25CRB004_-_Bidders_Checklist.pdf

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Attached to
25CRB004 - Temporary/Relief Occupational Therapy Services
Solicitation number
0000035147
Issued by
San Bernardino County, California

About this file

The document is a Bidder's Checklist for a State of California Department of Veterans Affairs solicitation (Solicitation Number: 25CRB004) for Temporary/Relief Occupational Therapy Services. The checklist outlines the specific documents and certifications that potential bidders must submit with their proposal, including a Bidder's Certification, Bid Rate Sheet, Payee Data Record, various declarations, and business licensing documentation.

The checklist emphasizes the importance of consistent company naming across all submitted documents and warns that failure to submit documents as prescribed may delay agreement award. Bidders must provide documentation such as a Commercially Useful Function (CUF) Certification, Disabled Veteran Business Enterprise (DVBE) Declarations, compliance with the Darfur Contracting Act and California Civil Rights Laws, and a Non-Collusion Declaration. Additionally, bidders must submit a valid California business license or equivalent documentation proving good standing in their business's home jurisdiction, along with a sample invoice.

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State of California Solicitation Number: 25CRB004 Department of Veterans Affairs

BIDDER’S CHECKLIST

Temporary/Relief Occupational Therapy 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.

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 (and STD 205 if applicable)

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

Non-Collusion Declaration

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

File details come from the government source that posted it. Updated .