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 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
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 CompanyContact NameTotal Supplier DiversityQuarterly Contract SalesFiscal Year
NameSpending 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) CompanyEmail 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.

NameSupplier Diversity Certification Acronyms:
TitleMBE - Minority Business Enterprise
PhoneWBE - Woman Business Enterprise
EmailMWBE - Minority and Woman Business Enterprise
Authorized SignatureMNPO/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

Sheet2

Sheet3

File details come from the government source that posted it. Updated .