01._att_1__required_attach_checklist.pdf
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- Solicitation number
- 0000040554
- Issued by
- California
About this file
This is a Required Attachment Checklist for IFB 26-3044, Daily Courier Services issued by the California Department of Social Services (CDSS) for the Disability Determination Service Division (DDSD) Oakland Branch. The checklist serves as a bidder certification document confirming submission of all required bid package components to ensure responsiveness. Bidders must submit nineteen required items and certifications, including a minimum qualifications certification, bid/bidder certification sheet, rate sheet, bidder references, subcontractor references if applicable, various state and federal declarations and certifications, a payee data record, and business-related documentation such as proof of good standing with the California Secretary of State, appropriate business licenses, a California Department of Motor Vehicles Motor Carrier Permit, vehicle registration or lease agreements, and photographs of covered trucks or large vans with cargo capacity specifications. The checklist includes columns for both bidder self-certification and CDSS verification of receipt, with CDSS staff responsible for confirming that all required documents are present before determining bid responsiveness.
The checklist does not specify pricing terms, contract duration, award dates, or renewal options in its content. Several attachments are conditional on bidder circumstances, including certifications for Small Business or Disabled Veteran Business Enterprise (DVBE) status, DVBE subcontractor agreements, commercially useful function evaluations, federal debarment certifications, and business licensing requirements for entities operating in incorporated versus unincorporated areas. The document emphasizes that a complete and responsive bid package requires submission of all applicable required attachments with proper authorization signatures, and CDSS staff will utilize the verification column to track receipt and confirm compliance before proceeding with bid evaluation.
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IFB 26-3044 Attachment 1 California Department of Social Services Page 1 of 3
Bidder Name: __________________
Required Attachment Checklist
A complete bid or bid package will consist of the items identified below.
Complete this checklist to confirm the items in your bid. Using the “Bidder Certification” column, place a check mark or “X” next to each item that you are submitting to CDSS. CDSS staff will use the shaded “CDSS Verification” column to confirm receipt of all required documents. For your bid to be responsive, all required attachments must be submitted. This checklist must be returned with your bid package.
Attachment Name/Description Bidder Certification
CDSS
Verification
1. Submitted Attachment 1, Required Attachment Checklist Yes Yes No
2. Submitted Attachment 2, Minimum Qualifications Certification Yes Yes No
3. Submitted Attachment 3, Bid/Bidder Certification Sheet signed by an individual authorized to bind the Bidder contractually.
a. If Small Business or Disabled Veteran Business Enterprise certified, submitted a copy of Department of General Services certification Yes
Yes Yes No
4. Submitted Attachment 4, Rate Sheet Yes Yes No
5. Submitted Attachment 5, Bidder References Yes Yes No
6. Submitted Attachment 6, Subcontractor References, if applicable
Yes N/A
Yes No N/A
7. Submitted Attachment 7, Bidder Declaration, GSPD-05-105 Yes Yes No
8. Submitted Attachment 8, Disabled Veteran Business Enterprise Declarations, STD 843
Yes N/A
Yes No N/A
9. Submitted Attachment 9, DVBE Subcontractor Agreement, if applicable
Yes N/A
Yes No N/A
California Department of Social Services Page 2 of 3
Attachment Name/Description Bidder Certification
CDSS
Verification
10. Submitted Attachment 10, Commercially Useful Function Evaluation Form, if applicable
Yes N/A
Yes No N/A
11. Submitted Attachment 11, Contractor Certification Clause, CCC 04/2017
Yes Yes No
12. Submitted Attachment 12, Darfur Contracting Act Certification
DGS PD 1
Yes Yes No
13. Submitted Attachment 13, Payee Data Record, STD 204 Yes Yes No
14. Submitted Attachment 14, Federal Debarment Certification, DGS PD 2, if applicable
Yes N/A
Yes No N/A
15. Is the Bidder’s corporation in good standing and qualified to conduct business in California as verified by the Secretary of State?
Yes No
Yes No
16. As applicable, submitted a copy of the appropriate business license for the city or county which Bidder shall be performing business. All businesses based in unincorporated areas are required to submit signed proof of “exempted” business license status from the city or county, if applicable.
Yes N/A
Yes No N/A
17. Submitted a copy of a valid California Department of Motor Vehicles-Issued Motor Carrier Permit.
Yes N/A
Yes No N/A
18. Submitted a picture of covered truck(s) or large van(s) showing the license plate and a description of the cargo capacity, which includes the maximum weight limit and the length, height and width of the storage are.
Yes N/A
Yes No N/A
19. Submitted a copy of the current registration of the vehicle to be used in the performance of the resulting Agreement. If the vehicle is leased, a copy of the lease agreement must be included.
Yes N/A
Yes No N/A https://bizfileonline.sos.ca.gov/search/business https://bizfileonline.sos.ca.gov/search/business
California Department of Social Services Page 3 of 3
CDSS Use Only
Comments/Notes:
Signature of CDSS Contracts Analyst Date
Signature of CDSS Contracts Manager Date
Required Attachment Checklist
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