23FS0010_-_Bidders_Checklist.pdf

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Attached to
23FS0010 - Emergency High-Voltage Electrician Services and High-Voltage Switch Replacement
Solicitation number
0000031927
Issued by
California

About this file

This document is a Bidder's Checklist for Solicitation Number 23FS0010 issued by the State of California Department of Veterans Affairs. The solicitation is for Emergency High-Voltage Electrician Services and High-Voltage Switch Replacement at the Veterans Home of California - Fresno. The checklist outlines the required bid documents, including a Bidder Certification, Bid Rate Sheet, Payee Data Record, Bidder Declaration, Disabled Veteran Business Enterprise Declarations, and various certifications and disclosures. The bid response is due by a specified timeline outlined in the Notice to Prospective Bidders.

The contract will be awarded to a qualified bidder who meets the requirements outlined in the solicitation. Pricing terms, set asides, and other financial details are not provided in this document. However, it does note that the company name listed on all submitted documents must match the Payee Data Record, and failure to submit the required documents as prescribed may delay the award of the agreement.

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State of California Solicitation Number: 23FS0010 Department of Veterans Affairs

BIDDER’S CHECKLIST

EMERGENCY HIGH-VOLTAGE ELECTRICIAN SERVICES

AND HIGH-VOLTAGE SWITCH REPLACEMENT

The checklist below is a summary of documents to be submitted based on requirements in the Invitation for Bid. This checklist should be returned with your bid. Place a check-mark or “X” next to each document being submitted.

Original Signatures are required on the documents where specified.

The company name listed on all documents submitted (ex. licenses, permits, certifications, and insurance) must be identical to the company name on the Payee Data Record (STD 204). Failure to submit these documents in the manner prescribed may delay award of Agreements.

Bidder’s Checklist

Bidder Certification

Bid Rate Sheet

Signed Payee Data Record - STD 204

Bidder Declaration - GSPD-05-105

Commercially Useful Function (CUF) Certification, if applicable

Disabled Veteran Business Enterprise (DVBE) Declarations – DGS PD 843, if applicable

Iran, if applicable

Darfur Contracting Act

California Civil Rights Laws

Contractor Certification Clauses (CCC-4/2017) - The CCC-4/2017 can be found on the Internet at https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List- Folder/Standard-Contract-Language

Valid California city or county business license; or, if a corporation located within the State of California, incorporation documents or letter from the Secretary of State; or, if not a California business, an affidavit that business is in good standing with the State, Province, or Country in which business is headquartered.

STD 1000 Generative Artificial Intelligence (GenAI) Disclosure and Factsheet

Sample Invoice https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language

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