Supplier_Diversity_Plan_Form_1_Commitment~8.docx

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Attached to
17CBEHSDMEINCONTINENCERPRODUCTSRFR:RFR for a Preferred Supplier of DME Incontinence Products
Solicitation number
BD-17-1039-EHS01-EHS01-14628
Issued by
Suffolk County, Massachusetts

About this file

This document is a Supplier Diversity Program (SDP) Plan Commitment Form that must be submitted with a bid response for the state of Massachusetts' Request for Response (RFR) for a Preferred Supplier of DME Incontinence Products. Through this RFR, the Executive Office of Health and Human Services (EOHHS) seeks to establish a preferred wholesale distributor arrangement with a single contractor to supply incontinence products that meet EOHHS's minimum quality standards at a discounted rate to participating MassHealth Durable Medical Equipment (DME) Providers, including MassHealth Pharmacy Providers. Bidders must commit to a specific percentage of sales derived from this contract that will be spent with all certified Supplier Diversity Program (SDP) partners, including Minority Business Enterprises (MBE) and Women Business Enterprises (WBE). The SDP Plan Form and resources for identifying potential partners are provided to assist prime bidders in meeting these requirements.

The RFR does not provide details on pricing terms, set-asides, incumbents, funding requirements or sources, or contract amounts. However, it does note that the preferred supplier arrangement is intended to provide discounted incontinence products to participating MassHealth DME and Pharmacy Providers.

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Text version

Supplier Diversity Program (SDP) Plan Commitment SDP Plan Form #1 (To be submitted with Bid Response)

Contract/RFR Document Number:

Instructions: Completing all parts of this form is mandatory. Please read instructions in the SDP section of the solicitation. Complete one form and submit with Bid.

Part I Bidder/Contractor Information (Required)

Business Name:

Contact Name:

Phone # ( ) -
Email address:

Part II Financial Commitment (Required)

Provide a specific percentage committed (as a percentage of Bidder/Contractor sales derived from this contract for the life of the contract) to be spent with all certified SDP Partners that the Bidder will propose if awarded a Contract. Please note that prime bidders who are SDO-certified must also submit an SDP Plan Form.

SDP Percentage Committed in Bid Response for Life of Contract:
%

Supplier Diversity Program (SDP) Resources:

· Resources available to assist Prime Bidders in finding potential Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) partners can be found on the Supplier Diversity Program Webpage (www.mass.gov/sdp).

· Resources available to assist Prime Bidders in finding potential Service-Disabled Veteran-Owned Business Enterprise (SDVOBE) partners can be found on the Supplier Diversity Office Webpage (www.mass.gov/sdo).

· The Supplier Diversity Program offers training on the SDP Plan requirements. The dates of upcoming trainings can be found on the OSD Training & Outreach Webpage. In addition, the SDP Webinar can be located on the Supplier Diversity Program Webpage (www.mass.gov/sdp).

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