25CS0058_-_Bidders_Certification.pdf
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- Solicitation number
- 0000037755
About this file
This is a Bid/Bidder Certification Sheet issued by the State of California Department of Veterans Affairs for solicitation number 25CS0058, concerning Window and Window Screen Repair and Replacement Services at the Veterans Home of California, Chula Vista. The certification sheet serves as a mandatory submittal document that must be completed, signed, and returned along with all required attachments as part of a complete bid package. Bidders are required to certify under penalty of perjury that they are duly authorized representatives in compliance with all bid document requirements. The form requests standard company information including name, contact details, business address, and organization type (sole proprietorship, partnership, or corporation), along with federal and California identification numbers.
The form includes certification requirements regarding Disabled Veteran Business Enterprise (DVBE) participation goals and inquires whether bidders are certified with the California Department of General Services, Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS) as either a California Small Business or a Disabled Veteran Business Enterprise. Bidders who hold either certification must provide their certification number or service code and include a copy of the certification with their bid submission. If certification applications are pending, the submission date to OSDS must be documented. An unsigned certification sheet may result in bid rejection. Specific details regarding the scope of work, project requirements, and bid submission timelines are contained in separately referenced Exhibits A-E and the Notice to Prospective Bidders.
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State of California Solicitation Number: 25CS0058 Department of Veterans Affairs
BID/BIDDER CERTIFICATION SHEET
This Bid/Bidder Certification Sheet must be signed and returned along with all the "required attachments" as an entire package. The bid must be transmitted in accordance with IFB instructions.
A. I have read and understand the DVBE participation requirements and have included documentation demonstrating that I have met the participation goals, if goals are included.
B. The undersigned signature certifies under penalty of perjury that they are a duly authorized representative and in compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.
An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection.
1. Company Name 2. Telephone Number 2a. Fax Number
2c. E-MAIL
3. Address
Indicate your organization type:
4. Sole Proprietorship 5. Partnership 6. Corporation Indicate the applicable employee and/or corporation number:
7. Federal Employee ID No. (FEIN) 8. California Corporation No.
9. Bidder’s Name (Print) 10. Title
11. Signature 12. Date
13. Are you certified with the Department of General Services, Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS) as:
a. California Small Business
Yes No If yes, enter certification number:
b. Disabled Veteran Business Enterprise Yes No If yes, enter your service code below:
NOTE: A copy of your Certification should be included if either of the above items is checked “Yes”.
Date application was submitted to OSDS, if an application is pending:
State of California Solicitation Number: 25CS0058 Department of Veterans Affairs
Completion Instructions for Bid/Bidder Certification Sheet
Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below.
Item
Numbers
Instructions
1, 2, 2a, 3 Must be completed. These items are self-explanatory.
Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business.
Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit.
Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.
7 Enter your federal employee tax identification number.
Enter your corporation number assigned by the California Secretary of State’s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California.
9, 10, 11, 12
Must be completed. These items are self-explanatory.
If certified as a California Small Business, place a check in the "Yes" box, and enter your certification number on the line. If certified as a Disabled Veterans Business Enterprise, place a check in the "Yes" box and enter your service code on the line. If you are not certified to one or both, place a check in the "No" box. If your certification is pending, enter the date your application was submitted to OSDS.
An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection.
File details come from the government source that posted it. Updated .