sdp-rplan-form-3-reporting~1.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- Portable HE Shooting Simulator
- Solicitation number
- BD-15-1046-DFW-FWE41-00000003891
- Issued by
- Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report for a state contract. The report is required to be submitted quarterly within 45 days of the end of each quarter to the Commonwealth Contract Manager. It includes information on the contractor's spending with their SDP partners and requires the contractor to certify that the information provided is accurate. The report covers the contractor's total SDP quarterly contract sales and spending commitments by fiscal year quarter.
The report also requires the contractor to provide details on their SDP partner(s), including the partner company name, email address, certification type, and quarterly spending amounts. There is a section for the contractor to explain if they are not in compliance with their annual SDP spending commitment and what actions will be taken to bring the company into compliance.
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| eppform~1.doc | DOC document | |
| sdp-plan-form-1-commitment~1.docx | DOCX document | |
| sdp-rplan-form-2-declaration~1.docx | DOCX document | |
| EFT_FORM~2.pdf | ||
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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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