sdp-rplan-form-3-reporting~4.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- INDUSTRIAL SOAPS AND CLEANERS
- Solicitation number
- BD-15-1030-0H100-0H099-00000004466
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report form for a state contract opportunity. The form requires the contractor to report their quarterly spending with SDP partners, which include Minority Business Enterprises (MBE), Woman Business Enterprises (WBE), and other certified diverse suppliers. The contractor must complete and submit this report within 45 days of the end of each quarter to the Commonwealth Contract Manager. The contract opportunity is for "INDUSTRIAL SOAPS AND CLEANERS" in the state of Massachusetts.
The report includes sections for the contractor's information, SDP partner information, and certification that the information provided is accurate. Contractors must meet their annual SDP spending commitment percentage, which was established during the bid response or contract negotiation process. The Supplier Diversity Office and contracting department reserve the right to contact SDP partners to verify the amounts reported as paid to them by the contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| Authorized Signatory Form~5.doc | DOC document | |
| MassDOT Terms and Conditions~5.doc | DOC document | |
| Bid Spreadsheet~2.xlsx | XLSX spreadsheet | |
| Bid Response Form~4.docx | DOCX document | |
| sdp-rplan-form-2-declaration~4.doc | DOC document | |
| EFT Form~4.pdf | ||
| Soaps RFR Amended.docx | DOCX document | |
| MassDOT_Standard_Contract_Form~3.doc | DOC document | |
| W9 Form~4.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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File details come from the government source that posted it. Updated .