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This is a Bidder's Checklist for Solicitation Number 25FS0007 from the California Department of Veterans Affairs for Mobility Equipment Maintenance and Repair Services. The document outlines the required submission documents for bidders responding to the Invitation for Bid, with emphasis that all company names listed on submitted documents must match exactly with the name on the Payee Data Record (STD 204).

The checklist includes 14 required items: Bidder's Checklist, Bidder Certification, Bid Rate Sheet, Signed Payee Data Record, Bidder Declaration, CUF Certification (if applicable), DVBE Declarations (if applicable), Iran documentation (if applicable), Darfur Contracting Act, California Civil Rights Laws, Contractor Certification Clauses, valid business license or incorporation documents, STD 1000 Generative Artificial Intelligence Disclosure and Factsheet, and a Sample Invoice. The document notes that failure to submit these documents as prescribed may delay the award of Agreements.

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State of California Solicitation Number: 25FS0007 Department of Veterans Affairs

BIDDER’S CHECKLIST

Mobility Equipment Maintenance and Repair 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

Bidder Declaration - GSPD-05-105

Commercially Useful Function (CUF) Certification, if applicable

Disabled Veteran Business Enterprise (DVBE) Declarations – DGS PD 843, if applicable

Iran, 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 .