sdp-rplan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Tessco Antenna Parts
- Solicitation number
- BD-20-1013-RFS00-FLEET-42580
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form that must be completed and submitted by a contractor to the Commonwealth Contract Manager within 45 days of the end of each quarter. The form requires the contractor to provide information on their company's spending with SDP Partner(s), including the partner's company name, email address, certification type, and quarterly spending amounts. The contractor must also report their total SDP quarterly contract sales and verify compliance with their annual SDP spending commitment percentage. If not in compliance, the contractor must explain why and what actions will be taken to bring the company into compliance.
The report contains detailed spending information by quarter and in total for the fiscal year. The form includes certifications and acknowledgments that the information provided is accurate under the pains and penalties of perjury. The Commonwealth reserves the right to contact the SDP Partners to verify the amounts reported as paid to them by the contractor.
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| standard-contract-frm 3142014.doc | DOC document | |
| req-it.doc | DOC document | |
| Appendix II to Part 200.docx | DOCX document | |
| c_tc.doc | DOC document | |
| busreffm.doc | DOC document | |
| ppd.doc | DOC document | |
| other-specs.doc | DOC document | |
| consig.doc | DOC document | |
| EFT_FORM.pdf | ||
| consltfm.doc | DOC document | |
| sdp-plan-form-1-commitment.docx | DOCX document | |
| w_9.doc | DOC document | |
| sdp-rplan-form-2-declaration.docx | DOCX document | |
| instructions-for-vendors-responding-to-bids.docx | DOCX document | |
| 2 CFR 200.326 (Appendix II).docx | DOCX document | |
| eppform.doc | DOC document | |
| req-specs.docx | DOCX document | |
| ppd~1.doc | DOC 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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