04_Solicitation_Package_06A3239_POSTED.pdf

CALIFORNIA STATE TRANSPORTATION AGENCY GAVIN NEWSOM, GOVERNOR

California Department of Transportation

ADMINISTRATION

DIVISION OF PROCUREMENT AND CONTRACTS

1727 30th STREET, MS 65

SACRAMENTO, CA 95816-7006

PHONE (916) 227-6000

TTY 711

https://dot.ca.gov/programs/procurement-and-contracts/

November 3, 2025

Invitation for Bid (IFB)

IFB # 06A3239

Notice to Prospective Bidders

You are invited to review and respond to this IFB 06A3239, titled Medical Services in Kern County.

In submitting your bid, you shall comply with the instructions found herein. In addition to those programs and preferences that are specified in this solicitation, Prospective Contractors are encouraged to consider programs and preferences that are available, such as those for the use of small businesses, disadvantaged businesses, disabled veteran businesses, and other businesses covered by State and Federal programs and preferences.

As required by Executive Order S-02-06, the California Department of Transportation (Caltrans) is committed to meeting the State’s twenty-five percent (25%) Small Business (SB) participation goal.

Certified SBs, Micro Businesses (MB) and Contractors willing to commit to subcontracting a minimum of twenty-five percent (25%) of their net price to certified SBs or MBs (if applicable) are encouraged to submit bids. See Section D, Special Programs in this IFB for requirements.

A Disabled Veteran Business Enterprise (DVBE) participation requirement is not required, but DVBE participation is encouraged, and a DVBE incentive does apply to this IFB. See Section D, Special Programs in this IFB for requirements.

The designated contact person for this IFB is:

Tiaja Watson California Department of Transportation (Caltrans) Email address: Tiaja.Watson@dot.ca.gov Phone: (279) 234-2527

Please note that no verbal information given will be binding upon Caltrans unless such information is issued in writing as an official addendum.

*Technical questions regarding this solicitation will be addressed, in writing, and in accordance with the Questions and Answers portion of this IFB. See Section C, Time Schedule for more details.

ALL REQUIRED DOCUMENTS ARE EITHER ATTACHED (ATTACHMENT 1) OR THE

DOCUMENT LINK IS PROVIDED ON ATTACHMENT 2, REQUIRED DOCUMENTS.

Sincerely, Tiaja Watson Contract Analyst https://dot.ca.gov/programs/procurement-and-contracts/

Invitation for Bid IFB Number 06A3239

A) Purpose and Description of Services

1. Contractor shall furnish all labor, equipment, tools, parts, materials, supplies, traffic control, travel, and incidentals necessary to provide Medical/Physical Examination and Hepatitis A (HAV) and/or Hepatitis B (HBV) vaccination Services to Caltrans in Kern County.

2. Refer to the Proposed Form of Agreement, Exhibit A, which is attached to this IFB, for a more complete description of services.

B) Bidder’s Minimum Qualifications

1. Bidder shall possess at the time of bid submittal and for the duration of the Agreement, a current and valid license from the Department of Consumer Affairs (DCA), California Board of Registered Nursing (BRN), and/or a Medical Board of California Certified Physician’s license.

2. Bidder’s facility shall be located within an estimated 15-miles from the Caltrans District 6 South Region Maintenance facility, located at 1226 Olive Drive, Bakersfield, CA 93308 in Kern County.

The address listed on Bid/Bidder Certification Sheet (DOT ADM-1416), will be used to verify bidders meet this requirement

3. Failure of Bidder to sufficiently meet any or all the minimum qualifications, in the opinion of Caltrans, will result in the Bidder’s bid deemed non-responsive.

C) Bid Requirements and Information

1. Time Schedule

It is recognized that time is of the essence. All bidders are hereby advised of the following schedule and will be expected to adhere to the required dates and times.

Event Date Time

(Pacific Time)

IFB available to prospective bidders 11/03/2025

Written Question Submittal 11/10/2025 1:00 p.m.

Final Date and Time for Bid Submission 11/18/2025 2:00 p.m.

Bid Opening 11/18/2025 2:30 p.m.

Proposed Award Date (estimate) 11/25/2025

2. Questions and Answers

A. Questions regarding this IFB must be submitted by 1:00 p.m. on November 10, 2025. Bidders must submit their questions via e-mail to Tiaja.Watson@dot.ca.gov..

B. Written questions must include: the individual's name, firm name, e-mail address and must reference IFB No. 06A3239.

C. Written responses to all questions will be collectively compiled and posted, as an Addendum, to the Cal eProcure website (https://caleprocure.com/pages/index.aspx). It is the responsibility of the bidder to access the Cal eProcure website for any changes or addenda that may be posted. Refer to this Section C, Time Schedule for the schedule of events and dates/times.

Bidder can contact the Contract Analyst named above.

3. Costs Included in Bid Rates

Bid prices/rates shall include the cost of employer payments to or on behalf of employees, subsistence, travel, compensation insurance premiums, unemployment contributions, social https://caleprocure.com/pages/index.aspx security taxes, contract bond premiums, and any other taxes or assessments, including but not limited to, sales and use taxes required by law or otherwise and no additional allowance will be paid unless separate payment provisions in the Agreement should specifically provide otherwise.

4. Small Business Preference

SB Preference will be granted on this IFB. Only firms certified as a “Small Business” or “Micro Business” with the Department of General Services (DGS), Office of Small Business and DVBE Service (OSDS) will be granted this preference. For more information, refer to Section D, Special Programs.

5. Mandatory Organic Waste Recycling

Contractor generating organic waste or commercial solid waste shall comply with SB 1383; also Contractor will arrange for the recycling services required by this section in a manner that is consistent with State and local laws and requirements, including a local ordinance or local jurisdiction’s franchise agreement, applicable to the collection, handling, or recycling of organic waste and commercial solid waste. This requirement does not modify, limit, or abrogate Contractor’s right to sell or donate its recyclable organic waste materials consistent with the requirements of Public Resources Code Sections 42649.8 et seq. When applicable, Contractor must comply with these provisions.

6. Motor Carrier Permit Requirements

A. Contractor is responsible for determining whether California Vehicle Code Sections 34601 and 34620 require Contractor to have a valid Motor Carrier Permit (MCP) issued by the Department of Motor Vehicles (DMV) in order for Contractor to lawfully perform any part or aspect of the work described in Proposed Form of Agreement, Exhibit A and, if California Vehicle Code Sections 34601 and 34620 do require same for any part or aspect of such work, Contractor must have a valid MCP(s) issued from the DMV for its services as a Motor Carrier of Property under this Agreement. Contractor shall pay any required fees necessary to obtain and maintain in good standing during the entire term of this Agreement the any such required MCP(s).

B. The MCP(s), if any, required for Contractor’s Motor Carriers of Property under California Vehicle Code Sections 34601 and 34620 shall be on file with Contractor for the duration of this Agreement. Upon request of Caltrans Contract Manager or their designee, Contractor must immediately provide to Caltrans a copy of the required MCP(s), if any.

7. Standard Title VI/Nondiscrimination Assurances (DOT Order No. 1050.2A)

Caltrans, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Statute 252, 42 USC Sections 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any Agreement entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

8. Insurance

A. The bidder who receives the Agreement award, will be requested to provide a Certificate of Insurance providing proof of insurance to the Division of Procurement and Contracts within 10 working days after the date of notification of award. The State’s Office of Risk and Insurance Management will review insurance certificates and/or proof of self-insurance documentation before execution of the Agreement. Refer to the Proposed Form of Agreement, Exhibit E, for the applicable and specific Insurance requirements and coverage limits.

B. The insurance carrier shall provide an endorsement for the additional insured statement as follows:

Caltrans, State of California, its officers, agents, and employees shall be included as additional insured, but only with respect to work performed for the State of California under this Agreement.

C. The additional insured endorsement must accompany the certificate of insurance.

D. Satisfying a Self-Insured Retention (SIR)

All insurance required by this Agreement must allow, but not require, the State to pay any SIR and/or act as Contractor’s agent in satisfying any SIR. The choice to pay any SIR and/or act as Contractor’s agent in satisfying any SIR is at the State’s discretion. If the State chooses to pay any SIR and/or act as Contractor’s agent in satisfying any SIR, Contractor shall reimburse the State for the same.

E. Available Coverages/Limits

In the event the insurance coverages obtained by Contractor is broader in scope than, and/or the limits are higher than, those required under the Agreement, all such broader coverage and/or higher limits available to Contractor shall also be available and applicable to the State.

9. Darfur Contracting Act

A. The Darfur Contracting Act, Public Contract Code Section 10475-10481, applies to any company that currently or within the previous three (3) years has had business activities or other operations outside of the United States. The Act was passed by the California Legislature and signed into law by the Governor to preclude State agencies generally from contracting with “scrutinized” companies that do business in the African nation of Sudan (of which the Darfur region is a part), for the reasons described in Public Contract Code Section 10475. All bidders shall complete the Darfur Contracting Act Certification (DOT ADM-0077), provided as a link in Attachment 2, Required Documents, and submit with the proposal.

B. If your company has not, within the previous three (3) years, had any business activities or other operations outside of the United States, complete Option 1 on Darfur Contracting Act Certification.

C. A scrutinized company is a company doing business in Sudan as defined in Public Contract Code Section 10476. Scrutinized companies are ineligible to, and cannot bid on, or submit a bid or proposal for an Agreement with a State agency for goods or services. (Pub. Cont. Code Section 10477(a)).

D. Therefore, Public Contract Code Section 10478(a) requires a company that currently has (or within the previous three (3) years has had business activities or other operations outside of the United States to certify that it is not a “scrutinized” company when it submits a bid or proposal to a State agency.

E. A scrutinized company may still, however, submit a bid or proposal for an Agreement with a State agency for goods or services if the company first obtains permission from the Department of General Services according to the criteria set forth in Public Contract Code Section 10477(b).

10. Executive Order N-6-22 – Russia Sanctions

On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. “Economic Sanctions” refers to sanctions imposed by the U.S. government in response to Russia’s actions in Ukraine, as well as any sanctions imposed under state law unless the contract has been Federalized (i.e.

https://www.gov.ca.gov/wp-content/uploads/2022/03/3.4.22-Russia-Ukraine-Executive-Order.pdf there is federal participation in any phase). By submitting a bid or proposal, Contractor represents that it is not a target of Economic Sanctions. Should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for rejection of the Contractor’s bid/proposal any time prior to contract execution, or, if determined after contract execution, shall be grounds for termination by the State.

11. Executive Order N-12-23 – Generative Artificial Intelligence (GenAI) Technology Use and Reporting

A. The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these new technologies. Bidder / Offeror must notify the State in writing if it:

1) Intends to provide GenAI as a deliverable to the State; or

2) Intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts:

a) Functionality of a State system,

b) Risk to the State, or

c) Contract performance.

Note: For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

B. Failure to report GenAI to the State may result in disqualification. The State reserves the right to seek any and all relief to which it may be entitled to as a result of such non-disclosure.

C. Upon notification by a Bidder / Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State.

D. Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.

12. Bid Submittal

A. All bids must be submitted and received by Caltrans Division of Procurement and Contracts, Bid Unit, by dates and times shown in Section C, Bid Requirements and Information.

B. The mailing package/envelope should be labeled as follows:

Note: All packages not clearly or properly labeled as indicated below, including overnight mail and hand delivered packages, may be rejected.

YOUR RETURN ADDRESS Agreement No. 06A3239 Bid Due Date: November 18, 2025 Bid Due Time: 2:00 p.m.

Bid Opening Date: November 18, 2025

Bid Opening: 2:30 p.m.

Attention: Tiaja Watson

California Department of Transportation (Caltrans) Division of Procurement and Contracts ATTN: Bid Unit 1727 30th Street, 4th Floor, MS 65 Sacramento, CA 95816-7006

BID SUBMITTAL DO NOT OPEN

C. Late bids will not be considered.

D. All bids shall include the documents identified on the IFB’s Required Documents, Attachment 2, located at the end of the solicitation. Bids not including the required documents may be deemed non-responsive. A non-responsive bid is one that does not meet the basic bid requirements.

E. Only an individual who is legally authorized to bind the proposing firm contractually shall sign all documents requiring a signature, and each document must bear a signature.

F. If your bid is hand delivered, you must date and time stamp the sealed envelope/package immediately upon arrival. The date/time stamp machine is located in the lobby on the first floor to the right of the security guard station at the address noted above. After date/time stamping, the bid should be placed in the locked bid cabinet located below the time stamp. If the bid package is too large to be electronically stamped, date/time stamp one (1) of the labels provided and attach it to the proposal package. When the bid package is too large for the locked bid cabinet, ask the security guard to call the Division of Procurement and Contracts reception desk at (916) 227-6000 to have your bid package picked up.

G. Bid opening will be held via teleconference on the date and time specified in Section C, Bid Requirements and Information. Bidders may participate via teleconference by calling 1-866- 700-7952 and entering the pass code 7089821#. Calls will be accepted beginning at 2:20 p.m.

until the conclusion of the bid opening. Bids will be read in Agreement numeric order;

questions will not be allowed; and information will not be repeated. Initial bid opening results will be posted online on the Division of Procurement and Contracts website at https://dot.ca.gov/programs/procurement-and-contracts/bid-results by 3:00 p.m. on the day following the bid opening. The Agreement will be awarded to the lowest responsible bidder meeting the requirements outlined in the IFB after verification and applicable incentives are applied.

H. Bids must include the performance of all the services described herein. Any attempt to modify the bid document to deviate from the work specifications will not be considered and will cause a bid to be rejected.

I. A bid may be rejected if it is conditional, incomplete, or if it contains any alterations of form or other irregularities of any kind. Caltrans may reject any bid on the basis that it is not responsive or from a non-responsible bidder and may waive any immaterial deviation in a bid.

Caltrans waiver of an immaterial defect shall in no way modify the IFB document or excuse the bidder from full compliance with all requirements if awarded the Agreement.

https://dot.ca.gov/programs/procurement-and-contracts/bid-results

J. Costs for developing bids and in anticipation of award of an agreement is entirely the responsibility of the bidder and shall not be charged to the State.

K. Only an individual who is authorized to bind the bidding firm contractually shall sign the Bid/Bidder Certification Sheet. The signature must also indicate the title or position that the individual holds in the firm. A bid with an unsigned Bid/Bidder Certification Sheet may be rejected.

L. A bidder may modify a bid after its submission by first withdrawing the original bid and then by resubmitting a new bid prior to the bid submittal deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

M. A bidder may withdraw a bid by, prior to bid opening, submitting a written withdrawal request to Caltrans, at DPAC.BidUnit@dot.ca.gov, signed by the bidder or an agent authorized to contractually bind the bidding firm. A bidder may thereafter submit a new bid prior to the bid submittal deadline. Bids may not be withdrawn without cause subsequent to bid submittal deadline. Please contact the Caltrans analyst located in this IFB with any questions.

N. Caltrans may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum sent to all parties who received a bid package.

O. Caltrans reserves the right to reject all bids for reasonable cause.

P. Bidders are cautioned not to rely on Caltrans during its evaluation process to discover and report to the bidder any defects and/or errors in the submitted documents. Before submitting their documents, bidders should carefully proof them for errors and full adherence to the IFB requirements.

Q. Where applicable, the bidder should carefully examine work sites and specifications. Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the Agreement amount will be made due to a lack of careful examination of work sites and specifications.

R. Caltrans does not accept alternate agreement language from a bidder. A bid with such language will be considered a counter proposal and will be rejected. The State’s General Terms and Conditions (GTC) are not negotiable. Also, the winning bidder(s) must complete, sign, and submit all pages of the Contractor Certification Clauses (CCC 04/2017) as part of the Agreement award process. Both the GTC 02/2025 and CCC 04/2017 may be viewed at:

https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources- List-Folder/Standard-Contract-Language.

13. Evaluation and Selection

A. At the time of bid opening, each bid proposal’s total and any small business and/or micro business information (if applicable) will be read aloud. Bids are considered preliminary pending review and verification of applicable bid requirements such as: small business preference, incentives, DVBE, DBE, licensing, bonding, qualifications, or other requirements as stated in the IFB. Agreements will be awarded to the lowest responsive and responsible bidder.

B. Caltrans will check the bid submittal package to verify it received all required documents.

Positive verification of required documents will be performed to determine its responsiveness to the State's needs.

C. Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, shall be rejected.

D. The Agreement, if awarded, shall be awarded to the responsible bidder who submits the lowest bid and meets all the specifications. A bid meets the specifications if it complies with all the requirements in this solicitation. In the event of a tie bid, Caltrans will draw lots to mailto:DPAC.BidUnit@dot.ca.gov 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 determine the successful bidder. Only one (1) bid may be submitted by an entity: individual, firm, partnership, corporation, joint venture, or combination thereof. Receipt of more than one

(1) bid from an entity will result in all bids from that entity being rejected and returned to the bidder.

14. Award

A. Preliminary bid results may be viewed on the internet after 3:00 p.m. on the first (1st) business day following the bid due date at https://dot.ca.gov/programs/procurement-and-contracts/bid-results.

B. Whenever an Agreement is awarded under a procedure that provides for competitive bidding, but the Agreement is not to be awarded to the low bidder, the low bidder shall be given notice five (5) working days prior to the award of the Agreement by email.

C. Upon written request by any bidder, the Notice of the Intent to Award shall be posted in a public place in the office of the awarding agency, as well as online at https://dot.ca.gov/programs/procurement-and-contracts/notices-of-intent-to-award, for at least five (5) working days prior to awarding the Agreement. This information can also be obtained by contacting the Contract Analyst directly.

D. Upon award of the Agreement, Contractor shall complete and submit to Caltrans, the Payee Data Record (STD 204), to determine if Contractor is subject to State income tax withholding pursuant to California Revenue and Taxation Code Section 18662 et seq. This form can be found on the Internet at https://www.dgs.ca.gov/PD under the heading Forms. No payment shall be made unless a completed STD 204 has been returned to Caltrans.

15. Protest

Bidders have the right to protest the award of Caltrans Agreements subject to the following processes and procedures.

A. Filing a Protest: The initial protest must be submitted to DGS, Office of Legal Services, and Caltrans, Protest Unit, prior to the award of the Agreement. When a protest has been submitted, the Agreement shall not be awarded until either the protest has been withdrawn or DGS has decided the matter. The written protest must be sent, either via e-mail or regular mail, to the addresses below:

California Department of Transportation (Caltrans) Division of Procurement and Contracts Attention: Bid, Protest, and Dispute Branch Chief 1727 30th Street, MS 65 Sacramento, CA 95816 Phone Number: (916) 639-6322 Email:

DPAC.Protest.Disputes.Terminations@dot.ca.gov

Department of General Services Office of Legal Services Attention: Bid Protest Coordinator 707 Third Street, 7th Floor, Suite 7-330 West Sacramento, CA 95605 Phone Number: (916) 376-5080 Email: OLSProtests@dgs.ca.gov

B. Within five (5) days after filing the initial protest, the protesting bidder shall file with DGS and Caltrans, Protest Unit a full and complete written statement specifying the grounds for the protest. The full written protest statement must be sent to the same addresses above.

Note: E-mail is the preferred method of protest delivery. If a bidder uses regular mail, It is suggested that you submit any protest by certified or registered mail.

16. Standard Conditions of Service

A. Service shall not begin prior to the express date set by Caltrans Contract Manager and Contractor, after all approvals have been obtained, and the Agreement is fully executed.

https://dot.ca.gov/programs/procurement-and-contracts/bid-results https://dot.ca.gov/programs/procurement-and-contracts/bid-results https://dot.ca.gov/programs/procurement-and-contracts/notices-of-intent-to-award https://www.dgs.ca.gov/PD mailto:DPAC.Protest.Disputes.Terminations@dot.ca.gov mailto:OLSProtests@dgs.ca.gov

Should Contractor fail to commence work at the agreed upon time, Caltrans Contract Manager, upon five (5) days written notice to Contractor, reserves the right to terminate the Agreement. In addition, Contractor shall be liable to Caltrans for the difference between Contractor's bid price and the actual cost of performing work by the second lowest bidder or by another Contractor.

B. All performance under the Agreement shall be completed on or before the termination date of the Agreement.

C. Antitrust Provisions

1) In submitting a bid to a public purchasing body, the bidder offers and agrees that if the bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 USC Section 15 or under the Cartwright Act Chapter 2, commencing with Section 16700, of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, materials, or services by the bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the bidder (Gov. Code Section 4552).

2) If the awarding body or public purchasing body receives, either through judgment or settlement, a monetary recovery for a cause of action assigned under this chapter, the assignor shall be entitled to receive reimbursement for actual legal costs incurred and may, upon demand, recover from the public body any portion of the recovery, including treble damages, attributable to overcharges that were paid.

3) Upon demand in writing by the assignor, the assignee shall, within one (1) year from such demand, reassign the cause of action assigned under this part if the assignor has been or may have been injured by the violation of law for which the cause of action arose and (a) the assignee has not been injured thereby, or (b) the assignee declines to file a court action for the cause of action (Gov. Code Section 4554).

D. If the bidder is awarded the Agreement and refuses to sign the Agreement presented for signature within the time and manner required, the bidder will be liable to Caltrans for actual damages resulting to Caltrans therefrom or 10 percent (10%) of the amount bid, whichever is less.

E. Loss Leader usage is prohibited in this solicitation: It is unlawful for any person engaged in business within this State to sell or use any article or product as a “loss leader” as defined in California Business and Professions Code Section 17030. “Loss Leader” means any article or product sold at less than cost: a) where the purpose is to induce, promote or encourage the purchase of other merchandise; or b) where the effect is a tendency or capacity to mislead or deceive purchasers of prospective purchasers; or c) where the effect is to divert trade from or otherwise injure competitors.

F. No oral understanding or agreement shall be binding on either party.

D) Special Programs

The following Special Programs are applicable to this IFB.

1. Small Business (SB) or Microbusiness (MB) Preference

A. Government Code Section 14835 et seq. requires that a five percent (5%) preference be given to contractors who qualify as a Certified SB or MB. References to a small business (SB) shall also include micro-business (MB). The rules and regulations of this law, including the definition of a SB for the delivery of services, are contained in Title 2, California Code of Regulations, Section 1896 (2 CCR Section 1896) et seq.

B. To claim the SB or MB preference, Contractor must have its principal place of business located in California, satisfy all of the SB or MB requirements, and be certified by the California Department of General Services (DGS), Office of Small Business and Disabled Veteran Business (DVBE) Services (OSDS). The preference amount may not exceed fifty thousand dollars ($50,000) for any bid. If prospective contractor is claiming the five percent (5%) certified SB or MB preference, complete Section 16 of the Bid/Bidder Certification Sheet.

Additionally, Contractor may satisfy the non-SB requirements described below.

C. Certified SB and MB bidder(s) shall have precedence over NSB bidders in the application of SB preference(s).

D. SB preferences may not be applied to any bid deemed non-responsive with the solicitation instructions or from a non-responsible bidder.

E. Questions regarding the certification approval process or SB program should be directed to OSDS at (800) 559-5529 or (916) 375-4940, or by email:osdshelp@dgs.ca.gov.

F. SB or MB bidders or bidders using the “Non-Small Business” preference shall be granted a preference consisting of five percent (5%) of the lowest responsible bidder’s total bid if the lowest bid is from a non-certified SB or MB.

G. Additional references are at https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement- Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran- Business-Enterprise.

2. Disabled Veteran Business Enterprise (DVBE) Programs

A. DVBE Participation Program with No Participation Requirements:

DVBE participation is not required, but DVBE participation is encouraged, and a DVBE incentive will apply to this IFB as described below. Please review the DVBE Program Requirements: https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/ DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CB

CF0545C

B. DVBE Incentive Program

1) The DVBE Incentive Program applies to this solicitation. It is separate from the DVBE Participation Program and was established in Military and Veterans Code Sections 999 et seq., and Title 2, California Code of Regulations, Section 1896.99 (2 CCR Section1896.99) et seq. A dollar cap of $100,000 is set for all combined incentives and preferences. The incentive is used only for evaluation purposes to arrive at the successful bidder and does not alter the amounts of the actual bid. Any responsive and responsible bidder with the confirmed DVBE participation per the Table in paragraph 3) below is eligible to receive the incentive. Bidders who are not responsive and responsible are not eligible to receive the incentive.

2) Caltrans will apply an incentive to bids from DGS-certified DVBE firms. The bidders who claim to be DGS-certified DVBE firms will be verified by Caltrans prior to award of the Agreement. The incentive amount is equal to the percentage of the lowest responsive and responsible bid being evaluated per the Table below.

3) Participation Table

Verified DVBE Participation DVBE Incentive Amount

100% 5% mailto:osdshelp@dgs.ca.gov https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C

4) When applying the DVBE Incentive, an NSB shall not displace or otherwise supersede an award to a DGS Certified Small Business.

5) Please review the DVBE Program Requirements: https://www.dgs.ca.gov/- /media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&ha sh=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C.

6) Additional information: https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement- Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran- Business-Enterprise.

https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/DVBE/DVBEProgramRequirements.pdf?la=en&hash=FBCA257A3ED083F3DBB85ECEEB37013CBCF0545C https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

STATE OF CALIFORNIA ∙ DEPARTMENT OF TRANSPORTATION Agreement Number 06A3239

BID PROPOSAL Page 1 of 2

ADM-1412 (REV. 9/2025) Attachment 1

Contractor’s Name (Please Print):

Item Number

Estimated Quantity

Unit of Measure Item

Unit Price (Price Per Unit of

Measure)

Total (Estimated Quantity

X Unit Price)

1 90 Each Exam

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform DMV-DOT Renewal Examination, as described in Exhibit A, Scope of Work

2 90 Each Exam

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform Respiratory Compliance Examination, as described in Exhibit A, Scope of Work

3 20 Each Exam

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform Audiometric Examination (non-preemployment), as described in Exhibit A, Scope of Work

4 25 Each Exam

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform Pre-Employment Medical and Audiometric Examination, as described in Exhibit A, Scope of Work

5 30 Per Shot

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform Hepatitis A (HAV) Vaccination, as described in Exhibit A, Scope of Work

STATE OF CALIFORNIA ∙ DEPARTMENT OF TRANSPORTATION Agreement Number 06A3239

BID PROPOSAL Page 2 of 2

ADM-1412 (REV. 9/2025) Attachment 1

6 30 Per Shot

All necessary personnel, labor, tools, equipment, materials, and testing facilities, and incidentals necessary to perform Hepatitis B (HBV) Vaccination, as described in Exhibit A, Scope of Work

1) The above quantities are estimates only and are given as a basis for comparison of bids. No guarantee is made or implied as to the exact quantity that will be needed.

2) In case of discrepancy between the unit price and the total set forth for a unit basis item, the unit price shall prevail.

3) Do not alter, modify, or change this bid proposal sheet. Any alterations, modifications, or changes to this bid proposal sheet will be grounds to reject the bid.

4) Each line item must be bid. Do not leave any unit price column blank or this bid proposal sheet will be deemed non-responsive.

Total This Proposal $

Attachment 2 Required Documents

The following documents should be submitted, or your bid may be considered non-responsive.

Do not submit this checklist, the Proposed Form of Agreement, company advertisements, brochures, informational pamphlets, or any other document unless specifically noted in the IFB Requirements and/or as listed below.

☐ Attachment 1 - Bid Proposal (ADM-1412)

☐ Bid/Bidder Certification Sheet (DOT ADM-1416) Bid/Bidder Certification Sheet

☐ Darfur Contracting Act Certification (DOT ADM-0077) Darfur Contracting Act Certification

☐ Copy of current and valid license from the Department of Consumer Affairs (DCA)

Copy of current and valid license from the California Board of Registered Nursing (BRN) and/or a Medical Board of California Certified Physician’s license

The following documents will be requested of the WINNING BIDDER at time of contract award;

they are NOT required at time of bid submittal:

☐ Contractor Certification Clauses (CCC 04/2017) Contractor Certification Clauses

☐ Insurance (Requirements outlined in Proposed Form of Agreement, Exhibit E, Items 1 & 2)

☐ Payee Data Record (STD 204) Payee Data Record https://forms.dot.ca.gov/v2Forms/servlet/FormRenderer?frmid=DOTADM1416 https://forms.dot.ca.gov/v2Forms/servlet/FormRenderer?frmid=DOTADM0077 https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/CCC-042017.pdf?la=en&hash=4DE3E4DC414511AE378794200BA43EBF91C758EE https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

Attachment 3

Proposed Form of Agreement

Note to Bidders: The following pages represent a sample of the Agreement that will be awarded, if any, from this IFB. Please review it carefully and present any questions in writing to the contact identified for this IFB. Do not return this Attachment with your bid.

2. The term of this Agreement is:

Contractor’s Name TBD Agreement Number 06A3239

Exhibit A Commercial Services–State

Scope of Work

1. Contractor agrees to provide Medical/Physical Examination and Hepatitis A (HAV) and/or Hepatitis B (HBV) vaccination Services to the California Department of Transportation (Caltrans), as described herein:

Contractor shall employ a physician who shall be licensed in accordance with the laws of the State of California and who shall possess a Medical Board of California Certified Physician’s license.

Contractor shall provide all necessary personnel, labor, equipment, material, and testing facilities to perform the following examinations in Kern County:

A. Department of Motor Vehicles (DMV-DOT) Renewal Examinations

B. Respiratory Compliance Examination

C. Audiometric Examination (non-preemployment)

D. Pre-Employment Medical and Audiometric Examination

E. Administer Hepatitis A and/or Hepatitis B vaccinations

2. Subcontracting is not permitted under this Agreement. All references to subcontracting or subcontractors as found herein are not applicable to this Agreement.

3. The shall be performed at the Contractor’s facility, which must be located within an estimated 15 miles from the Caltrans District 6 South Region Maintenance facility, located at 1226 Olive Drive, Bakersfield, CA 93308.

4. Any reference to Caltrans Contract Manager shall also include their designee.

5. This Agreement will commence on March 15, 2026 (estimate), or upon approval by Caltrans, whichever is later, and no work shall begin before that time. This Agreement is of no effect unless approved by Caltrans. Contractor shall not receive payment for work performed prior to approval of the Agreement and before receipt of notice to proceed by Caltrans Contract Manager. This Agreement shall expire on March 14, 2029 (estimate). This Agreement will expire on The services shall be provided Monday through Friday, between the hours of 7:00 a.m. to 3:30 p.m., except State holidays. The parties may amend this Agreement as permitted by law.

6. All inquiries during the term of this Agreement will be directed to the project representatives listed below. Contractor shall provide advance written notice and receive advance written approval by Caltrans Contract Manager, without the necessity of an amendment, before changing the Project Manager noted below.

California Department of Transportation (Caltrans) Contractor’s Name TBD

Section/Unit:

Caltrans Contract Manager: TBD Project Manager:

Address: Address:

Business Phone Number: Business Phone Number:

Email: Email:

7. Detailed Description of Work:

A. All medical examinations, laboratory tests, vaccines and office visits conducted under this Agreement shall be performed at Contractor’s medical facility, in accordance with all applicable laws. Contractor’s medical facility shall be Americans with Disabilities Act

(ADA) compliant in accordance with all Federal, State, and Local ordinances.

B. Each Caltrans employee or applicant shall show the Medical Examination

Authorization Form, Attachment 2, before any exams will be given, this form shall include the name and telephone number of the Caltrans Supervisor who authorized the exams. Only medical examinations and related services that are pre-approved or authorized by Caltrans Contract Manager or designee will be paid for under this

Agreement.

C. Preemployment and audiometric exams related to preemployment must be paid in advance by the perspective employee (applicant) at the prices listed on Attachment 1, Bid Proposal.

D. Contractor shall be in compliance with the Health Insurance Portability and

Accountability Act of 1996 (HIPAA).

8. Scheduling Exams

All examinations shall be done on an appointment basis. All portions of each examination shall be conducted on the same day, at the same location.

9. Maintenance of Medical Records and their Confidentiality

A. In order to comply with all State and Federal regulations for “Protected Health Information”, and 8 C.C.R. s 3204 (d), Contractor shall maintain a permanent file of ALL medical records and/or original documents obtained from every tested Caltrans applicant or employee for the duration of the employee’s employment plus five (5) years. Strict confidentiality shall be maintained by Contractor at ALL times concerning each Caltrans applicant and employee’s medical records.

B. Contractor shall provide a copy of all medical records from the physical examination to each Caltrans applicant or employee examined at the completion of their appointment, at their request.

C. At no cost to Caltrans, all medical records for Caltrans District 06, South Region Maintenance employees and applicants will be transferred to the subsequent new Contractor in the event of the following conditions:

1) The Agreement is terminated.

2) The current Contractor is not successful in being awarded the subsequent Agreement.

D. The transfer shall be completed within five (5) working days after written notification by Contract Manager or designee. All records shall be sent via UPS or delivered by Contractor to the subsequent Contractor.

10. Types of Medical Examinations/Tests/ for Current Caltrans Employees with Class A or B Driver’s License

A. DMV-DOT Renewal Examination

1) Each employee shall meet specified physical requirements to obtain their Class A or

B Driver’s License. If an employee fails the exam, the DMV shall notify the Caltrans supervisor of the Employee the same business day as the exam. Examinations shown in item 2, below are the required tests necessary for a California Commercial

Vehicle Driver’s Certification for a Class A or B Driver’s License in accordance with the DMV-DOT Medical Examination Report Form, MCSA-5875, Attachment 3.

Contractor shall return the original copy of the MCSA-5875 to the Caltrans employee upon successful completion of the physical exam, issue a Medical Examiner’s

Certificate, MCSA-5876, Attachment 4 to the Caltrans employee. Contractor shall keep a copy for the Caltrans employee’s (patient’s) file. [Any employee who fails an examination shall be suspended from operating vehicles that require the use of

Class A or B licenses.]

2) Examination includes, but is not limited to, a Snellen eye exam, the three (3) basic color test (red, green, and amber), urinalysis test, physical examination which shall include an examination of the head, eyes, ears, nose, throat, heart, and lungs as well as height, weight, temperature, pulse and blood pressure. This portion of the examination shall be performed by certified and licensed physician.

3) Caltrans will pay for the initial exams listed in Paragraph 2 (Pre-Employment Medical and Audiometric Examination accepted). Further studies, treatments, appointment follow-ups and re-exams will be the responsibility of the individual employee, unless preapproved in writing by Contract Manager

B. Respiratory Compliance Examination

1) Each Caltrans employee shall fill out the Respirator Medical Questionnaire, HS-

0010, Attachment 5 at the time of the exam. Contractor’s examining physician shall review each employee’s questionnaire after examination and discuss any problem areas with Caltrans employee. Contractor’s medical facility shall send all questionnaires, examination results, and Respiratory Certification to the California

Department of Transportation, Attn: Nicole Osuna at P.O. Box 12616, Fresno, CA

93778-2616.

2) Pulmonary Function Tests (Spirometry) to include:

a) Forced Vital Capacity (FVC)

b) Forced Expiratory Volume in one (1) second (FEV-1)

c) Forced Expiratory Flow 25-75%

d) FEV-1 to FCV ratio with interpretation and comparison to normal predicted values. Copy of Time/Volume Graphic Spirometry printout will be provided.

NOTE: Spirometry machine shall be calibrated prior to testing Caltrans employees.

C. Audiometric Examination Testing

This examination shall evaluate employee’s hearing abilities. Each employee shall complete the Audiometric Evaluation Form, PM-S-0003, Attachment 6, and shall submit it to the physician at the time of examination. Contractor’s physician administers the Audiometric Examination, and the form is sent to Caltrans, District 6, Office of Safety at P.O. Box 12616, Fresno, CA 93778-2616.

Audiometric testing shall comply with the following:

1) Audiometric testing equipment shall be calibrated as described in the Code of

Federal Regulation (CFR), 29 CFR 1910.95 (h) (5) (i). Audiometric equipment shall meet the specifications described in the American National Standards Institute specifications ANSI Section 3.6.

2) Audiometry test shall be performed by Contractor’s licensed certified audiologist, otolaryngologist, or other physician as described in the CFR, 29 CFR 1910.5 (g) (3).

3) Audiometric test shall be pure tone, air conduction, and hearing threshold examinations, with test frequencies that include as a minimum, 500, 1000, 3000, 4000, and 6000 Hertz (hz). Test at each frequency shall be taken separately for each ear as described in CFR, 29 CFR 1910.95 (h) (1).

4) Audiometric examinations shall be administered in a room meeting the requirement described in CFR, 29 CFR 1910.95 (h) (4).

D. Hepatitis A and/or Hepatitis B vaccination series

Contractor shall provide Hepatitis A and/or Hepatitis B inoculations to Caltrans District 6 employee vulnerable to exposure. A licensed nurse, pharmacist, or physician who has been appropriately trained on vaccine administration policies and procedures may administer Hepatitis A and/or Hepatitis B. Each nurse must be a Registered Nurse (RN) licensed by the California Board of Registered Nursing (BRN), each pharmacist must be licensed by the California Board of Pharmacology (CBP), and each physician must be currently licensed by the Medical Board of California (MBC)

1) Prior to obtaining vaccinations at Contractor’s facilities, Caltrans’ employees shall complete a Hepatitis A & B Vaccination Employee Acknowledgment Form, Attachment 8.

2) Contractor shall screen each employee in need of inoculation to determine if the vaccine may pose a health risk for the employee. If Contractor finds that the inoculation may be contraindicated, Contractor shall abstain from inoculating the employee, or shall delay the inoculation as medically recommended, and shall otherwise follow standard medical practice in managing the case of the person whose inoculation was not administered or delayed. In no case will Contractor follow a practice that does not adhere to standard medical practice or that poses a medical risk to Caltrans personnel from the fail or delay to administer the inoculation.

3) Contractor shall perform hand hygiene by handwashing or applying antiseptic hand rub, then putting on non-sterile latex or latex free gloves before preparing the syringe, vaccination and applying the injection. Hand hygiene must be performed again after giving the injection. This process must be followed between injections, per procedure, per patient. The used syringe shall then be discarded in labeled;

puncture-proof containers provided by the contractor.

4) Contractor shall disinfect the employee’s skin prior to the injection application by applying a 60-70% alcohol-based solution on a single use swab or cotton-wool ball and wiping the area from the center of the injection site working outwards for 30 seconds, then allow to dry completely.

5) Contractor shall dispense Hepatitis A shot inoculations to Caltrans employees who are at risk of infection in two shots, six months apart. Contractor shall dispense

Hepatitis B inoculations to Caltrans employees who are at risk of infection in 3 shots, the second shot shall be dispensed 30 days after the first shot, the third shot should be dispensed 6 months after the first shot.