25-20031-000_RFQ___Exhibits.pdf

Department of State Hospitals RFQ Number: 25-20031-000 Metropolitan Generator Load Testing

REQUEST FOR QUOTE (RFQ)

Notice to Prospective Bidders

RFQ Number: 25-20031-000

“Generator Load Bank Testing”

Limited to DGS-certified Public Works Small Business

August 7, 2025

You are invited to review and respond to this Department of State Hospitals (DSH) solicitation. In accordance with Government Code section 14838, the DSH is seeking quotes ONLY from DGS-certified Small Business Enterprises for the purpose of Public Works to perform generator load bank testing.

This is a “public works” project as defined in Labor Code 1720. Contractor and its Subcontractor shall be registered with Department of Industrial Relations (DIR) pursuant to Labor Code 1725.5, subd. (f) and must pay prevailing wage per Labor Code 1771.

In submitting a bid, bidders agree that they have read, understood, and will comply with the instructions found herein. Failure to comply with any of the requirements may result in rejection of a bidder’s bid. By submitting a response, bidders agree to the terms and conditions stated in this solicitation and any resulting agreement.

On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. “Economic Sanctions” refers to sanctions imposed by the U.S. government in response to Russia’s actions in Ukraine, as well as any sanctions imposed under state law. By submitting a bid or proposal, Contractor represents that it is not a target of Economic Sanctions. Should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for rejection of the Contractor’s bid any time prior to contract execution, or, if determined after contract execution, shall be grounds for termination by the State.

All agreements entered into with the State of California will include by reference the state’s General Terms and Conditions and Contractor Certification Clauses that may be viewed and downloaded at:

Standard Contract Language.

This official bid solicitation is only published online at the California E-Procure, FI$Cal web site at: https://caleprocure.ca.gov/pages/index.aspx. To ensure receipt of any addenda that may be issued, and answers to questions posed, you must register online at https://caleprocure.ca.gov/pages/BidderRegistration-BS3/bidder-registration-1.aspx.

Revision 9-5-2023 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dgs.ca.gov%2FOLS%2FResources%2FPage-Content%2FOffice-of-Legal-Services-Resources-List-Folder%2FStandard-Contract-Language%3Fsearch%3Dgeneral%2520terms%2520and%2520conditions&data=05%7C02%7CKathryn.Hill%40dsh.ca.gov%7Cac958ecada1d43a8b52108dd6bdcf806%7C807536a6a6b14893a01370509c59ebbb%7C0%7C0%7C638785319036345269%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=a7q65yCZv6lL6c28hr64nqvrPdupm6iQcGue2hnaPpg%3D&reserved=0 https://caleprocure.ca.gov/pages/index.aspx https://caleprocure.ca.gov/pages/BidderRegistration-BS3/bidder-registration-1.aspx

TABLE OF CONTENTS

I. DESCRIPTION OF SERVICES

A. Description of Services/Background:

B. Agreement Term and Security Provisions:

II. MINIMUM QUALIFICATIONS (MQ)

A. DGS – OSDS CERTIFICATION:

B. Proof of Legal Right To Do Business:

C. References:

D. Agreement to Sign:

E. Department of Industrial Relations (DIR) Registration:

F. GenAI Requirements:

G. Contractor License Requirements:

H. Work Experience:

III. QUOTE REQUIREMENTS AND INFORMATION

A. Key Action Dates:

B. Bidder’s Conference:

C. Bidder’s Questions:

D. Submission of Quotes:

IV. QUOTE EVALUATION AND AWARD

A. Responsiveness and Responsibility Determination:

B. False Statements Disclaimer:

C. Intention to Award:

D. Tie Breaker:

E. Letter of Award:

F. Disposition of Quotes:

G. Tax Delinquency Disclaimer:

V. PREFERENCE AND INCENTIVE PROGRAMS

A. Disabled Veteran Business Enterprise Program and Incentive:

B. Calculation of Multiple Preferences:

C. Other Preference Programs:

D. Additional Small Business and Disabled Veteran Enterprise Information:

VI. REQUIRED ATTACHMENTS

A. Listing of Attachments:

ATTACHMENT 1 – BID SUBMISSION CHECKLIST

ATTACHMENT 2 – BIDDER’S CERTIFICATION

ATTACHMENT 3 – MINIMUM QUALIFICATIONS RESPONSE

ATTACHMENT 4 – BIDDER’S REFERENCES

ATTACHMENT 5 – BIDDER’S RATE SHEET

ATTACHMENT 6 – INSURANCE CERTIFICATION

ATTACHMENT 7 – DARFUR CONTRACTING ACT CERTIFICATION

ATTACHMENT 8 – LABOR CODE CERTIFICATION

ATTACHMENT 9 – BIDDER’S ACKNOWLEDGEMENT TO PAY PREVAILING WAGE

RATES

ATTACHMENT 10 – NON-COLLUSION DECLARATION

ATTACHMENT 11 – BIDDER DECLARATION FORM (GSPD-05-105)

ATTACHMENT 12 – CONTRACTOR CERTIFICATION CLAUSES 04/2017

ATTACHMENT 13 – PAYEE DATA RECORD (STD 204)

ATTACHMENT 14 – DVBE DECLARATIONS FORM (STD 843)

ATTACHMENT 15 – CALIFORNIA CIVIL RIGHTS CERTIFICATION

ATTACHMENT 16 – NONDISCRIMINATION COMPLIANCE STATEMENT FORM (STD

19)

ATTACHMENT 17 – SMALL BUSINESS PREFERENCE AND CERTIFICATION

REQUEST

ATTACHMENT 18 – SAMPLE AGREEMENT

I. DESCRIPTION OF SERVICES

A. Description of Services/Background:

1. Contractor shall provide all necessary materials, supplies, tools, equipment, transportation, licenses, permits, prevailing wages, insurance, bonds, and personnel to: provide the DSH with load bank testing for all DSH-Metropolitan emergency generators.

2. Please carefully review and consider the minimum qualifications, and the detailed Scope of Work located in Sample Agreement, Exhibit A, Scope of Work, in order to complete your bid.

B. Agreement Term and Security Provisions:

1. The term of any agreement resulting from this RFQ is anticipated to be October 1, 2025, through March 31, 2026. Any agreement resulting from this RFQ shall have no force or effect until it is signed by both parties and approved by the Department of General Services (DGS). Performance shall start no later than on the expressed date set by the awarding agency and after all approvals have been obtained and the agreement is fully executed.

2. Should the Contractor fail to commence work at the agreed upon time, the DSH reserves the right to terminate the agreement upon five (5) days written notice to the Contractor.

II. MINIMUM QUALIFICATIONS (MQ)

A. DGS – OSDS CERTIFICATION:

Prospective contractors must be certified through the Department of General Services (DGS) Office of Small Business for the purposes of Public Works & Disabled Veteran Business Enterprise Services (OSDS).

B. Proof of Legal Right To Do Business:

Bidders must submit proof of their legal right to do business in the State of California:

1. Bidders must submit a copy of their license to do business in the State of California, where applicable.

2. Bidders must certify that they are and will continue to meet all terms and conditions for operating a business in the city/county in which the business is headquartered.

3. Bidders which are corporations, regardless of where they are incorporated, shall certify they are currently in good standing with the California Secretary of State (SOS).

DSH shall verify that the proposed awardee(s) is in good standing by checking the (SOS) website: https://bizfileonline.sos.ca.gov/search/business.

https://bizfileonline.sos.ca.gov/search/business

C. References:

Bidder must submit applicable references:

1. Bidder must provide a list of three (3) references from customers for whom the bidder has provided services of the same nature and type as those outlined in this solicitation. References submitted must be for services provided in the past two (2) years (from the date of this solicitation). At least one reference must be from a governmental entity, and if the bidder has provided services to the DSH during this timeframe, one of the references must be from a DSH contract manager or designated representative. Each reference must be able to address each of the following:

i. The bidder’s responsiveness to requests for service.

ii. The bidder’s ability to provide services as compared to his or her agreed upon contract.

iii. The customer’s overall assessment of the bidder’s performance.

The list of references shall include the following:

i. Name of Company

ii. Address

iii. Contact Name and Title

iv. Telephone

v. Email Address

The DSH reserves the right to utilize these references in determining whether a bidder is responsible.

D. Agreement to Sign:

1. The bidder shall certify that, if awarded an agreement, they shall sign and return two

(2) originals of the Standard Agreement signature pages (Std. 213), to be received by the DSH no later than seven (7) calendar days from the date that DSH e-mails the agreement to the email address provided by bidder on the Minimum Qualifications Response Form (Attachment 3). This requirement shall be ten (10) calendar days if the DSH elects to mail the agreement. The DSH reserves the right, at its sole discretion, to require documentation to be submitted in addition to the Std. 213. If the DSH exercises that right, the contractor must submit all required documentation within the timeframes noted here.

2. The bidder shall further certify that they understand the insurance and bond requirements in Sample Agreement, Exhibit G, Insurance Requirements, and if awarded an agreement, shall provide the DSH with all required insurance and bond documents as may be applicable, in a timely manner.

3. The DSH reserves the right, at its sole discretion, to cancel a proposed award to a bidder who does not submit the required documentation described herein. Should the

DSH cancel a proposed award for this reason, the DSH reserves the right, at its sole discretion, to award the contract to the next lowest, responsive and responsible bidder.

E. Department of Industrial Relations (DIR) Registration:

1. No firm, whether as a contractor or a subcontractor, may be awarded an agreement for Public Works as defined by the Public Contract Code 1101, unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5.

i. This requirement shall apply if the total bid amount exceeds $25,000.00 (Labor

Code 1725.5, subd. (f)). If the total bid is $25,000 or less, then this requirement does not apply.

2. Any bid that is submitted by a firm that is not currently registered with the Department of Industrial Relations (DIR) as required by Labor Code section 1725.5, or any bid that is submitted by a firm proposing to use subcontractors that are not currently registered with the DIR as required by Labor Code section 1725.5 shall be deemed non-responsive and disqualified, except that:

i. The bidder submits to the DSH, in writing, a claim that they have listed a non-registered subcontractor inadvertently, and the procedures and timeframes stated in prescribed in Labor Code section 1771.1(c) are followed.

ii. The bidder or a proposed subcontractor is registered but has inadvertently allowed their registration to lapse. If, after the bid opening but prior to the evaluation of bids, the firm renews their registration retroactively to prior to the bid due date as permitted by Labor Code section 1725.5(c), that firm may be considered responsive for the purposes of Labor Code section 1725.5 and may be considered for an award.

3. Any resulting agreement shall be subject to compliance monitoring and enforcement by the DIR.

4. Bidder shall provide proof that they, and all proposed subcontractors, are currently registered to perform public works pursuant to Labor Code section 1725.5.

F. GenAI Requirements:

1. The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these new technologies.

2. Bidder / Offeror must notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

3. Failure to report GenAI to the State may result in disqualification. The State reserves the right to seek any and all relief to which it may be entitled to as a result of such non-disclosure.

4. Upon notification by a Bidder / Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State.

5. Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.

G. Contractor License Requirements:

1. Bidder must provide a copy of current Contractors State License, C-10 Electrical License, issued by the California Department of Consumer Affairs, Contractors State License Board.

H. Work Experience:

1. Bidders shall have a minimum of five (5) years’ experience performing generator maintenance. Bidders shall submit a statement of capabilities and/or resume.

III. QUOTE REQUIREMENTS AND INFORMATION

A. Key Action Dates:

Event Date Time

RFQ available to prospective bidders August 8, 2025 3:00PM Deadline for Submission of Questions August 15, 2025 2:00PM Final Date for Quote Submission August 22, 2025 2:00PM Anticipated Start Date October 1, 2025 8:00AM

B. Bidder’s Conference:

An informal site-inspection can be given upon request.

C. Bidder’s Questions:

1. Bidders shall notify the DSH immediately via e-mail at MSH.PlantOperations@dsh.ca.gov if they need clarification about the services being sought or have questions about the RFQ instructions or requirements. The level of detail that shall be provided in response is subject to the availability of DSH resources. The DSH shall respond to all questions via an addendum to the mailto:MSH.PlantOperations@dsh.ca.gov solicitation with all questions and answers posted on Cal e-Procure (www.caleprocure.ca.gov). Note: It is the responsibility of the bidder to check Cal eProcure for questions and/or changes within the RFQ as all questions, answers, and addendums will be posted there. The DSH will not be held responsible for inaccurate bids due to bidder’s oversight in reviewing any and all information via Cal eProcure. This official bid solicitation is only published online at the California E-Procure, FI$Cal web site at:

https://caleprocure.ca.gov/pages/index.aspx.

2. Verbal comments regarding this RFQ are unofficial and are not binding on the DSH unless later confirmed in writing as an official addendum.

3. Bidders that fail to report a known or suspected problem with the RFQ or fail to seek clarification and/or correction of the RFQ, submit a quote at their own risk.

D. Submission of Quotes:

1. Physical Submission:

i. All quotes must be submitted under a sealed cover and received by the DSH by the date and time shown in Section III, A – Key Action Dates. The sealed cover must be plainly marked with the RFQ number and title, and must be marked “DO NOT OPEN,” as shown in the following example:

RFQ # 25-20031-000

Generator Load Testing ATTN: Plant Operations

Department of State Hospitals - Metropolitan 11401 Bloomfield Avenue

Norwalk, CA 90650

DO NOT OPEN

ii. All quotes submitted under a sealed cover must clearly and legibly show the bidder’s firm name and address.

iii. All quotes submitted under a sealed cover must be packaged with a minimum of one (1) original and one (1) copy of the quote and be clearly marked.

2. The quote package should be prepared in the least complicated method. Originals and copies should be bound with binder-clips or staples (no covers, no spiral bindings, etc.). All pages in the quote must be standard 8.5" x 11" paper, except charts, diagrams, etc., which may be foldouts. If foldouts are used, the folded size must fit within the 8.5" x 11" format. Double-sided printing is preferred except for required attachments numbers 1 through 17 of this RFQ, which must be printed single-sided. It is the bidder’s responsibility to ensure that his or her quote is submitted in a manner that enables the DSH to easily locate all response descriptions and exhibits for each http://www.caleprocure.ca.gov/ https://caleprocure.ca.gov/pages/index.aspx requirement of this RFQ. Page numbers must be located in the same page position throughout the quote. Note: Attachment 18 should not be returned with the quote.

3. Mail Delivery, Hand Delivery, or Overnight Delivery of quotes should be addressed as in Item 3 above.

4. Modification and Rejections:

i. The DSH may modify the RFQ, prior to the solicitation due date and time, by the issuance of an addendum to all parties who received a solicitation package.

ii. The DSH reserves the right to reject all quotes. The DSH is not required to award an agreement.

iii. The DSH does not accept alternate contract language from a prospective contractor, unless offered through the Question-and-Answer period. A quote with alternate contract language will be considered a counter proposal and will be rejected. The State’s General Terms and Conditions (GTC) are not negotiable.

Bidders are hereby advised that proposals of alternate contract language or attempts to negotiate the state’s Terms and Conditions after the selection of a proposed awardee shall be considered a counter proposal for the purposes of this solicitation. In such a situation, the DSH shall notify the proposed awardee that they must accept the state’s language and terms as offered or be disqualified from being awarded a contract. Should a contractor fail to accept the language and terms offered, the DSH shall disqualify that vendor and award the contract to the next lowest bidder and issue a revised Letter of Intent if applicable.

IV. QUOTE EVALUATION AND AWARD

A. Responsiveness and Responsibility Determination:

1. After the due date and time, each quote will be opened and the DSH will evaluate each quote to determine its responsiveness and each bidder’s responsibility to the published requirements of this RFQ.

2. A responsive bidder is one who submits a quote that meets all of the submission requirements and minimum qualification requirements stated in the RFQ. A responsible bidder is one that is trustworthy and possesses the necessary quality, fitness and capacity to satisfactorily perform the proposed work. Bidders who are determined to not be responsible or who submit non-responsive quotes shall have their quotes rejected.

3. Responsive quotes shall be considered evidence of the proposer’s responsibility. The

DSH reserves the right to reevaluate a bidder’s responsibility prior to award and is in no way limited to submitted quote packages in making a determination as to a bidder’s responsibility. In determining whether a bidder is responsible, the DSH may require bidders to submit evidence of their qualifications at such times, and under such conditions, as it may require.

B. False Statements Disclaimer:

1. Quotes that contain false or misleading statements, or which provide references which do not support an attribute or condition claimed by the bidder, may be rejected.

C. Intention to Award:

1. The DSH intends, if an award is made, to award to the lowest responsive responsible bidder in accordance with Section V, Preference and Incentive Programs.

D. Tie Breaker:

1. Should two or more bidders submit quotes that, after the calculation of preferences as described in Section V, Preference and Incentive Programs, result in a tie, the DSH shall resolve the tie as follows:

i. In accordance with Government Code section 14838, subdivision (f), in the event of a precise tie between a small business or microbusiness, and a disabled veteran-owned small business or microbusiness, the agreement shall be awarded to the disabled veteran-owned small business or microbusiness.

ii. In all other circumstances, a coin toss witnessed by two DSH admin staff shall determine the proposed awardee.

E. Letter of Award:

1. Whenever an agreement is awarded under a procedure which provides for competitive bidding, but the agreement is not to be awarded to the low bidder, the low bidder shall be notified by telegram, electronic facsimile transmission, overnight courier, electronic mail, or personal delivery five (5) working days prior to the award of the agreement.

2. Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the awarding agency at least five (5) working days prior to awarding the agreement.

F. Disposition of Quotes:

1. Upon quote opening, all documents submitted in response to this RFQ will become the property of the State of California and will be regarded as public records under the California Public Records Act (Government Code section 6250, et seq.) and subject to review by the public. Should a bidder desire to keep any or all components of their response to this RFQ confidential, the bidder would need to obtain a protective order from a court of competent jurisdiction.

G. Tax Delinquency Disclaimer:

1. Pursuant to the Public Contract Code section 10295.4, persons or companies identified as the largest tax delinquents by the Franchise Tax Board (FTB) or the California Department of Tax and Fee Administration (CDTFA) are ineligible to enter into any agreement with the state for non-IT goods or services. Any agreement entered into in violation of section 10295.4 is void and unenforceable.

Prior to executing any state agreement or renewal for non-IT goods or services, the DSH shall verify that the proposed awardee(s) is not on a prohibited list by checking both the FTB and CDTFA websites. The established lists can be found at:

i. FTB: https://www.ftb.ca.gov/about-ftb/newsroom/top-500-past-due-balances/corporate-income-tax-list.html

ii. CDTFA: https://www.cdtfa.ca.gov/taxes-and-fees/top500.htm

V. PREFERENCE AND INCENTIVE PROGRAMS

A. Disabled Veteran Business Enterprise Program and Incentive:

1. An incentive for bidders who include DVBE participation is available and encouraged for this RFQ. For evaluation purposes only, DSH shall apply an incentive to bids that include California certified DVBE participation and confirmed by the DSH. The incentive amount will vary in conjunction with the percentage of DVBE participation in accordance with the following formula:

DVBE Incentive Participation DVBE

Incentive 5% or Over 5%

4% to 4.99% Inclusive 4% 3% to 3.99% Inclusive 3% 2% to 2.99% Inclusive 2% 1% to 1.99% Inclusive 1%

2. The net bid price of responsive bids with DVBE participation will be reduced (for evaluation purposes only) by the amount of DVBE incentive as applied to the lowest responsive net bid price. If the #1 ranked, responsive, responsible bid is a California certified small business, the only bidders eligible for the incentive will be other California certified small businesses. The incentive adjustment for awards based on low price cannot exceed 5% of the #1 ranked net bid price.

3. Information submitted by the bidder to claim the DVBE incentive will be verified by the

DSH. Only the DVBEs who shall perform a commercially useful function relevant to the Scope of Work included in this RFQ may be used to qualify the bidder for a DVBE incentive. All DVBE bidders and their proposed subcontractors must submit a copy of the DVBE Declarations Form (Std. 843). See Attachment 11.

https://www.ftb.ca.gov/about-ftb/newsroom/top-500-past-due-balances/corporate-income-tax-list.html https://www.ftb.ca.gov/about-ftb/newsroom/top-500-past-due-balances/corporate-income-tax-list.html https://www.cdtfa.ca.gov/taxes-and-fees/top500.htm

B. Calculation of Multiple Preferences:

1. In the event that bidders qualify for the SB preference and/or the DVBE incentive, the

SB preference shall be calculated first. In circumstances where the DSH will award a single agreement as a result of this solicitation, in accordance with Government Code section 14838, subdivision (f), the DVBE incentive will not be calculated if, after the application of the SB preference, an SB bidder is the apparent low bidder unless another SB bidder is also a DVBE or has subcontracted with DVBE firms.

Note: in accordance with Government Code section 14838, subdivision (f), in the event of a precise tie between a small business or microbusiness, and a disabled veteran-owned small business or microbusiness, the agreement shall be awarded to the disabled veteran-owned small business or microbusiness.

C. Other Preference Programs:

1. Additional preference programs exist and may be applicable. Specifically, the Target

Area Contract Preference Act (TACPA). For information regarding these programs please see the following website:

http://www.dgs.ca.gov/pd/Programs/DisputeResolution.aspx

D. Additional Small Business and Disabled Veteran Enterprise Information:

1. Adherence to the DVBE Requirements:

i. Failure of Contractor to seek substitution and adhere to the DVBE participation level identified in the quote or offer may be cause for agreement termination, recovery of damages under rights and remedies due to the State, and penalties as outlined in Military & Veterans Code section 999.9; Public Contract Code section 10115.10 or Public Contract Code section 4110 (applies to public works only). Contractor must immediately notify the DSH’s SB/DVBE Advocate that the substitution of a DVBE subcontractor is requested.

ii. Failure of Contractor to adhere to the certification requirements of Military and Veterans Code section 999.5, subdivision (d) may be used as evidence of the prospective contractor’s non-responsibility in future solicitations.

iii. Military and Veteran Code, section 999.5, Government Code, section 14841, and California Code of Regulations, section 1896.78(e) requires all Prime Contractors that have a Disabled Veteran Business Enterprise (DVBE) perform an element of work for a contract to report DVBE information. Prime Contractors are required to maintain records supporting the information submitted and that all payment to DVBE subcontractor(s) were made. If applicable, Contractor certifies, that within 60 days from receipt of final payment under this Agreement, Contractor shall complete and return to the DSH form 810P, “Prime DVBE Subcontracting Form”, which can be found at www.dgs.ca.gov/pd/Programs/OSDS/ContractReporting.aspx http://www.dgs.ca.gov/pd/Programs/DisputeResolution.aspx http://www.dgs.ca.gov/pd/Programs/OSDS/ContractReporting.aspx

2. Commercially Useful Function (CUF) Disclaimer

Each certified SB/MB or DVBE must perform a commercially useful function.

Prospective contractors who are found to not be performing a CUF will have their quotes deemed non-responsive. A SB/MB DVBE is deemed to perform a commercially useful function when the business does all of the following:

i. Is responsible for the execution of a distinct element of the work of the agreement.

ii. Carries out its obligation by actually performing, managing, or supervising the work involved.

iii. Performs work that is normal for its business services and functions.

iv. Is responsible, with respect to products, inventories, materials, and supplies required for the agreement, for negotiating price, determining quality and quantity, ordering, installing, if applicable, and making payment.

v. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices.

Agreements resulting from this solicitation shall afterwards be monitored for compliance with CUF for the duration of the agreement.

VI. REQUIRED ATTACHMENTS

A. Listing of Attachments:

Attachment 1 Quote Submission Checklist Attachment 2 Bidder’s Certification Attachment 3 Minimum Qualifications Response Attachment 4 Bidder’s References Attachment 5 Bidder’s Rate Sheet(s) Attachment 6 Insurance Certification Attachment 7 Darfur Contracting Act Certification Attachment 8 Labor Code Certifications Attachment 9 Bidder’s Acknowledgement to Pay Prevailing Wage Rates Attachment 10 Non-Collusion Declaration Attachment 11 Bidder Declaration Form (GSPD-05-105) Attachment 12 Contractor Certification Clauses (CCC 04/2017) Attachment 13 Payee Data Record (Std. 204) Attachment 14 DVBE Declarations Form (Std. 843) Attachment 15 California Civil Rights Law Certification Attachment 16 Nondiscrimination Compliance Statement (STD. 19) Attachment 17 Small Business Preference and Certification Request Attachment 18 Sample Standard Agreement (Std. 213 and Exhibits)

Note: Attachment 18 is included for reference only. Only the successful bidder will submit these documents, when requested by DSH.

ATTACHMENT 1 – BID SUBMISSION CHECKLIST

Complete this checklist to confirm the items in your bid. For your bid to be considered responsive, Attachments 1 through 18 in this checklist must be submitted by the Bid Submittal Deadline indicated in this RFQ. Include this checklist with your bid package.

Contractor Name:

Attachment Name of Attachment ______ Attachment 1 Bid Submission Checklist

______ Attachment 2 Bidder’s Certification

______ Attachment 3 Minimum Qualifications Response

______ Attachment 4 Bidder’s References

______ Attachment 5 Bidder’s Rate Sheet(s)

______ Attachment 6 Insurance Certifications

______ Attachment 7 Darfur Contracting Act Certification

Darfur Contracting Act Certification

______ Attachment 8 Labor Code Certification

______ Attachment 9 Bidder’s Acknowledgement To Pay Prevailing Wage Rates

______ Attachment 10 Non-Collusion Declaration (Must be notarized)

Attachment 11

Bidder Declaration Form (GSPD 05-105) Bidder Declaration (ca.gov)

Attachment 12

Contractor Certification Clauses (CCC-4/2017) Standard Contract Language (ca.gov)

Attachment 13

Payee Data Record (Std. 204) Payee Data Record (ca.gov)

Attachment 14

DVBE Declarations Form (Std. 843) STD. 843 (Rev. 11/2005) (ca.gov)

Attachment 15

California Civil Rights Certification OLS004.pdf (ca.gov)

Attachment 16

Nondiscrimination Compliance Statement (Std. 19) https://www.documents.dgs.ca.gov/dgs/FMC/GS/PD/PD_1.pdf https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.documents.dgs.ca.gov/dgs/FMC/PDF/Std204.pdf https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf https://www.documents.dgs.ca.gov/dgs/FMC/DGS/OLS004.pdf

This form is not included in this RFQ. Please obtain from the following web site: STD 19 (ca.gov)

Attachment 17

Small Business Preference and Certification Request (Std. 811) (For Construction Contractors Only) STD 811 (ca.gov) https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std019.pdf https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std811.pdf

ATTACHMENT 2 – BIDDER’S CERTIFICATION

The signature affixed hereon and dated certifies compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.

By signing below, the bidder represents and warrants that statements and representations contained in the documents and data submitted in connection with this bid are true and correct. In the event the bidder’s submittal in connection with this bid contains false statements or misrepresentations of fact, the bid may be rejected, or any succeeding contract terminated for cause and the bidder deemed to be a non-responsible bidder which may adversely affect future bids submitted by the bidder. In addition, any misrepresentation of fact or fraud in connection with an attempt to secure a state contract, could result in legal action being taken against the bidder.

An Unsigned Bidder’s Certification May Be Cause for Rejection

Company Name Telephone Number Fax Number

Address Email

Name Title

Original Signature Date

Small Business Preference Request Check one:

This bidder requests a Small Business preference

This bidder does NOT request a Small

Business preference

California Certified Small Business Number:

ATTACHMENT 3 – MINIMUM QUALIFICATIONS RESPONSE

Bidder’s Name: ___________________________________Email: __________________________

Minimum Qualification Bidder's Response Bidder must submit a copy of their license to do business in the State of California as applicable.

Business License(s) Included?

Yes No N/A

Bidders must certify that they are and will continue to meet all terms and conditions for operating a business in the city/county in which the business is headquartered.

Do you so certify?

Yes No Bidders which are corporations, regardless of where they are incorporated, shall certify they are currently in good standing with the California Secretary of State (SOS) no later than the Bid Submission due date. DSH shall verify that the proposed awardee(s) is in good standing by checking the (SOS) website:

Bidder must provide three (3) references from customers as described in II.

Minimum Qualifications (MQ), Section B., References.

References included?

The bidder certifies that they understand the insurance and bond requirements and, if awarded an agreement, shall sign and return two (2) originals of the Standard Agreement signature pages (Std. 213) and any required insurance and bond documents as directed.

Bidder shall provide proof of current registration with the Department of Industrial Relations or certify that they, and all proposed subcontractors, will be registered to perform public works pursuant to Labor Code section 1725.5 at the time of the awarded contract.

Registration Included?

Bidders must provide a copy of current Contractors State License, C-10 Electrical License, issued by the California Department of Consumer Affairs, Contractors State License Board.

Contractors State License included?

Bidders shall have a minimum of five (5) years’ experience performing generator load testing. Bidders shall submit a statement of capabilities and/or resume.

Statement of Capabilities or

Resume included?

I, the undersigned, declare that the certifications required above are true and that I am authorized to make such certifications and bind the bidder contractually.

Signature of Declarer Print First and Last Name Date Signed

ATTACHMENT 4 – BIDDER’S REFERENCES

1. Bidder must provide a list of three (3) references from customers for whom the bidder has provided services of the same nature and type as those outlined in this solicitation. References submitted must be for services provided in the past two (2) years (from the date of this solicitation). At least one reference must be from a governmental entity, and if the bidder has provided services to the DSH during this timeframe, one of the references must be from a DSH contract manager or designated representative. Each reference must be able to address each of the following:

i. The bidder’s responsiveness to requests for service.

ii. The bidder’s ability to provide services as compared to his or her agreed upon contract.

iii. The customer’s overall assessment of the bidder’s performance.

The list of references shall include the following:

i. Name of Company

ii. Address

iii. Contact Name and Title

iv. Telephone

v. Email Address

The DSH reserves the right to utilize these references in determining whether a bidder is responsible.

References Name of Company

Address

Contact Name

Telephone

Email Address

ATTACHMENT 5 – BIDDER’S RATE SHEET

The undersigned hereby proposes to furnish all labor, materials, supplies, tools, equipment, transportation, licenses, permits, prevailing wages, insurance, bonds, personnel, and any other services necessary to provide:

1. Generator load testing at DSH-Metropolitan per Exhibit A, Scope of Work.

2. By submitting a bid, the bidder agrees that his or her final bid constitutes an irrevocable offer which shall be valid for 180 calendar days from the bid submission date and includes all applicable sales tax.

3. The bidder shall set forth the bid proposal in clear, legible figures in the space provided.

4. The DSH does not expressly or by implication agree that the actual amount of work will correspond therewith and reserves the right to omit portions of the work as may be deemed necessary or advisable by the DSH. The estimates provided are a good faith estimate and are not a guarantee of business and is subject to change depending on the best interest of DSH. The bids received will be used solely for comparison. The DSH makes no guarantee, expressed or implied for actual work required. However, the actual rates quoted by the bidder shall be binding for the term of the agreement.

5. Contractor will be reimbursed for the actual cost of the parts at a maximum markup of 15%.

Description Estimated Quantity Unit Rate

Total Amount for FY 25/26

Generator Load Bank Testing 1 set* X $ = $

* A set is defined as ten (10) standby diesel generators. Individual services will be provided for all generators defined in the set.

Is preference as a small business requested for this bid? Yes, OSDS Ref. #____________ Application In Process No If yes, please include a copy of your OSDS Certification Approval Letter, or if not certified yet, a copy of evidence of application and the Small Business and Certification Request (STD 811) with this bid.) The DVBE incentive program is being applied on this project. Refer to the DVBE Program Requirements for details.

Indicate your organization type: Sole Proprietorship Partnership Corporation, Corporation #____________ Not Applicable

List below the information requested for all subcontractors.

Name/Address

Type of Work to be Performed

License Number

Subcontra ct Amount

1.

2.

Contractor’s Company/Business Name (Print or Type)

Contractor’s License Number

Official’s Name and Title Signing (Print or Type)

Contractor’s License Classification

License Expiration Date

MO_____ DAY______

YR_________

Valid Telephone Number

By signing this bid, the bidder/contractor certifies under penalty of perjury the accuracy of the representations made on this bid form.

CONTRACTOR NAME:

Contractor’s/Official’s Signature:

Date:

ATTACHMENT 6 – INSURANCE CERTIFICATION

This form reminds bidders of the insurance requirements that may be imposed by this solicitation and provides samples of some of the forms that they may be required to produce prior to being awarded an agreement.

Initial Certification

Bidder acknowledges that they have reviewed and understands the insurance requirements for this solicitation as described in Attachment 19, Sample Contract, Exhibit G, Insurance Requirements.

Bidder acknowledges that they have reviewed and understands the sample insurance forms provided with this attachment.

Bidder certifies that, if awarded an agreement, the bidder shall provide the DSH with all required insurance documents as may be applicable, in a timely manner. This includes, but may not be limited to:

Certificates of insurance showing the bidder’s insurance coverage types and limitations, Proof that the bidder has insured the State of California, its officers, employees, and agents. Bidder further understands that this proof shall come in the form of either:

An endorsement to the bidder’s insurance policy (Form CG 20 10 11 85 or as broad as), A copy of the bidder’s current insurance policy that shows that the policy already insures all parties required to be insured by this Agreement.

Bidder certifies that, should Commercial General Liability insurance be required, and should the bidder use a subcontractor to complete a portion of this Agreement, the bidder shall either:

Include the subcontractor as an additional named insured under the bidder’s policy, Ensure that each subcontractor is insured under their own Commercial General

Liability policy.

Bidder acknowledges that they understand that the DSH reserves the right, at its sole discretion, to cancel a proposed award to a bidder who does not submit the required documentation described herein.

Bidder acknowledges that a Payment Bond will be required if the quoted amount is over $25,000. Bidder agrees to complete the STD807 provided bond form upon award.

Bidder acknowledges that a Performance Bond will be required if the quoted amount exceeds $10,000.00 and progress payments will be made. Bonds must be issued by a California-admitted surety per CCP§995.311.

Bidders are reminded that there is no requirement to submit proof of insurance with their bid.

Proof of insurance shall only be required of those firms awarded a contract.

ACORD CERTIFICATE

This is a sample insurance certificate.

ENDORSEMENT

Language on this certificate indicating that the State is an additional insured is not sufficient to meet the requirements of Exhibit G.

INSURED

The name in this box MUST match the name listed in the PAYEE’S LEGAL BUSINESS NAME field on the Std. 204.

TYPE OF INSURANCE and LIMITS Each required insurance type, with the exception of Worker’s Compensation and Professional Liability, must be listed on the certificate.

POLICY EXP.

All required insurance types must be active (not expired). If an insurance policy expiration date is impending, awarded firms are advised to be ready to submit an updated certificate with the renewal dates.

Department of State Hospitals – Hospital Department

ADDRESS

CITY, CA ZIP

CERTIFICATE HOLDER

This box must be completed as indicated in Exhibit G, section 4.

“BLANKET ENDORSEMENT”

Section g. is an example of an existing insurance policy that contains a provision naming a contracted party an additional insured.

POLICY OR FORM NUMBER

Like a blanket endorsement, this traditional endorsement must be reconcilable to the insurance certificate.

A policy or form number that is also referenced on the insurance certificate must be present on the endorsement.

Department of State Hospitals – Hospital Department

ADDRESS

CITY, CA ZIP

ADDITIONAL INSURED LANGUAGE

As required in Exhibit G, the “State of California, its officers, employees, and agents” must be listed as the additional insured parties. However, this endorsement may be limited to just the operations under the Agreement.

ATTACHMENT 7 – DARFUR CONTRACTING ACT CERTIFICATION

Public Contract Code sections 10475 - 10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal or bid.

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

OPTION #1 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code section 10476;

and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #2 – WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code section 10477, subsection (b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477, subsection (b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

Initials of Submitter

Printed Name and Title of Person Initialing

ATTACHMENT 8 – LABOR CODE CERTIFICATION

By my signature hereunder, as Contractor, I certify to the following, under the penalty of perjury under the laws of the State of California:

A. I am aware of the provisions of Section 3700 of the Labor Code, which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this contract.

B. It is hereby mutually agreed that the Contractor shall forfeit to the State a penalty of two hundred dollars for each calendar day, or portion thereof, for each worker paid by him or her, or subcontractor under him or her, less than the prevailing wage so stipulated and in addition the Contractor further agrees to pay to each worker the difference between the actual amount paid for each calendar day, or portion thereof, and the stipulated prevailing wage rate for the same. This provision shall not apply to properly registered apprentices.

C. It is further agreed that the maximum hours a worker is to be employed is limited to eight hours a day and 40 hours a week and the Contractor shall forfeit, as a penalty to the State, Twenty-Five Dollars for each worker employed in the execution of the contract for each calendar day during which a worker is required or permitted to labor more than eight hours in any calendar day or more than 40 hours in any calendar week, in violation of Labor Code Sections 1810-1815, inclusive.

D. Travel and subsistence payments shall be paid to each worker needed to execute the work, as such travel and subsistence payments are defined in the applicable collective bargaining agreements filed in accordance with Labor Code Section 1773.8.

E. Properly registered apprentices may be employed in the prosecution of the work. Every such apprentice shall be paid the standard wage paid to apprentices under the regulations of the craft or trade at which he or she is employed and shall be employed only at the work of the craft or trade to which he or she is registered. The contractor and each subcontractor must comply with the requirements of Labor Code Section 1777.5 and any related regulations regarding the employment of registered apprentices.

F. Each Contractor and subcontractor shall comply with Labor Code Section 1776 regarding record keeping.

Contractor name: License No.:

Address:

City___________________________

Signature: Federal Employer I.D. No.:

Printed Name: Title:

ATTACHMENT 9 – BIDDER’S ACKNOWLEDGEMENT TO PAY PREVAILING WAGE RATES

(For bid over $25,000.00)

________________________________________acknowledges that State General Prevailing Wage Print Name of Bidder

Rates will apply for the County in which the work is to be performed.

If awarded this Agreement, I acknowledge it will be my responsibility to ensure the payment of appropriate prevailing wages rates to all employees who participate on this Agreement throughout the duration of this Agreement (Labor Code § 1174).

Bidder’s Signature Date

ATTACHMENT 10 – NON-COLLUSION DECLARATION

(Must be Notarized)

The undersigned declares:

I am the ___________________ of _______________________, the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on ___________ (date), at __________________ (city), _________________ (state).

Signature: __________________________________ Date: ____________________

ATTACHMENT 11 – BIDDER DECLARATION FORM (GSPD-05-105)

Form is located at the following web address:

Bidder Declaration (ca.gov)

ATTACHMENT 12 – CONTRACTOR CERTIFICATION CLAUSES 04/2017

Standard Contract Language (ca.gov)

ATTACHMENT 13 – PAYEE DATA RECORD (STD 204)

PAYEE DATA RECORD (ca.gov)

ATTACHMENT 14 – DVBE DECLARATIONS FORM (STD 843)

Note: this only applies if a bidder or a subcontractor is a DVBE

Form is located at the following web address:

https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf

ATTACHMENT 15 – CALIFORNIA CIVIL RIGHTS CERTIFICATION

Note: this only…