Supplier_Diversity_Plan_From_3_Spending_Report~3.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- BD-16-1084-POLGH-GHQ-00000005335
- Issued by
- Barnstable County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report required to be submitted quarterly by a contractor to the Commonwealth of Massachusetts. The report details the contractor's spending with their SDP partners, which can include minority-owned, woman-owned, service-disabled veteran-owned, and non-profit businesses. The report requires the contractor to provide their total SDP spending commitment percentage and the actual quarterly and year-to-date spending with their SDP partners. The contractor must also explain if they are not in compliance with their annual SDP spending commitment.
The related state and local contract opportunity is for SP15-Agent-Q65: Travel agent, conference room & meeting space, etc., which is a contract managed by the Commonwealth of Massachusetts. The contract term and any renewal options are not specified in the information provided.
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Other files
| File | Type | Posted |
|---|---|---|
| Electronic_Funds_Transfer_Sign_Up_Form~7.pdf | ||
| Massachusetts_Substitute_W9_Form~7.doc | DOC document | |
| Instructions for Vendors Responding to Bids~4.docx | DOCX document | |
| Supplier_Diversity_Plan_From_2_Declaration_of_SDP_Partners~3.docx | DOCX document | |
| Commonwealth_Terms_Conditions.docx | DOCX document | |
| SP16-Agent-Q65 Catering Conference~2.doc | DOC document | |
| Contractor_Authorized_Signatory_Listing~7.doc | DOC document | |
| Standard_Contract_Form - POL~7.doc | DOC document | |
| create-a-quote~9.pdf | ||
| Business_Reference_Form~7.doc | DOC document | |
| Bid Sheet - Travel-caterer-Agent.docx | DOCX document | |
| Prompt_Payment_Discount_Form~8.doc | DOC document | |
| SP16-Agent-Q65 Catering Conference~1.doc | DOC document | |
| Supplier_Diversity_Plan_From_1_Commitment~4.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 |
&"-,Bold"&10Last Edit: &"-,Regular"&D
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