sdprplanform3reporting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- MTRS RFR Board Election Services
- Solicitation number
- BD-16-1106-1106C-TRB1-00000005059
- Issued by
- Middlesex County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report Form 3 required to be submitted quarterly by contractors to the Commonwealth Contract Manager. The form requires the contractor to report their total quarterly and annual spending commitments with their designated SDP partner(s), including the partner's company name, certification type, and quarterly spending amounts. The contractor must certify under pains and penalties of perjury that the information provided is accurate.
The form also includes a section for the contractor to explain any non-compliance with their annual spending commitment and the actions they will take to bring their company into compliance. The Commonwealth reserves the right to contact the SDP partners to verify the reported amounts paid to them by the contractor.
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| commtermsconditions.docx | DOCX document | |
| newmassw9.docx | DOCX document | |
| sdprplanform2declaration.docx | DOCX document | |
| standardcontractfrm.docx | DOCX document | |
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| MTRSBdElectionRFR201508042015FINAL.pdf | ||
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| sdpplanform1commitment.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 |
| Revised: November 13, 2013 |
&"-,Bold"&10Last Edit: &"-,Regular"&D
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File details come from the government source that posted it. Updated .