Supplier_Diversity_Plan_From_3_Spending_Report.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
IFB 2022-38 Recycling & Trash Disposal
Solicitation number
BD-22-1104-1104C-1104L-75595
Issued by
Hampden County, Springfield City, Massachusetts

About this file

The document is a Supplier Diversity Plan Spending Report Form 3 for a Commonwealth contract. It requires the contractor to provide information on their spending with Supplier Diversity Program (SDP) partners on a quarterly basis. The report includes the contractor's total quarterly and annual SDP spending commitment percentages, as well as the actual SDP partner spending for each quarter and the year-to-date. The contractor must also explain if they are not in compliance with their SDP spending commitment and what actions they will take to remedy that.

The related state and local contract opportunity is an Invitation for Bids (IFB) for Recycling & Trash Disposal services in the state of Massachusetts. The solicitation documents can be obtained by emailing the bid clerk at stccbidclerk@stcc.edu. No other details about the contract scope, quantities, response dates, or term are provided.

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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 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

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