sdp-rplan-form-3-reporting~2.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- Shelter - ACS - Staging Area RFR
- Solicitation number
- BD-21-1013-PPN00-PLN01-53509
- Issued by
- Middlesex County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form that must be completed and submitted by the 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 their SDP Partner(s), including the partner's name, certification type, and quarterly spending amounts. The contractor must also provide their annual SDP spending commitment percentage and an explanation if they are not in compliance.
The related state and local contract opportunity is for a Shelter - ACS - Staging Area RFR (Request for Response) in the state of Massachusetts. The report appears to be a required submission for this contract, though the specific contract details are not provided in this document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| w_9.doc | DOC document | |
| sdp-rplan-form-2-declaration~2.docx | DOCX document | |
| Appendix II to Part 200.docx | DOCX document | |
| consig.doc | DOC document | |
| Business Reference Form.docx | DOCX document | |
| eppform.doc | DOC document | |
| Shelter-ACS-Staging Area RFR Final~1.docx | DOCX document | |
| newmass-w9.pdf | ||
| casl-form.docx | DOCX document | |
| EFT_FORM.pdf | ||
| instructions-for-vendors-responding-to-bids.docx | DOCX document | |
| busreffm.doc | DOC document | |
| EPP Requirements.docx | DOCX document | |
| consltfm.doc | DOC document | |
| StandardContractForm.docx | DOCX document | |
| RFR Other Specification.doc | DOC document | |
| 2 CFR 200.326 (Appendix II).docx | DOCX document | |
| sdp-plan-form-1-commitment~2.docx | DOCX document | |
| prompt-pay-frm.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 | 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 | ||
| *This is your company's SDP Plan commitment percentage submitted in your Bid Response | M/W/NPO - Minority and Women Non-Profit Organization | |
| or established through negotiation. | DOBE - Disability-Owned Business Enterprise | |
| **The Supplier Diversity Office and contracting department reserves the right to contact | LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise | |
| 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: March 8, 2016 |
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File details come from the government source that posted it. Updated .