PRIME SUPPLIER MBE/WBE/DVBE PARTICIPATION PLAN
YEAR REPORTING:
PRIME SUPPLIER NAME:
____________________
ADDRESS:
_________________________
CITY/STATE/ZIP
_________________________
COMPANY E-MAIL:
____________________
TELEPHONE NUMBER:
____________________
Enter
Current
Year
Enter All
Company
Information
DESCRIBE YOUR COMPANY’S GOODS OR SERVICES THAT WILL BE PROVIDED UNDER THIS
AGREEMENT:
Utilize this section to describe the product or service that you will be delivering to AT&T. Please
provide a specific detailed list of your company’s equipment or services (i.e. provision of
handsets, office supplies, web design and online video production, etc.). This list will be used for
word searches when matching Primes with Suppliers.
DESCRIBE YOUR M/WBE-DVBE OR SUPPLIER DIVERSITY PROGRAM AND THE PERSONNEL
DEDICATED TO THAT PROGRAM
Prime Supplier should note their own Supplier Diversity program, outreach and inclusion
activities with Diverse Suppliers, membership in National Diversity Organizations, commitment
from company leadership on engaging Diversity Suppliers, etc.
THE FOLLOWING, TOGETHER WITH ANY ATTACHMENTS IS SUBMITTED AS AN MBE/WBE/DVBE
PARTICIPATION PLAN.
1. LIST THE PRINCIPAL GOODS AND SERVICES TO BE SUBCONTRACTED TO MBE/WBE/DVBEs
OR DELIVERED THROUGH MBE/WBE/DVBE VALUE ADDED RESELLERS
The Supplier should analyze their supply chain for the product service being contracted to
determine the opportunities for Direct Diversity subcontracting.
In addition, the Supplier should look at their entire supply chain to look at those General, Support
and Administrative services that could be subcontracted to Diversity Suppliers and be reported as
Indirect Diversity Subcontracting. Additional information on how to calculate Indirect
Subcontracting is attached below.
If there are MBE/WBE/DVBE subcontractors already being utilized, they should be listed in the
following table.
For every product and service you intend to use, provide the following information. (Attach additional sheets if necessary.)
Company Name
Classification
(MBE/WBE/DVBE)
Products/Services to
be provided
$ Value
Date to Begin
2. GOALS
A. WHAT ARE YOUR MBE/WBE/DVBE PARTICIPATION GOALS?
MINORITY BUSINESS ENTERPRISES
(MBEs)
WOMAN BUSINESS ENTERPRISES
(WBEs)
DISABLED VETERAN BUSINESS ENTERPRISES (DVBEs)
AT&T asks its Prime Suppliers to aspire to its own goals of 15% MBE,
5%, WBE and 1.5% DVBE utilization. If Supplier is unable to meet AT&T’s
goal, enter targets that are reasonable and reachable and which can be
improved upon year over year to reach the 21.5% supplier diversity goal.
Please contact your assigned AT&T Prime Supplier Program Manager
for assistance.
Enter goals for the
upcoming year for
utilization of minority
owned business
enterprises (“MBE”),
women owned
business enterprises
(“WBE”) and
disabled veteran
business enterprises
(“DVBE”), with
“participation”
expressed as a
percentage of
estimated annual
purchases by AT&T
B. WHAT IS THE ESTIMATED ANNUAL VALUE OF THIS CONTRACT: $_______________
This is the annual
value, not the
value of the entire
contract
C. WHAT ARE THE DOLLAR AMOUNTS OF YOUR PROJECTED MBE/WBE/DVBE PURCHASES:
Multiply % in A. above against contract value listed in B. above
MINORITY BUSINESS ENTERPRISES (MBEs)
$ _____
WOMAN BUSINESS ENTERPRISES (WBEs)
$ _____
DISABLED VETERAN BUSINESS ENTERPRISES (DVBEs)
$_
3. SELLER AGREES THAT IT WILL MAINTAIN ALL NECESSARY DOCUMENTS AND RECORDS TO
SUPPORT ITS EFFORTS TO ACHIEVE ITS MBE/WBE/DVBE PARTICIPATION GOAL(S). SELLER
ALSO ACKNOWLEDGES THE FACT THAT IT IS RESPONSIBLE FOR IDENTIFYING, SOLICITING
AND QUALIFYING MBE/WBE/DVBE SUBCONTRACTORS, DISTRIBUTORS AND VALUE ADDED
RESELLERS.
The attached document lists the recognized Third Party Certification agencies that
your subcontractors need to be certified by to be counted in your results. If you would
like other agencies to be considered, send your request to attsd@att.com.
4. THE FOLLOWING INDIVIDUAL, ACTING IN THE CAPACITY OF MBE/WBE/DVBE
COORDINATOR FOR SELLER, WILL:
ADMINISTER THE MBE/WBE/DVBE PARTICIPATION PLAN, SUBMIT SUMMARY REPORTS,
AND COOPERATE IN ANY STUDIES OR SURVEYS AS MAY BE REQUIRED IN ORDER TO
DETERMINE THE EXTENT OF COMPLIANCE BY THE SELLER WITH THE PARTICIPATION
PLAN.
Within sixty (60) days from the Effective date of this Agreement, Supplier shall
email a copy of the initial annual plan to attsd@att.com. Thereafter, Supplier shall
furnish its monthly results to AT&T in accordance with instructions to be provided
to Supplier following AT&T’s receipt of Supplier’s initial annual plan.
NAME:
TITLE:
______
TELEPHONE NUMBER:
AUTHORIZED SIGNATURE:
DATE:
_____________
This information will determine who
will be contacted by the AT&T Supplier
Diversity team for any questions on the
Annual Subcontracting Plan
2014 Certification
Agencies.doc
Indirect Tier 2
M&P.docx
PRIME SUPPLIER MBE/WBE/DVBE PARTICIPATION PLAN
YEAR REPORTING:
PRIME SUPPLIER NAME:
____________________
ADDRESS:
_________________________
CITY/STATE/ZIP
_________________________
COMPANY E-MAIL:
____________________
TELEPHONE NUMBER:
____________________
DESCRIBE GOODS OR SERVICES BEING PROVIDED UNDER THIS AGREEMENT:
DESCRIBE YOUR M/WBE-DVBE OR SUPPLIER DIVERSITY PROGRAM AND THE PERSONNEL
DEDICATED TO THAT PROGRAM
THE FOLLOWING, TOGETHER WITH ANY ATTACHMENTS IS SUBMITTED AS AN MBE/WBE/DVBE
PARTICIPATION PLAN.
1. LIST THE PRINCIPAL GOODS AND SERVICES TO BE SUBCONTRACTED TO MBE/WBE/DVBEs
OR DELIVERED THROUGH MBE/WBE/DVBE VALUE ADDED RESELLERS
For every product and service you intend to use, provide the following information. (attach additional sheets if necessary)
Company Name
Classification
(MBE/WBE/DVBE)
Products/Services to
be provided
2. GOALS
A. WHAT ARE YOUR MBE/WBE/DVBE PARTICIPATION GOALS?
MINORITY BUSINESS ENTERPRISES
(MBEs)
$ Value
Date to Begin
WOMAN BUSINESS ENTERPRISES
(WBEs)
DISABLED VETERAN BUSINESS ENTERPRISES (DVBEs)
B. WHAT IS THE ESTIMATED ANNUAL VALUE OF THIS CONTRACT: $_______________
C. WHAT ARE THE DOLLAR AMOUNTS OF YOUR PROJECTED MBE/WBE/DVBE PURCHASES:
Multiply % in A. above against contract value listed in B. above
MINORITY BUSINESS ENTERPRISES (MBEs)
$ _____
WOMAN BUSINESS ENTERPRISES (WBEs)
$ _____
DISABLED VETERAN BUSINESS ENTERPRISES (DVBEs)
$_
3. SELLER AGREES THAT IT WILL MAINTAIN ALL NECESSARY DOCUMENTS AND RECORDS TO
SUPPORT ITS EFFORTS TO ACHIEVE ITS MBE/WBE/DVBE PARTICIPATION GOAL(S). SELLER
ALSO ACKNOWLEDGES THE FACT THAT IT IS RESPONSIBLE FOR IDENTIFYING, SOLICITING
AND QUALIFYING MBE/WBE/DVBE SUBCONTRACTORS, DISTRIBUTORS AND VALUE ADDED
RESELLERS.
4. THE FOLLOWING INDIVIDUAL, ACTING IN THE CAPACITY OF MBE/WBE/DVBE
COORDINATOR FOR SELLER, WILL:
ADMINISTER THE MBE/WBE/DVBE PARTICIPATION PLAN, SUBMIT SUMMARY REPORTS,
AND COOPERATE IN ANY STUDIES OR SURVEYS AS MAY BE REQUIRED IN ORDER TO
DETERMINE THE EXTENT OF COMPLIANCE BY THE SELLER WITH THE PARTICIPATION
PLAN.
Within sixty (60) days from the Effective date of this Agreement, Supplier shall
email a copy of the initial annual plan to attsd@att.com. Thereafter, Supplier shall
furnish its monthly results to AT&T in accordance with instructions to be provided
to Supplier following AT&T’s receipt of Supplier’s initial annual plan
NAME:
TITLE:
______
TELEPHONE NUMBER:
AUTHORIZED SIGNATURE:
DATE:
_____________