sdp-rplan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-15-1030-0H100-0H099-00000001687
- Issued by
- Suffolk County, Massachusetts
About this file
The document provided is an SDP Spending Report Form for a state and local contract opportunity. The form requires the contractor to report on their spending with Supplier Diversity Program (SDP) partners on a quarterly basis. The form asks for information on the contractor's total SDP spending commitment and actual spending by quarter, as well as details on the SDP partners used including their certification type and quarterly spending amounts. The contractor must certify the accuracy of the information provided under penalties of perjury.
The related state and local contract opportunity is for Highway Assistance Program Services in the state of Massachusetts. The document does not provide further details on the scope of work, quantities, response dates, award information, or contract term.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid Response Form Final.docx | DOCX document | |
| StandardContractForm0914.doc | DOC document | |
| HAP RFR Final.docx | DOCX document | |
| EFT Form.pdf | ||
| W9 Form.pdf | ||
| sdp-rplan-form-2-declaration.doc | DOC document | |
| MassDOTTermsandConditions.doc | DOC document | |
| HAP Q and A.docx | DOCX document | |
| AuthorizedSignatoryForm.doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 | MNPO/WNPO/MWNPO - Minority or Woman 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
Sheet2
Sheet3
File details come from the government source that posted it. Updated .