sdp-rplan-form-3-reporting~11.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Universal and Compression Machines
- Solicitation number
- BD-16-1030-0H100-0H110-00000007880
- Issued by
- Middlesex County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report Form required for a Commonwealth of Massachusetts state contract. The form requires the contractor to report their quarterly spending with certified SDP partner companies, including the partner company name, certification type, and amount spent per quarter. The contractor must meet their annual SDP spending commitment percentage, which is established in the contract. If the contractor is not in compliance, they must explain why and what actions will be taken to meet the commitment.
The related state contract opportunity is for the purchase of Universal and Compression Machines. The contract is administered by the Commonwealth of Massachusetts. The report form provides instructions and a template for the contractor to submit their quarterly SDP spending, which is a requirement of the state contract.
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Other files
| File | Type | Posted |
|---|---|---|
| sdp-rplan-form-2-declaration~2.docx | DOCX document | |
| Bid Spreedsheet Amended.xlsx | XLSX spreadsheet | |
| W9 Form~14.pdf | ||
| MassDOT Terms and Conditions~19.doc | DOC document | |
| Authorized Signatory Form~16.doc | DOC document | |
| EFT Form~16.pdf | ||
| Compression RFR Amended.docx | DOCX document | |
| MassDOTStandardContractForm~11.doc | DOC document | |
| Bid Response Form Amended~3.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 | Annual 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 (as it appears on a list at www.mass.gov/sdo) | (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 | |
| M/WBE - Minority and Woman Business Enterprise | ||
| Authorized Signature | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise | |
| (May be left blank if submitted electronically) | VBE - Veteran-Owned Business Enterprise | |
| Date | M/NPO - Minority Non-Profit Organization | |
| W/NPO - Women Non-Profit Organization | ||
| M/W/NPO - Minority and Women Non-Profit Organization | ||
| *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 Type for SDP Partner(s) can be checked at www.mass.gov/sdo | Revised: February 22, 2016 |
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File details come from the government source that posted it. Updated .