18._Non-Small_Bus._Sub_Preference_(CCHCS-MC-392).pdf

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Attached to
SD24-00021 Prosthetic and Orthotic Services and Devices
Solicitation number
0000035871
Issued by
California

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This document is a Non-Small Business Subcontractor Preference Request form from the California Correctional Health Care Services (CCHCS) for Bid Number SD24-00021. The form is designed to allow bidders to list certified small business or microbusiness subcontractors as part of their bid submission. To qualify for a bidding preference, the total small business or microbusiness subcontractor use must equal at least 25% of the total price or cost offered. Each listed subcontractor must be actively certified as a small business or microbusiness by the bid submission due date and must acknowledge their participation through a signed Small Business Subcontractor/Supplier Acknowledgement form.

The form provides space for bidders to detail up to three small business or microbusiness subcontractors, including their name, contact information, certification number, certification expiration date, participation dollar value, committed percentage of total bid, and a brief description of the commercially useful functions they will perform. The purpose of this form is to encourage and support small and microbusinesses by providing them opportunities to participate in government contracts, while also offering a potential bidding preference to companies that demonstrate significant subcontractor engagement with these smaller businesses.

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Bid Number: SD24-00021

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:

Name of Subcontractor:
Contact Person:
Street Address:
City:
State:
Zip Code:
Telephone Number:
Certification Number:
Certification Expiration Date:
Brief description of the commercially useful functions to be performed and provided:
Name of Subcontractor_2:
Contact Person_2:
Street Address_2:
City_2:
State_2:
Zip Code_2:
Telephone Number_2:
Certification Number_2:
Certification Expiration Date_2:
Brief description of the commercially useful functions to be performed and provided_2:
Name of Subcontractor_3:
Contact Person_3:
Street Address_3:
City_3:
State_3:
Zip Code_3:
Telephone Number_3:
Certification Number_3:
Certification Expiration Date_3:
Brief description of commercially useful functions to be performed and provided:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:

File details come from the government source that posted it. Updated .