sdp-rplan-form-3-reporting~5.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 2019 Impaired Driving Conference
- Solicitation number
- BD-19-1044-EPS11-HWY-30848
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report Form for a state and local contract opportunity in Massachusetts. The form requires contractors to provide information on their company's spending with SDP partners, including the partner company name, certification type, and quarterly spending amounts. Contractors must complete and submit this form within 45 days of the end of each quarter to the Commonwealth Contract Manager.
The related state and local contract opportunity is the 2019 Impaired Driving Conference, which is being issued by the state of Massachusetts and the jurisdictions of Suffolk County and Boston City. The form does not provide details on the specific products or services requested, project overview, response dates, award information, or contract term.
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Other files
| File | Type | Posted |
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| newmass-w9~5.doc | DOC document | |
| sdp-plan-form-1-commitment~5.docx | DOCX document | |
| EFT_FORM.pd~1.pdf | ||
| QA for Commbuys.docx | DOCX document | |
| casl-form~3.docx | DOCX document | |
| comm-termsconditions~4.doc | DOC document | |
| sdp-rplan-form-2-declaration~5.docx | DOCX document | |
| prompt-pay-frm~5.doc | DOC document | |
| RFR Revised Evaluation Criteria.docx | DOCX document | |
| REQUIRED SPECIFICATIONS FOR COMMODITIES AND SERVICES~1.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 | ||
| *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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