01_RFQ-26-701_Att_01_Contractor_Status_Form_ada.docx

DOCX document 32 KB Posted

Attached to
RFQ-26-701 Siting, Transmission, and Environmental Protection (STEP) Small Power Plant Exemption (SPPE) Peak Workload
Solicitation number
0000040203
Issued by
California

About this file

This is a Contractor Status Form attachment for RFQ-26-701, a Request for Qualifications issued by the California Energy Commission to select a Prime Contractor for the Siting, Transmission, and Environmental Protection (STEP) Small Power Plant Exemption (SPPE) Peak Workload project. The contractor will assist in evaluating applications for SPPE-eligible energy facilities, conducting environmental impact assessments in accordance with the California Environmental Quality Act (CEQA) and Title 20 of the California Code of Regulations, and supporting related activities in environmental impact assessment, engineering, and regulatory matters. The form requires bidders to provide comprehensive organizational information including legal name, business address, contact details, entity type, tax identification number, ownership history, number of employees, and year established.

Bidders must complete and submit this Contractor Status Form as part of their proposal package, which includes both administrative and technical responses. The form includes sections for bidders to declare small business certification status with the State of California, Disabled Veteran Business Enterprise (DVBE) participation and incentive claims, and comprehensive authorization and certification statements. Bidders must certify that they have read and understood all solicitation terms and conditions, that the information provided is accurate and complete, and that they are authorized representatives able to bind their organization to an agreement. Failure to meet DVBE participation requirements will result in proposal rejection before evaluation occurs.

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ATTACHMENT 1

CONTRACTOR STATUS FORM

This document provides the Energy Commission with basic information about the Bidder.

· Each Bidder must complete, sign and include this attachment in its Proposal.

Bidder Information Full Legal Name of Bidder

Business Address

(street number and name)

(city)(county)(state)(zip code)
Contact PersonTitle
TelephoneFax

E-mail Type of Entity or Business Organization Organization Tax ID Number How long under current ownership _______ Nature of Business Activity _____________________________________________________

Number of employees _________ Year established _______ Legal form of organization (check one):

|_| Sole Proprietorship|_| Corporation|_| LLC
|_| General Partnership|_| Sub-Chapter S Corporation
|_| Limited Partnership|_| Other (describe) ______________________

Small Business Preference Claim Is your organization certified as a small business by the State of California, or have you applied for certification?

|_| No |_| Yes If yes, list your OSDS Number _________________________ |_| Date certified |_| Application submitted to Office of Small Business Certification and Resources on: (date)

Disabled Veteran Business Participation Acknowledgement I certify that I have read and understand the requirements of DVBE participation and understand my obligations in regard to DVBE. I also understand that failure to meet the requirements of the DVBE will cause my Proposal to be rejected before evaluation.

DVBE Participation|_| YES|_| NO
DVBE Incentive Participation|_| YES|_| NO

DVBE Participation Amount must be documented on Attachment 4 Bidder Declaration.

Proposal Contents Check to indicate the Proposal material you are submitting

|_| Administrative Response, Section 1 |_| Technical Response, Section 2 Authorization and Certification I hereby authorize the California Energy Commission to make any inquiries necessary to verify the information I have presented in my Application.

I hereby authorize the California Energy Commission to obtain business credit reports and make any inquiries necessary to verify and evaluate the financial condition of the applicant.

I hereby certify that this application does not contain any confidential or proprietary information.

I hereby certify to the best of my knowledge and belief that I have read, understand, and do hereby accept the terms and conditions contained in this solicitation, including the provisions of the Agreement Terms and Conditions and, further, I am willing to enter into an agreement with the Commission to conduct the proposed project according to the terms and conditions without negotiation.

I hereby certify to the best of my knowledge, and under penalty of perjury, that the information contained in this Application is correct and complete.

I hereby certify that I am authorized to complete and sign this form on behalf of the applicant.

Signature of Authorized Representative Date

Typed Name Title

September 2026Page 1 of 2RFQ-26-701
Contractor Status FormAttachment 1 (STEP) Small Power Plant Exemption (SPPE) Peak Workload

File details come from the government source that posted it. Updated .