23WS0055_-_Bidders_Checklist.pdf
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- Attached to
- 23WS0055 - Phlebotomy and Laboratory Services
- Solicitation number
- 0000031399
- Issued by
- Los Angeles County, Los Angeles City, California
About this file
This document is a Bidder's Checklist for the State of California Solicitation Number 23WS0055 for Phlebotomy and Laboratory Services at the Veterans Home of California - West Los Angeles. The solicitation requires bidders to submit various documents, including a Bidder Certification, Bid Rate Sheet, Payee Data Record, Bidder Declaration, Commercially Useful Function Certification, Disabled Veteran Business Enterprise Declarations, Darfur Contracting Act certification, and California Civil Rights Laws certification, among others. The contract term and any renewal options are not specified.
Pricing terms, set-asides, and incumbent information are not provided in the Bidder's Checklist. The solicitation is funded by the State of California Department of Veterans Affairs, but the specific funding amount and sources are not disclosed. The checklist also does not contain details about the current environment or any other salient information beyond the required bid submission documents.
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State of California Solicitation Number: 23WS0055 Department of Veterans Affairs
BIDDER’S CHECKLIST
Phlebotomy and Laboratory Services
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
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.
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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