sdp-rplan-form-3-reporting~8.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-16-1030-0H100-0H099-00000006450
- Issued by
- Suffolk County, Massachusetts
About this file
The provided document is a Supplier Diversity Program (SDP) Spending Report form that must be completed and submitted by a contractor within 45 days of the end of each quarter to the Commonwealth Contract Manager. The form requires the contractor to report their quarterly and annual spending with their SDP partner(s), which can include Minority Business Enterprises (MBEs), Woman Business Enterprises (WBEs), Minority and Woman Business Enterprises (MWBEs), Minority or Woman Non-Profit Organizations (MNPO/WNPO/MWNPO), and Service-Disabled Veteran-Owned Business Enterprises (SDVOBEs). The contractor must also provide their total quarterly and annual supplier diversity spending, as well as their annual SDP spending commitment percentage.
The related state and local contract opportunity is for De-Icing Liquid Storage Tanks, Dispensing Systems and Bases in the state of Massachusetts. No other details about the scope, quantities, response dates, or contract term are provided in the given information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| W9 Form~8.pdf | ||
| MassDOTStandardContractForm.doc | DOC document | |
| Bid Spreadsheet~5.xlsx | XLSX spreadsheet | |
| MassDOT Terms and Conditions~9.doc | DOC document | |
| Authorized Signatory Form~9.doc | DOC document | |
| sdp-rplan-form-2-declaration~9.doc | DOC document | |
| EFT Form~8.pdf | ||
| Bid Response Form~7.docx | DOCX document | |
| Tanks RFR.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 | 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 .