sdprplanform3reporting.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- RFR LOT Number 1506 - MSLC - STRIPS
- Solicitation number
- BD-15-1062-LOT-00001-00000002534
- Issued by
- Norfolk County, Boston City, Massachusetts
About this file
The document provided is a Supplier Diversity Program (SDP) Spending Report form for a state and local contract opportunity. The contract, identified as RFR LOT Number 1506 - MSLC - STRIPS, is being issued by the Massachusetts State Lottery Commission (the Lottery) to seek qualified firms to provide zero coupon non-callable U.S. Government securities, commonly referred to as STRIPS, to the Lottery through a competitive offering process. The report requires the contractor to provide information on their company's spending with SDP partners, including the partner company names, certification types, and quarterly spending amounts, in order to demonstrate compliance with the annual spending commitment percentage.
The report includes instructions for completing the form, which must be submitted quarterly within 45 days of the end of each quarter. The contractor is required to certify the accuracy of the information provided under the pains and penalties of perjury. The Lottery reserves the right to contact the SDP partners to validate the reported amounts paid to them by the contractor.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment-N-Conflict Interest.doc | DOC document | |
| RFQ STRIPS 1506~1.docx | DOCX document | |
| CommonwealthTermsConditions.doc | DOC document | |
| RFQ 1506 Response Template.docx | DOCX document | |
| Attachment_B_Standard_Contract.doc | DOC document | |
| Attachment_H_ContractorSignatoryForm.doc | DOC document | |
| Supplier_Diversity_Plan_From_2_Declaration_of_SDP_Partners.docx | DOCX document | |
| Supplier_Diversity_Plan_From_1_Commitment.docx | DOCX document | |
| newmass-w9.pdf | ||
| Attachment_M_MSLC_PersonalDataCetrification.doc | DOC document | |
| Attachment_E_TaxCompliance - Copy.doc | DOC document | |
| Attachment_L_Lottery_Disclosure_Statement~1.doc | DOC document | |
| Attachment_J_Invest_in_MA_Data_Form.docx | DOCX document | |
| Attachment_F_BusinessReferenceForm - Copy.doc | DOC document | |
| AttachmentJ1InvestinMAInstructio.doc | DOC document |
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Text version
SDP Spending Report
| Supplier Diversity Program (SDP) Spending Report | |
| SDP Plan Form #3 | |
| Document Number/Name: | BD-15-1062-LOT-00001-00000002534 MSLC Document Number: RFQ LOT Number 1506 |
| 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 .