25CRY017_-_Bidders_Checklist.pdf
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- Solicitation number
- 0000037187
- Issued by
- Colusa County, Contra Costa County, Lake County, Marin County, Napa County, Solano County, Sonoma County, Yolo County, Colusa City, Contra Costa Centre CDP, Auburn Lake Trails CDP, South Lake Tahoe City, Shaver Lake CDP, Blue Lake City, China Lake Acres CDP, Lake Isabella CDP, Lake of the Woods CDP, Lakeside CDP, Hidden Valley Lake CDP, Lakeport City, Lower Lake CDP, North Lakeport CDP, Upper Lake CDP, Elizabeth Lake CDP, Lake Hughes CDP, Lake Los Angeles CDP, Lakewood City, Marina Del Rey CDP, San Marino City, Bass Lake CDP, Yosemite Lakes CDP, Lucas Valley-Marinwood CDP, Marin City CDP, Lake Don Pedro CDP, Lake City CDP, Crowley Lake CDP, June Lake CDP, Mammoth Lakes Town, Twin Lakes CDP, Virginia Lakes CDP, Marina City, Napa City, Lake of the Pines CDP, Lake Wildwood CDP, Lake Forest City, Bucks Lake CDP, Lake Almanor Country Club CDP, Lake Almanor Peninsula CDP, Lake Almanor West CDP, Lake Davis CDP, Canyon Lake City, Lake Elsinore City, Lakeland Village CDP, Lake Mathews CDP, Lake Riverside CDP, Lakeview CDP, Big Bear Lake City, Lake Arrowhead CDP, Silver Lakes CDP, Spring Valley Lake CDP, Lake San Marcos CDP, Lake Nacimiento CDP, Emerald Lake Hills CDP, Lakehead CDP, Shasta Lake City, Lake Shastina CDP, Sonoma City, Sonoma State University CDP, Lake California CDP, Phoenix Lake CDP, Pine Mountain Lake CDP, Lake Sherwood CDP, Yolo CDP, Plumas Lake CDP, California
About this file
This is a Bidder's Checklist for Solicitation Number 25CRY017 issued by the State of California Department of Veterans Affairs for Non-Emergency Medical Transportation Services. The checklist outlines all required documentation that bidders must submit with their bids. The checklist serves as a verification tool to ensure bidders have included all mandated compliance and business documents, with instructions for bidders to mark each item as submitted.
The required submissions include a 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 compliance, California Civil Rights Laws acknowledgment, Non-Collusion Declaration, and Contractor Certification Clauses (CCC-4/2017). Additionally, bidders must provide valid California city or county business license documentation, incorporation documents if a California corporation, or an affidavit of good standing if headquartered outside California. A sample invoice is also required. Critical to all submissions is that the company name must be identical across all documents, licenses, permits, certifications, and insurance to match the company name on the Payee Data Record, as failure to comply may delay contract award.
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State of California Solicitation Number: 25CRY017 Department of Veterans Affairs
BIDDER’S CHECKLIST
Non-Emergency Medical Transportation Services
The checklist below is a summary of documents to be submitted based on the 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 the 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 the 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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