03._Bid.Bidders_Certification.docx
DOCX document 44 KB Posted
- Attached to
- 24VS0015 - Non-Emergency Transporation Services
- Solicitation number
- 0000032995
- Issued by
- Ventura County, California
About this file
This document is a Bid/Bidder Certification Sheet for a solicitation issued by the State of California Department of Veterans Affairs (Cal DVA). The solicitation, identified as 24VS0015, requires bidders to complete and submit this certification sheet along with all other required attachments as part of their bid submission. The certification sheet authorizes the verification of the bidder's information and certifies the bidder's compliance with all bid requirements under penalty of perjury. Key details include the requirement for bidders to indicate their business type (sole proprietorship, partnership, or corporation) and provide their federal employee ID and California corporation numbers. The certification sheet also addresses the bidder's status as a certified California Small Business and/or Disabled Veteran Business Enterprise, requiring supporting documentation if applicable.
The document does not provide any details about the specific products or services being procured, project scope, quantities, response dates, award information, or contract term. It focuses solely on the administrative requirements for submitting a responsive bid to the Cal DVA solicitation.
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State of California Solicitation Number: 24VS0015 Department of Veterans Affairs
BID/BIDDER CERTIFICATION SHEET
This Bid/Bidder Certification Sheet must be signed and returned along with all the "required attachments" as an entire package in duplicate with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.
A. I have read and understand the DVBE participation requirements and have included documentation demonstrating that I have met the participation goals, if goals are included.
B. The undersigned signature certifies under penalty of perjury that they are a duly authorized representative and in compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.
An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection.
| 1. Company Name |
| 2. Telephone Number |
| 2a. Fax Number |
| ( ) |
| ( ) |
2c. E-MAIL
3. Address
Indicate your organization type:
| 4. |_| Sole Proprietorship |
| 5. |_| Partnership |
| 6. |_| Corporation |
Indicate the applicable employee and/or corporation number:
| 7. Federal Employee ID No. (FEIN) |
| 8. California Corporation No. |
| 9. Bidder’s Name (Print) |
| 10. Title |
| 11. Signature |
| 12. Date |
13. Are you certified with the Department of General Services, Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS) as:
a. California Small Business Yes |_| No |_| If yes, enter certification number:
b. Disabled Veteran Business Enterprise Yes |_| No |_| If yes, enter your service code below:
NOTE: A copy of your Certification should be included if either of the above items is checked “Yes”.
| Date application was submitted to OSDS, if an application is pending: |
Completion Instructions for Bid/Bidder Certification Sheet
Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below.
Item Numbers
Instructions
| 1, 2, 2a, 3 |
| Must be completed. These items are self-explanatory. |
| 4 |
| Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business. |
| 5 |
| Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit. |
| 6 |
| Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals. |
| 7 |
| Enter your federal employee tax identification number. |
| 8 |
| Enter your corporation number assigned by the California Secretary of State’s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California. |
9, 10, 11, 12
Must be completed. These items are self-explanatory.
If certified as a California Small Business, place a check in the "Yes" box, and enter your certification number on the line. If certified as a Disabled Veterans Business Enterprise, place a check in the "Yes" box and enter your service code on the line. If you are not certified to one or both, place a check in the "No" box. If your certification is pending, enter the date your application was submitted to OSDS.
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