Supplier_Diversity_Plan_From_3_Spending_Report~5.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- WASHBAY PRESSURE WASHER MAINTENANCE-201603WPWM
- Solicitation number
- BD-16-1030-0H100-0H099-00000007020
- Issued by
- Bristol County, Massachusetts
About this file
This document is a Supplier Diversity Program (SDP) Spending Report for a state contract in Massachusetts. The report requires the contractor to provide quarterly information on their spending with SDP partners, which include minority-owned, woman-owned, and service-disabled veteran-owned businesses. The report includes fields for the contractor's total SDP spending commitment percentage, as well as the actual quarterly and year-to-date spending with each SDP partner. The contractor must certify the accuracy of the information provided under pains and penalties of perjury.
The related state and local contract opportunity is for WASHBAY PRESSURE WASHER MAINTENANCE-201603WPWM in the state of Massachusetts. No other details about this contract opportunity are provided in the given information.
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Other files
| File | Type | Posted |
|---|---|---|
| sdp-plan-form-1-commitment~1.doc | DOC document | |
| Washbay RFR 2016.doc | DOC document | |
| MASSDOT Terms and Conditions~1.doc | DOC document | |
| Exhibit_1_Site_Locations.doc | DOC document | |
| EFT.pdf | ||
| busreffm (1)~1.doc | DOC document | |
| prompt-pay-frm~4.doc | DOC document | |
| Attachment A_Bid_Sheet.doc | DOC document | |
| MassDOTStandardContractForm~7.doc | DOC document | |
| Attachment B Bidder Info Sheet.doc | DOC document | |
| Supplier_Diversity_Plan_From_2_Declaration_of_SDP_Partners~5.docx | DOCX document | |
| Bidders Feedback Form~1.doc | DOC document | |
| W9~1.doc | DOC document | |
| Authorized Signatory~1.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: |
| 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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