17._Non-Small_Bus._Sub_Preference_(CCHCS-MC-392).pdf
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- Solicitation number
- 0000031431
- Issued by
- California
About this file
This document is a Non-Small Business Subcontractor Preference Request form related to Bid Number SD23-00080 CCHCS-MC-392 for Portable Diagnostic Sleep Testing Services, issued by the California Department of Corrections and Rehabilitation (CDCR) and the California Correctional Health Care Services (CCHCS). The form is used to request a bidding preference for small business or microbusiness subcontractors, which must account for at least 25% of the total bid price. Bidders must list the certified small business or microbusiness subcontractors, provide their contact information, certification details, participation dollar value, and a brief description of the commercially useful functions they will perform.
The contract opportunity is for Portable Diagnostic Sleep Testing Services in the state of California. Bidders must submit the completed Non-Small Business Subcontractor Preference Request form, along with the Small Business Subcontractor/Supplier Acknowledgement form signed by each named subcontractor, by the bid submission due date. There is no information provided about pricing terms, set asides, incumbents, funding requirements, or other salient details.
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Text version
Bid Number: SD23-00080
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:
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:
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 commercially useful function(s) to be performed and provided:
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