sdp-rplan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Press Conference Equipment
- Solicitation number
- BD-20-1013-COS00-PIO00-44552
- Issued by
- Massachusetts
About this file
This document is the Supplier Diversity Program (SDP) Spending Report Form #3 related to a Commonwealth contract. The form requires the contractor to report their quarterly spending with SDP partners, including the partner company name, certification type, and quarterly spending amounts. The contractor must also report their total quarterly SDP spending and indicate if they are in compliance with their annual SDP spending commitment. The form must be completed and submitted within 45 days of the end of each quarter to the Commonwealth Contract Manager.
The form provides fields for the contractor to input their company information, total quarterly SDP spending, and details on the SDP partners utilized, including their certification status. The contractor must certify under pains and penalties of perjury that the information provided is accurate. The Commonwealth reserves the right to contact the SDP partners to validate the reported spending amounts.
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Other files
| File | Type | Posted |
|---|---|---|
| ppd~1.doc | DOC document | |
| sdp-rplan-form-2-declaration.docx | DOCX document | |
| eppform.doc | DOC document | |
| w_9.doc | DOC document | |
| standard-contract-frm 3142014.doc | DOC document | |
| req-it.doc | DOC document | |
| consltfm.doc | DOC document | |
| consig.doc | DOC document | |
| other-specs.doc | DOC document | |
| Appendix II to Part 200.docx | DOCX document | |
| instructions-for-vendors-responding-to-bids.docx | DOCX document | |
| EFT_FORM.pdf | ||
| sdp-plan-form-1-commitment.docx | DOCX document | |
| busreffm.doc | DOC document | |
| c_tc.doc | DOC document | |
| ppd.doc | DOC document | |
| 2 CFR 200.326 (Appendix II).docx | DOCX document | |
| req-specs.docx | DOCX 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 | 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
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File details come from the government source that posted it. Updated .