14._CCHCS-MC-392-_Non-Small_Bus_Subc._Request.pdf
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- Attached to
- Electrocardiograph (ECG) Equipment and Cardiologist Over-Read and Interpretation Services SD23-00094
- Solicitation number
- 0000033006
- Issued by
- California
About this file
This document is a Non-Small Business Subcontractor Preference Request form for a state contract opportunity, Proposal Number SD23-00094 CCHCS-MC-392. The form requires bidders to list any certified small businesses or microbusinesses that will be subcontracted, with the total small business or microbusiness subcontractor use equaling at least 25% of the total bid price. Each named subcontractor must be actively certified and acknowledge their participation using the Small Business Subcontractor/Supplier Acknowledgement form. The form requests information such as the subcontractor's name, contact details, certification number and expiration date, participation dollar value, and percentage of the total bid, as well as a brief description of the commercially useful functions to be performed.
The document does not provide additional details about the overall contract opportunity, such as the products or services requested, project overview, response dates, award information, or contract term. Pricing terms, set asides, incumbent information, funding requirements, and other salient details are also not included in this specific document.
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Text version
Proposal Number: SD23-00094
CCHCS-MC-392 – Non-Small Business Subcontractor Preference Request Rev. 06/17/2019
Non-Small Business Subcontractor Preference Request
List each certified small business or microbusiness that will be subcontracted with. To be granted bidding preference, total small business or microbusiness subcontractor use must equal at least 25% of the total price or cost offered. Each named subcontractor must be actively certified as a small business or microbusiness by the bid submission due date and must acknowledge their participation. Attach the Small Business Subcontractor/Supplier Acknowledgement (CCHCS-MC-393) signed by an authorized representative of each named subcontractor acknowledging their proposed use as described herein.
Name of Certified Small Business or Microbusiness Subcontractor
Name of Subcontractor: Contact Person:
Street Address: City: State: Zip Code:
Telephone Number: Certification Number:
Certification Expiration Date: Participation Dollar Value: Committed Percentage of Total Bid:
Brief description of the commercially useful function(s) to be performed and provided:
Brief description of the commercially useful function(s) to be performed and provided:
Brief description of commercially useful function(s) to be performed and provided:
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