02._Bidder_s_Checklist.pdf
PDF 102 KB Posted
- Attached to
- 23VS0018 - Medical Transportation Services
- Solicitation number
- 0000030523
- Issued by
- Ventura County, California
About this file
The document is a Bidder's Checklist for a State of California solicitation (23VS0018) issued by the Department of Veterans Affairs for Medical Transportation Services - Emergency and Non-Emergency Based and Advanced Life Support. The checklist outlines the required documents that bidders must submit, including a Bidder Certification, Bid Rate Sheet, Payee Data Record, Bidder Declaration, and various certifications and licenses. This solicitation is for services at the Veterans Home of California - Ventura located in Ventura County.
The solicitation requires bidders to provide pricing information on the Bid Rate Sheet and submit a variety of certifications and documentation to demonstrate their qualifications, including a valid California business license or incorporation documents. Bidders must also comply with the State's civil rights laws and complete the Contractor Certification Clauses. The contract term is not specified in the provided information.
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State of California Solicitation Number: 23VS0018 Department of Veterans Affairs
BIDDER’S CHECKLIST
Medical Transportation Services – Emergency and Non-Emergency Based and Advanced Life Support
The checklist below is a summary of documents to be submitted based on requirements in the Invitation for Bid. This checklist should be returned with your bid. Place a check-mark or “X” next to each document being submitted.
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 Agreements.
Bidder’s Checklist
Bidder Certification
Bid Rate Sheet
Signed Payee Data Record - STD 204
Bidder Declaration - GSPD-05-105
Commercially Useful Function (CUF) Certification, if applicable
Disabled Veteran Business Enterprise (DVBE) Declarations – DGS PD 843, if applicable
Iran, if applicable
Darfur Contracting Act
California Civil Rights Laws
Contractor Certification Clauses (CCC-4/2017) - The CCC-4/2017 can be found on the Internet at https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List- Folder/Standard-Contract-Language
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.
https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language
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