01_Appendix A_Purchasing Required Forms rev. 2024-06-06.pdf

This document is Appendix A of the Purchasing Required Forms for the State of California, revised June 6, 2024, applicable to Request for Bids 26200758-1 for Cerilliant Certified Spiking Solutions under contract opportunity 15760P-CHEM-123D-SB55. The procurement seeks to establish supply contracts with qualified vendors authorized to distribute Cerilliant brand chemical products for forensic and analytical laboratory applications. This brand-name-only solicitation is restricted to Cerilliant certified spiking solutions and requires qualified bidders to demonstrate authorization to supply Cerilliant products. The bid due date is April 13, 2026, with the solicitation posted on March 30, 2026. All bidders must complete and submit the mandatory purchasing forms specified in this appendix in accordance with state procurement procedures, with failure to submit complete and properly executed forms resulting in bid disqualification.

The procurement includes a Certified Business Enterprise (CBE) requirement, with bidders required to complete and submit the CBE Form as part of their proposal packages. Selected contractors must acknowledge and comply with HIPAA Business Associate Agreement requirements, confirming their understanding of Protected Health Information safeguarding obligations, breach notification protocols, and implementation of appropriate administrative, physical, and technical controls. The brand-name-only restriction limits competition to authorized Cerilliant distributors or the manufacturer itself, which the procuring agency has determined necessary to ensure regulatory compliance, analytical accuracy, and compatibility with existing laboratory infrastructure. Specific pricing terms, award values, and budget allocations are established through the accompanying price sheet component of the bid document.