SDP_Spending_Report~6.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Religious Services Master Agreement (MA) RFR
- Solicitation number
- BD-15-1022-DMH07-7110A-00000003893
- Issued by
- Worcester County, Massachusetts
About this file
The document is a Supplier Diversity Program (SDP) Spending Report template used by the Commonwealth of Massachusetts to track prime contractor spending with certified Supplier Diversity Program partners. The template requires contractors to provide information on their annual SDP spending commitment percentage, quarterly contract sales, and detailed spending with each SDP partner, including the partner's name, certification type, and relationship type (subcontracting or ancillary). Contractors are required to submit this report quarterly within 45 days of the end of each fiscal quarter.
The document also includes instructions for completing the report, links to searchable databases of eligible SDP partners, and information about the overall Supplier Diversity Program and certification types. Contractors certified as diverse businesses are not permitted to list their own organization as an SDP partner. The Commonwealth reserves the right to contact SDP partners to verify the reported spending amounts.
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| Business Reference Form~16.docx | DOCX document | |
| Commonwealth of Massachusetts Standard Contract Form~8.docx | DOCX document | |
| Commonwealth Standard Contract Instruction_Contractor Certifications_Terms.pdf | ||
| SDP_Plan_Form~4.xlsx | XLSX spreadsheet | |
| Contractor Authorized Signatory Listing.doc | DOC document | |
| Electronic Funds Transfer Sign Up Form~14.pdf | ||
| MA Form_W-9~9.pdf | ||
| Religious Services MA RFR~3.doc | DOC document | |
| Response Cover Sheet.doc | DOC document | |
| DMH RELIGIOUS SERVICES MA RFR APPROVED VENDORS 2023.docx | DOCX document |
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Text version
SDP Spending Report Supplier Diversity Program (SDP) Prime Contractor Spending Report
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 | Relationship Type | Certification Type** | Quarterly Spending with Supplier Diversity Partner(s) | Fiscal Year | |||
| Name* (Enter the name as it appears in the database) | (Subcontracting or Ancillary) (Choose One)** | (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 | |||||||
| Subcontracting | Year-To-Date Compliance Check (Do not change this line) | $ - 0 | |||||
| Ancillary Products and Services | |||||||
| If not in compliance, please explain why and what actions will be taken to bring your company to compliance with the annual spending commitment: |
| *Eligible SDP Partners can be found by searching: | **All SDP Partners must possess one or more of | |
| Supplier Diversity Office Directory of Certified Businesses | the following certification types: | |
| U.S. Dept of Veterans Affairs Vendor Information Pages | MBE - Minority Business Enterprise | |
| WBE - Woman Business Enterprise | ||
| Part III | Under the pains and penalties of perjury I certify | M/WBE - Minority and Woman Business Enterprise |
| that the information provided in this report is accurate. | SDVOBE - Service-Disabled Veteran-Owned Business Enterprise | |
| Name | VBE - Veteran-Owned Business Enterprise | |
| Title | M/NPO - Minority Non-Profit Organization | |
| Phone | W/NPO - Women Non-Profit Organization | |
| M/W/NPO - Minority and Women Non-Profit Organization | ||
| Date | DOBE - Disability-Owned Business Enterprise | |
| Form updated 06/28/2021 | LGBTBE - Lesbian, Gay, Bisexual or Transgender Business Enterprise |
FORM INSTRUCTIONS
Overall Contractors are required to file a "Supplier Diversity Program (SDP) Spending Report" form. This requirement includes contractors who have already been certified by the Supplier Diversity Office (SDO) as a diverse business. 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.
Parts of the Form that Require Completion Please complete the fields shaded in yellow.
Part I - Contractor Information
● Contractor Company Name: Enter your company name.
● Contact name: Enter the sum of all sales under the contact made during the quarter.
● Annual Supplier Diversity Spending Commitment %: Enter your company's SDP Plan commitment percentage submitted in your Bid Response or established through negotiation.
● Quarterly Contract Sales: Enter the sum of all sales under the contact made during the quarter.
Part II - Contractor's SDP Partner Information All SDP Partner(s) listed on the form must be certified in one or more of the certification categories listed on Page 1 of this form. Links to searchable databases of eligible SDP partners are also available on Page 1 of the form.
Contractors certified by the Supplier Diversity Office or another recognized certification organization may not list their own organization as an SDP partner.
● Certification Type: Select the partner's certification type from the menu. For partners with multiple certification types, please select the one that is highest on the dropdown list.
● Relationship Type: Select one of the following types:
- Subcontracting, defined as a partnership in which the SDP partner is involved in the provision of products and/or services to the Commonwealth. Such relationships typically, but not always, involve a formal written agreement between the SDP partner and the prime contractor.
- Ancillary Products and Services, defined as a business relationship in which the SDP partner provides products or services that are not directly related to the prime contractor’s contract with the Commonwealth. In most cases, this type of partnership is related to the prime contractor’s general business needs. Note: If the Commonwealth receives a portion of the products or services that are provided through this relationship type, the portion received by the Commonwealth may be reported as subcontracting while the remainder of the amount may be reported as ancillary products and services.
● Quarterly Spending with Supplier Diversity Partner(s): Enter the amount (as an exact dollar figure) that your company expended with SDP partner(s) during the quarter.
Additional Resources
● More information about the Supplier Diversity Program (SDP) is available at www.mass.gov/sdp
● More information about supplier diversity certifications is available at www.mass.gov/sdo https://www.vip.vetbiz.va.gov/https://www.sdo.osd.state.ma.us/BusinessDirectory/BusinessDirectory.aspx
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