16BH006_Request_for_Quote.pdf

California Department of State Hospitals - Atascadero Request for Quotation of Goods

Department of State Hospitals - Atascadero

Request For Quotation Goods

QUOTE DUE DATE May 27, 2016

QUOTE DUE TIME: 11:00 A.M.

Responses must be delivered to:

Department of State Hospitals - Atascadero before 11:00 A.M. on the due date.

Delivery Date Delivery Schedule

Supplier name and address:

SOLICITATION NO. REV. # DATE

REQUISITION OR CONTROL #

16BH006 5/13/16

Contact:

Phone: Fax:

E-mail:____________________________

For further information contact:

Bea Howell

(805) 468-2020 beatrice.howell@dsh.ca.gov

Ship To:

Receiving Dock/Warehouse 10333 El Camino Real Atascadero CA 93422-5808

ONLY CALIFORNIA CERTIFIED

SMALL BUSINESS SUPPLIERS

WILL BE ACCEPTED FOR THIS BID.

NO PREFERENCES OR

INCENTIVES WILL BE APPLIED TO

THE AWARD PROCESS.

Name (Print):

Title:

Signature:

_______________________ Date:_______

Federal Employer Identification Number:

CA. Retailer’s Seller Permit NO., (as per page 2):

Return quote to:

Attn: Procurement P O Box 7002 Atascadero CA 93423-7002

Facsimile machine (fax) bids will be considered only if they are sent to the buyer at

(805) 468-3261.

SECTION 14838 ET SEQ. OF THE

CALIFORNIA GOVERNMENT CODE

REQUIRES THAT A 5% PREFERENCE BE

GIVEN TO BIDDERS WHO QUALIFY AS A

SMALL BUSINESS OR AS A NON-SMALL

BUSINESS CLAIMINIG AT LEAST 25%

CALIFORNIA CERTIFIED SMALL BUSINESS

PARTICIPATION. FOR REQUIREMENTS

SEE TITLE 2, CALIFORNIA CODE OF

REGULATIONS SECTION 1896 ET SEQ.

THE REQUIREMENTS FOR NONPROFIT

VETERAN SERVICE AGENCIES

QUALIFYING AS A SMALL BUSINESS ARE

CONTAINED IN SECTION 999.50 ET SEQ.

OF THE MILITARY AND VETERANS CODE.

Bidder offers and agrees if this response is accepted within 60 calendar days following the date the response is due to furnish all the items upon which prices are quoted, at the prices set opposite each item, delivered at the designated point(s) by the method of delivery and within the times specified and subject to General Provisions (as per page 2). DELCARATIONS UNDER PENALTY OF PERJURY; By signing above, with inclusion of the date of signature, the above signed bidder DECLARES UNDER PENALTY OF PERJURY under the laws of the State of California as follows: (1) (STATEMENT OF COMPLIANCE). The above signed as complied with the non-discrimination program requirements of Government Code 12990 and Title 2, California Administrative Code Section 8103, and such declaration is true and correct. (2) The National Labor Relations Board declaration set forth in Paragraph 43 of the General Provisions is true and correct. (3) If a claim is made for the Small Business or Disabled Veterans Business preference, the information set forth within is true and correct.

Please see page 2 for product specifications and requirements.

California Department of State Hospitals – Atascadero Request for Quotation of Goods

REQUEST FOR QUOTATION

CONTINUATION

Supplier Name: Solicitation No.

16BH006

Rev.

ITEM

NO.

QTY UNIT

COMMODITY/

PRODUCT CODE

DESCRIPTION UNIT PRICE EXTENSION

1.

675 Cases

Brand:____________

Code:____________

Apple Juice, 100% Juice (12/46 oz. containers per case)

No metal cans.

2.

405 Cases

Cranberry Juice, 10% Juice

3. 450 Cases

Grape Juice, 100% Juice

4.

450 Cases

Orange Juice, 100% Juice

No metal cans

5.

315 Cases

Pineapple Juice, 100% Juice

6. 225 Cases

Code:_____________

Vegetable Juice, 100% Juice

BID REQUIREMENTS:

1. Vendor MUST submit nutritional facts/ingredients for each item with bid in order for bid to be considered.

2. MUST be 100% fruit juice (except Cranberry Juice which is 10% juice).

3. NO added sugar, sweeteners or corn syrup.

4. Product MUST be good for at least six (6) months after delivery date.

5. Product MUST be shelf stable requiring no refrigeration.

6. Containers MUST be 12 / 46 oz. each.

7. NO metal cans (except for Vegetable Juice).

The contract duration should be at least six (6) months, beginning July 1, 2016.

Prices MUST be held for the duration of the contract.

Total quantities per line item may be increased or decreased by up to 15% for the duration of the contract.

Deliveries will be monthly. Schedules will be given to the awarded vendor.

Only California certified Small Business suppliers will be accepted for this bid.

TOTAL PROPOSED PRICE: $____________________

California Department of State Hospitals – Atascadero Request for Quotation of Goods

Supplier Name: Solicitation No.

Bid Requirements

1. Delivery: Delivery shall take place during regular working hours, 7:00 a.m. to 3:00 p.m., Monday through Friday, except State observed holidays. Final delivery, inspection and acceptance shall be at the location described herein.

2. Quotation Award: Quotation Award: This solicitation shall be awarded either by line item or all or none for all line items, whichever is deemed by the State to be in its best interest. The award will be made to the lowest responsive and responsible bidder(s) meeting all administrative and technical requirements, terms, and conditions of this solicitation.

3. Cash Discounts: Cash discounts will not be considered when evaluating bid responses for award purposes. However, cash discounts may be offered and taken by departments processing invoices within the timeframe specified.

4. Shipment: For the purposes of this solicitation, only bid responses quoting F.O.B. Destination, freight paid, will be accepted.

5. Inquiries/questions: Written questions must be received by May 19, 2016.

6. Bidder’s Instructions and General Provisions: The Bidder’s Instructions are incorporated by reference to Form GSPD-451, Bidders Instructions, revised 11/9/11, and the General Provisions are incorporated by reference to Form GSPD-401 Non-IT, General Provisions, revised 6/8/10 and published at website: www.pd.dgs.ca.gov/modellang/GeneralProvisions. The General Provisions have recently been updated, please read carefully.

7. Quote/Bid Submittal: Quotes submitted on the suppliers own form will be accepted, if the supplier also submits the first page of this Request for Quote with a signature and date in the appropriate box. However, if the supplier’s own form references supplier attachments, which include legal terms and conditions that conflict with the State’s General Provisions, the bid shall be considered non-responsive and such bids may be rejected.

Responsible Bidder: The California Department of State Hospitals, Atascadero State Hospital, may require bidder(s) to submit evidence of their qualifications at such times and under conditions, as it may deem necessary. The question of whether a particular bidder is a responsible bidder may involve an evaluation of the bidder’s experience, type of facility, expertise or financial resources regarding the particular items requested by the pertinent solicitation. If a bidder has been determined to be non-responsible, the bid shall be rejected.

Facsimile (FAX) Bids: Facsimile machine (fax) bids will be considered only if they are sent to (805) 468-3261. Bids sent to any other fax number will not be considered. To be considered, all pages of a faxed bid must be completely received prior to the bid due date and time specified in this solicitation. Please be advised that there is a heavy demand placed on the fax machine receiving bids, and the State assumes no responsibility if a bidder cannot transmit their bid via fax, or if the entire bid is not received prior to the bid due date and time.

Recycled Content Products: State agencies are required to report purchases in many product categories The successful bidder will be required to submit a Recycled Content Certification. Failure to complete and return the form may disqualify your bid from consideration.

Darfur Contracting Act: State agencies are required to comply with Public Contract Code (PCC) sections 10475 through 10481, which apply to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify, by completing the attached Darfur Contracting Act Certification form, that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit proposals. However, if your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

Payee Data Record: The successful bidder will be required to submit a Payee Data Record, STD. Form 204 listing their Taxpayer Identification Number, see attached.

Seller’s Permit: If applicable, please note that award will be conditional on providing the following document prior to award:

You must provide your company’s California retailer’s seller’s permit or certification of registration and, if applicable, the permit or certification of all participating affiliates, issued by California’s State Board of Equalization (BOE), pursuant to all requirements as set form in Sections 6487, 7101 and sections 6452.1, 6487.3, 18510 of the Revenue and Taxation Code, and Section 10295.1 of the Public Contract code. In order to expedite the process of verifying the validity of the permit, provide the BOE permit number in the space provided on page 1 (or attach a copy of the permit with your bid.)

http://www.pd.dgs.ca.gov/modellang/GeneralProvisions

California Department of State Hospitals – Atascadero Request for Quotation of Goods

Supplier Name: Solicitation No.

Other Preference Programs: Additional preference programs exist and may be applicable. Specifically the Target Area Contract Preference Act (TACPA). For information regarding these programs please see the following website:

http://www.dgs.ca.gov/pd/Programs/DisputeResolution.aspx.

Declaration Forms:

Bidder Declaration – GSPD-05-105 All bidders must complete the Bidder Declaration (GSPD-05-105) and include it with the bid response. When completing the declaration, bidders must identify all subcontractors proposed for participation in the contract. Bidders awarded a contract are contractually obligated to use the subcontractors for the corresponding work identified unless the State agrees to a substitution and it is incorporated by amendment to the contract.

The Bidder Declaration Form is available as a separate attachment to this RFQ and/or on the internet at:

www.documents.dgs.ca.gov/pd/poliproc/MASTEr-BidDeclar08-09.pdf. If the form is not available in the solicitation and you do not have access to the internet, please give Bea Howell a call at (805) 468-2020 to obtain the document.

Attachments: The following documents are considered part of this solicitation and those marked with an asterisk must be returned with the bid response or the bid may be considered invalid and be rejected. The low bidder may be required to furnish additional information.

1. Bid Package*

2. Darfur Contracting Act, if applicable (see page 2)*

3. Bidder Declaration form (GSPD-05-105) see above*

4. Postconsumer Content Certification (CalRecycle 74)*

5. Payee Data Record (STD 204)

6. Bidder Instructions (Form GSPD-451), by reference and published at website: www.pd.dgs.ca.gov/modellang/ModelSolicitation

7. General Provisions (Form GSPD-401), by reference and published at website: www.pd.dgs.ca.gov/modellang/GeneralProvisions

At the State’s option prior to award, bidders may be required to submit additional written clarifying information. Failure to submit the required written information as specified may be grounds for bid rejection.

http://www.documents.dgs.ca.gov/pd/poliproc/MASTEr-BidDeclar08-09.pdf http://www.pd.dgs.ca.gov/modellang/ModelSolicitation http://www.pd.dgs.ca.gov/modellang/GeneralProvisions

California Department of State Hospitals – Atascadero Request for Quotation of Goods

DARFUR CONTRACTING ACT CERTIFICATION

Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

OPTION #1 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #2 – WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

Initials of Submitter

Printed Name and Title of Person Initialing

Rev. 7-2010

California Department of State Hospitals – Atascadero Request for Quotation of Goods

State of California—Department of General Services, Procurement Division Solicitation Number 16BH006

GSPD–05–105 (REV 08/09)

BIDDER DECLARATION

1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):

a. Identify current California certification(s) (MB, SB, NVSA, DVBE): ____________ or None ___ (If “None”, go to

Item #2)

b. Will subcontractors be used for this contract? Yes ___ No ___ (If yes, indicate the distinct element of work your firm will perform in this contract e.g., list the proposed products produced by your firm, state if your firm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.

c. If you are a California certified DVBE: (1) Are you a broker or agent? Yes ___ No ___

(2) If the contract includes equipment rental, does your company own at least 51% of the equipment provided in this contract (quantity and value)? Yes ___ No ___ N/A ___

2. If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract.

(Attach additional pages if necessary):

Subcontractor Name, Contact Person Phone Number & Fax

Number

Subcontractor Address & Email Address

CA Certification

(MB, SB, NVSA,

DVBE or None)

Work performed or goods provided

Corresponding % of bid price

Good Standing?

51% Rental?

0% ___ ___

Certification: By signing the bid response, I certify under penalty of perjury that the information provided is true and correct.

Page ____of____

California Department of State Hospitals – Atascadero Request for Quotation of Goods

BIDDER DECLARATION Instructions All prime bidders (the firm submitting the bid) must complete the Bidder Declaration.

1.a. Identify all current certifications issued by the State of California. If the prime bidder has no California certification(s), check the line labeled “None” and proceed to Item #2. If the prime bidder possesses one or more of the following certifications, enter the applicable certification(s) on the line: Microbusiness (MB), Nonprofit Veteran Service Agency (NVSA), Small Business (SB), Disabled Veteran Business Enterprise (DVBE)

1.b. Mark either “Yes” or “No” to identify whether subcontractors will be used for the contract. If the response is “No”, proceed to Item

#1.c. If “Yes”, enter on the line the distinct element of work contained in the contract to be performed or the goods to be provided by the prime bidder. Do not include goods or services to be provided by subcontractors.

Bidders certified as MB, SB, NVSA, and/or DVBE must provide a commercially useful function as defined in Military and Veterans Code Section 999 for DVBEs and Government Code Section 14837(d)(4)(A) for small/microbusinesses.

Bids must propose that certified bidders provide a commercially useful function for the resulting contract or the bid will be deemed non-responsive and rejected by the State. For questions regarding the solicitation, contact the procurement official identified in the solicitation.

Note: A subcontractor is any person, firm, corporation, or organization contracting to perform part of the prime’s contract.

1.c. This item is only to be completed by businesses certified by California as a DVBE.

(1) Declare whether the prime bidder is a broker or agent by marking either “Yes” or “No”. The Military and Veterans Code Section

999.2 (b) defines “broker” or “agent” as a certified DVBE contractor or subcontractor that does not have title, possession, control, and risk of loss of materials, supplies, services, or equipment provided to an awarding department, unless one or more of the disabled veteran owners has at least 51-percent ownership of the quantity and value of the materials, supplies, services, and of each piece of equipment provided under the contract.

(2) If bidding rental equipment, mark either “Yes” or “No” to identify if the prime bidder owns at least 51%of the equipment provided (quantity and value). If not bidding rental equipment, mark “N/A” for “not applicable.”

2. If no subcontractors are proposed, do not complete the table. Read the certification at the bottom of the form and complete “Page ___ of ___” on the form.

If subcontractors will be used, complete the table listing all subcontractors. If necessary, attach additional pages and complete the “Page ___ of ___” accordingly.

Column Labels

Subcontractor Name, Contact Person, Phone Number & Fax Number—List each element for all subcontractors.

Subcontractor Address & Email Address—Enter the address and if available, an Email address.

CA Certification (MB, SB, NVSA, DVBE or None)—If the subcontractor possesses a current State of California certification(s), verify on this website (www.eprocure.pd.dgs.ca.gov).

Work performed or goods provided for this contract—Identify the distinct element of work contained in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors must provide a commercially useful function for the contract. (See paragraph 1.b above for code citations regarding the definition of commercially useful function.) If a certified subcontractor is further subcontracting a greater portion of the work or goods provided for the resulting contract than would be expected by normal industry practices, attach a separate sheet of paper explaining the situation.

Corresponding % of bid price—Enter the corresponding percentage of the total bid price for the goods and/or services to be provided by each subcontractor. Do not enter a dollar amount.

Good Standing?—Provide a response for each subcontractor listed. Enter either “Yes” or “No” to indicate that the prime bidder has verified that the subcontractor(s) is in good standing for all of the following:

• Possesses valid license(s) for any license(s) or permits required by the solicitation or by law

• If a corporation, the company is qualified to do business in California and designated by the State of California Secretary of State to be in good standing

• Possesses valid State of California certification(s) if claiming MB, SB, NVSA, and/or DVBE status

51% Rental?—This pertains to the applicability of rental equipment. Based on the following parameters, enter either “N/A” (not applicable), “Yes” or “No” for each subcontractor listed.

Enter “N/A” if the:

• Subcontractor is NOT a DVBE (regardless of whether or not rental equipment is provided by the subcontractor) or

• Subcontractor is NOT providing rental equipment (regardless of whether or not subcontractor is a DVBE)

Enter “Yes” if the subcontractor is a California certified DVBE providing rental equipment and the subcontractor owns at least 51% of the rental equipment (quantity and value) it will be providing for the contract.

Enter “No” if the subcontractor is a California certified DVBE providing rental equipment but the subcontractor does NOT own at least 51% of the rental equipment (quantity and value) it will be providing.