sdp-rplan-form-3-reporting~17.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Stenographic and Transcriptions Services
- Solicitation number
- BD-17-1030-0H100-H001-10395
- Issued by
- Massachusetts
About this file
This document is the SDP Spending Report Form #3 for the Commonwealth of Massachusetts' Supplier Diversity Program (SDP). The form requires contractors to provide information on their quarterly spending with SDP partners, including the partner's company name, certification type, and the amount spent each quarter. Contractors must submit this report within 45 days of the end of each quarter to the Commonwealth Contract Manager.
The related state and local contract opportunity is for Stenographic and Transcription Services in the state of Massachusetts. This is an ongoing contract, but the specific contract details such as award date, term, and renewal options are not provided in the given information.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Response Form~22.docx | DOCX document | |
| MassDOT Standard Contract Form~5.doc | DOC document | |
| MassDOT Terms and Conditions~29.doc | DOC document | |
| Notice of Intent to Post.docx | DOCX document | |
| Q and A~6.docx | DOCX document | |
| Authorized Signatory Form~26.doc | DOC document | |
| Stenographic and Transcriptions Services RFR Amended.docx | DOCX document | |
| sdp-rplan-form-2-declaration~9.docx | DOCX document | |
| EFT Form~25.pdf | ||
| W9 Form~23.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 | 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 .