution. Prime bidders that are certified as M/WBE, M/WNPO, VBE, or SDVOBE must also submit an SDP plan but cannot list themselves or their affiliates as SDP partners. Contractors are provided with resources to assist in identifying and partnering with certified SDP businesses through the Supplier Diversity Office.

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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.
Final 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: February 22, 2016

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