26CRY001_-_Bidders_Checklist.pdf

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Attached to
26CRY0001 - Mobile Radiology and Ultrasound Services
Solicitation number
0000040110
Issued by
California

About this file

This is a Bidders Checklist issued by the State of California Department of Veterans Affairs for solicitation 26CRY001 regarding Mobile Diagnostic Radiology and Ultrasound Services. The services will be provided at the Veterans Home of California in Yountville. The checklist outlines all required documentation and certifications that bidders must submit with their proposals to be considered for award. This document serves as a compliance and submission guide rather than a detailed scope of work or project overview document.

Bidders must submit documentation including a Bidder Certification, Bid Rate Sheet, signed Payee Data Record (STD 204), Bidder Declaration (GSPD-05-105), and valid proof of business licensure or incorporation status. Additional required submissions include Contractor Certification Clauses (CCC-4/2017), compliance certifications related to California Civil Rights Laws and the Darfur Contracting Act, a sample invoice, and applicable declarations for Commercially Useful Function (CUF) or Disabled Veteran Business Enterprise (DVBE) status if applicable. The checklist emphasizes that the company name must be identical across all submitted documents and that failure to submit materials as prescribed may delay contract award. All required forms and standard contract language are available on the California Department of General Services Office of Legal Services website.

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State of California Solicitation Number: 26CRY001 Department of Veterans Affairs

BIDDER’S CHECKLIST

Mobile Diagnostic Radiology and Ultrasound 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

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 .