0._Attachment_1-_RFP_Submission_Checklist.pdf
PDF 62 KB Posted
- Attached to
- 23NRW002 - Temporary Relief Nurse Registry
- Solicitation number
- 0000030806
- Issued by
- California
About this file
This document is an RFP Submission Checklist for State of California RFP# 23NRW002 issued by the Department of Veterans Affairs for Temporary Relief Nurse Registry services. The RFP requires the submission of various attachments, including the Proposal/Proposer Certification Sheet, Minimum Qualification Responses, Proposer's Rate Sheet, Proposer Declaration, Payee Data Record, Contractor Certification Clauses, Insurance Certificate, Darfur Contracting Act, Iran Contracting Act Certification, California Civil Rights Certification, DVBE Declarations, Proposer's Reference Form, and sample business license and invoice. The contract opportunity is for providing Nurse Registry Services to the Veterans Home of California - West Los Angeles campus. Proposals are due by the date specified, and the contract term is not provided.
The RFP does not include pricing terms, set asides, information on incumbents or the current environment, funding requirements or sources, or other salient details. The document focuses primarily on the administrative requirements for submitting a responsive proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| 23NRW002-_RFP.pdf | ||
| Attachment_15-_Referance.docx | DOCX document | |
| CalVet_Org_Chart.pdf | ||
| 1._Attachments.pdf | ||
| Attachment_13-Proposal_Scoring_Sheet.pdf | ||
| DVBEProgramRequirements.pdf | ||
| Attachment_4_-23NRW002_-_Bid_Rate_Sheet-_V1.xlsx | XLSX spreadsheet | |
| Attachment_14-Sample_Agreement.pdf |
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Text version
State of California RFP# 23NRW002 Department of Veterans Affairs
ATTACHMENT 4
RFP SUBMISSION CHECKLIST
Temporary Relief Nurse Registry
The checklist below is a summary of documents to be submitted based on requirements in the Request for Proposal. Return this checklist with your proposal. Place a check-mark or “X” next to each document that you are submitting. Original Signatures are required on the documents where specified.
The company name listed on all documents submitted (ex. licenses, permits, certifications, and insurance) must be identical to the company name on the Payee Data Record (STD 204).
Failure to submit these documents in the manner prescribed may delay award of Agreement.
Required Name/Description
YES Attachment 1 – Proposal Submission Checklist (Envelope 1)
YES Attachment 2 - Proposal/Proposer Certification Sheet (Envelope 1)
YES Attachment 3 – Minimum Qualification Responses (Envelope 1)
YES Attachment 4 – Proposer’s Rate Sheet (Envelope 2)
YES Attachment 5 - Proposer Declaration GSPD-05-105 (Envelope 1)
YES Attachment 6 - Payee Data Record (STD 204) (Envelope 1)
YES Attachment 7 – Contractor Certification Clauses (CCC 04/2017) (Envelope 1)
YES Attachment 8 – Insurance Certificate (Envelope 1)
YES Attachment 9 - Darfur Contracting Act (Envelope 1)
YES Attachment 10- Iran Contracting Act Certification (Envelope 1)
YES Attachment 11- California Civil Rights Certification (Envelope 1)
YES Attachment 12 - DVBE Declarations (Std. 843), if applicable (Envelope 1)
YES YES Attachment 14 – Proposer’s Reference Form (Envelope 1)
YES Valid California city or county business license; or, if a corporation located within the State of California, incorporation documents or letter from the Secretary of State; or, if not a California business, an affidavit that business is in good standing with the State, Province, or Country in which business is headquartered (Envelope 1)
YES Sample Invoice (Envelope 1)
The following attachments are included in the RFP as reference only and should not be included in the submission.
Required Name/Description
NO Sample Contract Documents – STD 213 Standard Agreement and Exhibits
NO DVBE Program Requirements (informational)
NO Calvet Org chart
File details come from the government source that posted it. Updated .