sdp-rplan-form-3-reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Shelter Staffing Services
- Solicitation number
- BD-21-1013-PPN00-PLN01-53906
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form related to a state contract opportunity in Massachusetts. The form requires the contractor to report quarterly on their spending with SDP partner companies, including the partner's name, certification type, and the amount spent per quarter and fiscal year. The contractor must also indicate their overall SDP spending commitment percentage and explain any non-compliance with the annual spending commitment. The related state contract opportunity is for Shelter Staffing Services in the state of Massachusetts.
The pricing terms, set asides, incumbents, funding requirements, and other salient details are not provided in this document. The focus is on the reporting requirements for the contractor's spending with SDP partners as part of the state contract.
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Other files
| File | Type | Posted |
|---|---|---|
| 2 CFR 200.326 (Appendix II).docx | DOCX document | |
| busreffm.doc | DOC document | |
| EFT_FORM.pdf | ||
| Shelter Staffing RFR for Posting.docx | DOCX document | |
| w_9.doc | DOC document | |
| other-specs.doc | DOC document | |
| CommonwealthTermsAndConditions.pdf | ||
| ppd~1.doc | DOC document | |
| sdp-plan-form-1-commitment.docx | DOCX document | |
| req-specs.docx | DOCX document | |
| sdp-rplan-form-2-declaration.docx | DOCX document | |
| StandardContractForm~2.docx | DOCX document | |
| instructions-for-vendors-responding-to-bids.docx | DOCX document | |
| eppform.doc | DOC document | |
| casl-form.docx | DOCX document | |
| consig.doc | DOC document | |
| SIRS Staffing Job Action Sheets - Complete.pdf | ||
| Appendix II to Part 200.docx | DOCX document | |
| consltfm.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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