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

DOCX document 50 KB Posted

Attached to
Universal and Compression Machines
Solicitation number
BD-16-1030-0H100-0H110-00000007880
Issued by
Middlesex County, Massachusetts

About this file

This document is a Supplier Diversity Program (SDP) Plan Form #2 related to a state and local contract opportunity in Massachusetts. The form requires the prime bidder to provide information on their planned SDP partners, including the partner company name, certification type, and the functions to be performed. The prime bidder must also declare their final SDP percentage commitment for the life of the contract. If the prime bidder does not yet have any SDP partners, they can alternatively acknowledge that they will meet the percentage commitment and work with the Supplier Diversity Office (SDO) to identify and establish relationships with SDP partners.

The related state and local contract opportunity is for "Universal and Compression Machines" in Massachusetts. No additional details are provided about the products or services requested, the response/due dates, the award date, or the contract term and renewal options.

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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.
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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