2-826-25-26 APPENDIX B - INFORMATION REQUIRED.pdf
PDF 149 KB Posted
- Attached to
- Athletic Trainers
- Solicitation number
- 826-25/26
- Issued by
- Sacramento County, California
About this file
This is an Appendix B Information Required of Proposer form for RFP #826-25/26 issued by the Elk Grove Unified School District in California for Athletic Trainers services. Proposers must submit sealed qualifications and proposals by April 17, 2026, at 4:00 P.M. PST through the EGUSD Online Bonfire Procurement Portal. The RFP requires bidders to provide comprehensive information including firm details, business history, years of experience, certifications and licenses, and a list of public agencies for which similar services have been provided. The form also requires disclosure of litigation history, terminated agreements, pending disciplinary actions, and errors and omissions insurance coverage. Proposers must provide at least three client references with contact information and certify under penalty of perjury that all submitted information is accurate and complete. The District reserves the right to request additional documentation, conduct interviews, or hold presentations at any time and may reject any or all proposals.
The document does not specify pricing terms, contract amounts, funding sources, or contract duration. Instead, it focuses on the qualification and disclosure requirements that proposers must meet during the submission phase. Bidders must certify compliance with all District, Local, State, and Federal legal requirements and disclose any conflicts of interest with District officials or employees. Financial statements may be requested within two days of submission, and failure to provide them may result in rejection of the entire proposal. The form serves as a standardized qualification questionnaire to enable the District to evaluate bidder capability, experience, legal standing, and suitability for providing athletic trainer services.
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Elk Grove Unified School District Appendix B – Information Required of Proposer
RFP #826-25/26
ELK GROVE UNIFIED SCHOOL DISTRICT
ATHLETIC TRAINERS
APPENDIX B
INFORMATION REQUIRED OF PROPOSERS
The Bidder shall furnish all the following information accurately and completely. Failure to comply with this requirement may cause a submittal to be rejected. Additional sheets may be attached if necessary. “You” or “your” as used herein refers to the Bidder’s firm and/or any of its owners, officers, directors, shareholders, parties, or principals.
If the same information is provided elsewhere in your submittal and qualification materials, then please clearly identify it in the following questions.
Please be advised that the District may request verbal or written clarification or additional information, an interview, or a presentation at any time.
(CONTINUED NEXT PAGE)
SECTION A – GENERAL INFORMATION
(1) Firm name, address, and contact information:
(2) Telephone: Facsimile:
Internet Address:
(3) Type of firm: (check one) Individual Partnership Corporation State
(4) Names and titles of all principals/officers of the firm:
Name Title Phone Number
(5) Please list any applicable certifications and licenses, and the associated numbers:
(6) Have you or any of your principals ever conducted similar services under a different name or certification, or a different license number? ___________________________________
a. If yes, give the firm name, address, and certification or license number.
(i) Name
(ii) Address
(iii) License No. (if any)
(7) How many years has your firm been in business under its present business name?
(8) How many years of experience does your firm have providing similar services?
(9) How many public agencies has your firm provided similar services for?
(10) Please list the public agencies, including School Districts and the like, that your firm has provided similar services for:
(11) Please attach a short history of the firm, including whether it is local, national, or international, as well as an approximate number of employees. Also, provide the number of firm offices and locations.
(12) The District may request a copy of your firm’s most recent financial statement or other financial instrument that would establish your firm’s ability to complete its obligation under any agreement resulting from this Bid. This information must be provided within two (2) days of the request. Failure to do so may result in the entire submittal being rejected as nonresponsive.
(13) Please attach or list below why your firm should be selected by the District to provide the solicited services.
SECTION B – LEGAL
(14) Have you or any of your principals been in litigation or arbitration of any kind on a question or questions relating to similar services involving a school or community college district during the prior five (5) years? .
(a) If yes, provide the name of the public agency and briefly detail the dispute:
(15) Have you ever had a services agreement terminated for convenience or default in the prior five (5) years? .
(a) If yes, provide details, including the name of the other party:
(16) Are your firm, owners, and/or any principal or manager involved in or is your firm aware of any pending litigation regarding professional misconduct, bad faith, discrimination, or sexual harassment? .
(a) If yes, provide details:
(17) Are your firm, owners, and/or any principals or managers involved in or aware of any pending disciplinary action and/or investigation conducted by any local, state, or federal agency?
(a) If yes, provide details:
(18) Does your firm maintain errors and omissions coverage? .
If so, please provide a current copy of the declaration page showing the maximum liability or policy value.
(19) Will your firm comply with all District, Local, State, and Federal legal requirements, regulations, and laws? .
SECTION C – ADDITIONAL INFORMATION
(20) Please provide any other information that may assist the District in ascertaining your qualifications, capability, and customer service under any resultant agreement.
REFERENCES
(21) Have you ever had any direct or indirect business, financial, or other connection with any official, employee, or consultant of the District? Identify any conflict of interest in (a):
(a) Please elaborate and discuss any potential, apparent, or actual conflict of interest:
(22) Each firm must include the following references:
(a) List at least three clients for whom you have provided similar services. Show the names, addresses, and telephone numbers of the persons who can be contacted. Information obtained through the references will be evaluated by the District.
Name Address Phone Number
I certify and declare under penalty of perjury under the laws of the State of California that the foregoing Information Required of Bidder pages one (1) through seven (7) is true and correct.
Executed this day of , 20 , at
, State of City, County
Signature
Print Name
Title
| (CONTINUED NEXT PAGE) |
| SECTION B – LEGAL |
| SECTION C – ADDITIONAL INFORMATION |
| REFERENCES |
| Firm name address and contact information 1: |
| Firm name address and contact information 2: |
| Firm name address and contact information 3: |
| Firm name address and contact information 4: |
| Firm name address and contact information 5: |
| Firm name address and contact information 6: |
| undefined: |
| undefined_2: |
| Facsimile: |
| Name 1: |
| Name 2: |
| Name 3: |
| Name 4: |
| Name 5: |
| Title 1: |
| Title 2: |
| Title 3: |
| Title 4: |
| Title 5: |
| Phone Number 1: |
| Phone Number 2: |
| Phone Number 3: |
| Phone Number 4: |
| Phone Number 5: |
| Please list any applicable certifications and licenses and the associated numbers 1: |
| Please list any applicable certifications and licenses and the associated numbers 2: |
| Please list any applicable certifications and licenses and the associated numbers 3: |
| undefined_3: |
| Have you or any of your principals ever conducted similar services under a different name: |
| If yes give the firm name address and certification or license number: |
| ii Address: |
| iii License No if any: |
| How many years has your firm been in business under its present business name: |
| How many public agencies has your firm provided similar services for: |
| provided similar services for 1: |
| provided similar services for 2: |
| provided similar services for 3: |
| provided similar services for 4: |
| solicited services 1: |
| solicited services 2: |
| solicited services 3: |
| solicited services 4: |
| or questions relating to similar services involving a school or community college district: |
| a If yes provide the name of the public agency and briefly detail the dispute 1: |
| a If yes provide the name of the public agency and briefly detail the dispute 2: |
| a If yes provide the name of the public agency and briefly detail the dispute 3: |
| a If yes provide the name of the public agency and briefly detail the dispute 4: |
| 15 Have you ever had a services agreement terminated for convenience or default in the prior: |
| a If yes provide details including the name of the other party 1: |
| a If yes provide details including the name of the other party 2: |
| a If yes provide details including the name of the other party 3: |
| a If yes provide details including the name of the other party 4: |
| any pending litigation regarding professional misconduct bad faith discrimination or: |
| a If yes provide details 1: |
| a If yes provide details 2: |
| a If yes provide details 3: |
| a If yes provide details 4: |
| agency: |
| a If yes provide details 1_2: |
| a If yes provide details 2_2: |
| a If yes provide details 3_2: |
| Does your firm maintain errors and omissions coverage: |
| regulations and laws: |
| a Please elaborate and discuss any potential apparent or actual conflict of interest 1: |
| a Please elaborate and discuss any potential apparent or actual conflict of interest 2: |
| a Please elaborate and discuss any potential apparent or actual conflict of interest 3: |
| Name 1_2: |
| Name 2_2: |
| Name 3_2: |
| Name 4_2: |
| Name 5_2: |
| Name 6: |
| Name 7: |
| Address 1: |
| Address 2: |
| Address 3: |
| Address 4: |
| Address 5: |
| Address 6: |
| Address 7: |
| Phone Number 1_2: |
| Phone Number 2_2: |
| Phone Number 3_2: |
| Phone Number 4_2: |
| Phone Number 5_2: |
| Phone Number 6: |
| Phone Number 7: |
| day of: |
| undefined_4: |
| at: |
| Executed this: |
| 20: |
| Print Name: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Text5: |
| Text6: |
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