24YS0017_-_Bidders_Checklist.pdf
PDF 90 KB Posted
- Solicitation number
- 0000031415
- Issued by
- Napa County, California
About this file
This document is a Bidder's Checklist for the State of California Department of Veterans Affairs solicitation number 24YS0017 for Temporary/Relief Licensed Clinical Social Worker (LCSW) Services. The solicitation is seeking LCSW services at the Veterans Home of California - Yountville. The checklist outlines the required documents for bidders, including the Bidder Certification, Bid Rate Sheet, Payee Data Record, Bidder Declaration, Commercially Useful Function Certification, Disabled Veteran Business Enterprise Declarations, Darfur Contracting Act certification, California Civil Rights Laws certification, Contractor Certification Clauses, and a valid California business license or incorporation documents. Bidders must also submit a STD 1000 Generative Artificial Intelligence Disclosure and Factsheet, as well as a sample invoice.
The contract opportunity is for the State of California, specifically Napa County. Pricing terms, set-asides, and funding details are not provided in this document. The contract term is not specified, nor are any renewal options mentioned.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
State of California Solicitation Number: 24YS0017 Department of Veterans Affairs
BIDDER’S CHECKLIST
TEMPORARY/RELIEF LICENSED CLINICAL SOCIAL WORKER (LCSW) 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.
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
File details come from the government source that posted it. Updated .