3_Attachment_3_-_Narrative_Response.xlsx
XLSX spreadsheet 31 KB Posted
- Solicitation number
- 0000035292
- Issued by
- California
About this file
This is an Administrative Evaluation Worksheet for a Temporary Healthcare Staffing Services Request for Proposal (RFP) issued by the California Department of General Services (DGS), Procurement Division, with Event ID 5259947. The document outlines the administrative and technical requirements that bidders must satisfy when submitting proposals for temporary healthcare staffing services. The RFP requires bidders to submit multiple attachments including a cover letter, technical questionnaire, pricing workbook, narrative response, distribution plan, Secretary of State registration documentation, seller permit number, bidder declaration form, and various compliance certifications. The worksheet establishes a comprehensive evaluation framework to assess whether bidder submissions include all required documents and meet specified compliance standards.
The evaluation criteria encompass administrative requirements such as California Civil Rights Laws Certification, Iran Contracting Act compliance, Federal Debarment Certification, GenAI Disclosure Notification, and Payee Data Record (STD 204) submissions. Bidders may be eligible for preferences or incentives including Small Business (SB) preference, Disabled Veteran Business Enterprise (DVBE) incentive, and Target Area Contract Preference Act (TACPA) considerations if they meet applicable certification requirements. The administrative evaluation worksheet requires bidders to certify compliance with the Medical Practice Act, confirm non-involvement in investment activities in Iran, disclose any international business activities conducted in the past three years, and declare whether they intend to utilize Generative AI (GenAI) as a deliverable or to complete contract deliverables. Technical compliance is assessed through the submitted Technical Questionnaire to verify that proposed products and services meet the solicitation requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 5_Attachment_5_-_Proposing_Regions___Groups.xlsx | XLSX spreadsheet | |
| 4_Attachment_4_-_Customer_Reference_Form.docx | DOCX document | |
| 1_Attachment_1_-_Key_Action_Dates.docx | DOCX document | |
| 6_Attachment_6_-_Proposed_Agreement.docx | DOCX document | |
| 7_Proposal_Checklist.docx | DOCX document | |
| 0_RFP_5259947.docx | DOCX document | |
| 2_Attachment_2_-_Cost_Workbook.xlsx | XLSX spreadsheet |
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Text version
Bidder Name
| Event ID XXXXXXXX | Administrative Evaluation Worksheet |
| Administrative Evaluation |
Bidder: Evaluator: Buyer Name
| IFB Response to Administrative Requirements | |||||
| IFB Section | Description of Requirement | Type | Included (Y/N) | Compliant (Y/N) | Notes |
| Required with Bid Submittal | |||||
| Agreement Cover Letter | M | ||||
| Attachment 2A - Technical Questionnaire | M | ||||
| Attachment 1 – Pricing Workbook | M | ||||
| Attachment 3 - Narrative Response | M | ||||
| Distribution Plan (on Attachment 3 - Narrative Response) | M | ||||
| Secretary of State (SOS) Registration (on Attachment 3 - Narrative Response) | |||||
| Seller Permit Number (on Attachment 3 - Narrative Response) https://onlineservices.cdtfa.ca.gov/ | M | ||||
| Bidder Declaration Form | M | ||||
| California Civil Rights Laws Certification | M | ||||
| Iran Contracting Act | M | ||||
| Required within 5 days after notification from the State | |||||
| Technical Literature | M | ||||
| PCRC Certification Workbook | M | ||||
| Copy of Seller’s Permit | M | ||||
| Customer Reference Form | M | ||||
| Authorized Reseller Letter (OEM letterhead, current, signed) | M | ||||
| Darfur Contracting Act | M | ||||
| Federal Debarment Certification | M | ||||
| GenAI Disclosure Notification | M | ||||
| Payee Data Record (STD 204) (Check if Supplier is in FI$Cal. If not, follow Create Supplier process) | M | ||||
| Required with the bid response only if the Bidder and/or subcontractor is a certified SB/DVBE and/or Bidder is claiming a preference or incentive | |||||
| Disabled Veteran Business Enterprise Declaration Form DGS PD 843 | M | ||||
| Target Area Contract Preference Act (TACPA), request form (Std. 830) | M | ||||
| Manufacturer’s Summary, form (DGS PD 525) for goods only | M | ||||
| Bidder’s Summary, form (DGS PD 526) for goods and services | M | ||||
| Preferences/Incentives | |||||
| DVBE Incentive | NM | ||||
| Small Business Preference | NM | ||||
| Compliance Checklist | |||||
| https://www.ftb.ca.gov/about-ftb/newsroom/top-500-past-due-balances/corporate-income-tax-list.html | M | ||||
| http://www.cdtfa.ca.gov/taxes-and-fees/top500.htm | M | ||||
| http://www.treasurer.ca.gov/financial/expatriate/corporations.asp | M | ||||
| https://www.dgs.ca.gov/PD/Resources/Page-Content/Procurement-Division-Resources-List-Folder/SB-DVBE-Program-Violations-and-Sanctions?search=suspended | M | ||||
| Search | California Secretary of State | M | ||||
| https://calrecycle.ca.gov/buyrecycled/trashbags/compliancelists/ | M | ||||
| Responses to Technical Requirements | |||||
| IFB Section | Description of Requirement | Type | Included (Y/N) | Compliant (Y/N) | Notes |
| Technical Requirements | |||||
| Do proposed products meet solicitation requirements? Attachment 2A - Technical Questionnaire | M | ||||
| Comments |
&"Arial,Bold"&11Appendix D&"Arial,Regular" http://www.cdtfa.ca.gov/taxes-and-fees/top500.htmhttp://www.treasurer.ca.gov/financial/expatriate/corporations.asphttps://www.dgs.ca.gov/PD/Resources/Page-Content/Procurement-Division-Resources-List-Folder/SB-DVBE-Program-Violations-and-Sanctions?search=suspendedhttps://calrecycle.ca.gov/buyrecycled/trashbags/compliancelists/https://www.ftb.ca.gov/about-ftb/newsroom/top-500-past-due-balances/corporate-income-tax-list.htmlhttps://bizfileonline.sos.ca.gov/search/business Narrative Response
| Department of General Services - Procurement Division | ||||
| Temporary Healthcare Staffing Services RFP | ||||
| Event ID 5259947 | ||||
| Attachment 3 - Narrative Response | ||||
| Proposer: | ||||
| Question # | Description of Requirement | RFP Section | Bidder's Response | |
| Response required with bid submittal | ||||
| 1 | In accordance with the Iran Contracting Act, does Bidder certify it is not on the current list of persons engaged in investment activities in Iran created by DGS? | |||
| Yes or No response only | 3.1.6 | |||
| 2 | In accordance with the Iran Contracting Act, does Bidder certify it is not a financial institution extending $20 million or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of person engaged in investment activitites in Iran created by DGS? |
Yes or No response only 3 Has Bidder obtained an exemption from the certification requirement under the Iran Contracting Act?
Yes or No response only If yes, submit documentation demonstrating the exemption approval with the bid response.
| 4 | Is the Bidder a California certified small business (SB) or small business/Nonprofit Veteran Services Agencies (SB/NVSA) claiming the small business preference? | |
| Yes or No response only | 3.3.1 / 3.3.2 | |
| 5 | Is the Bidder a non-small business claiming at least 25 percent small business subcontractor preference? | |
| Yes or No response only | 3.3.3 | |
| 6 | Is the Bidder claiming the Disabled Veteran Business Enterprise (DVBE) incentive? | |
| Yes or No response only | 3.3.4 | |
| 7 | Does Proposer certify they are in compliance with the Medical Practice Act. | |
| Yes or No response only | 3.1.4 | |
| Response may be provided with proposal or within five (5) working days after notification from the State | ||
| 9 | Has the Bidder conducted business outside of the United States in the last 3 years? |
Yes or No response only
| 3.1.7 | ||
| 8 | Does Bidder intend to provide GenAI as a deliverable to the State or utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. | |
| Yes or No response only | 3.1.9 | |
| 10 | Provide Bidder’s Secretary of State business entity number. |
| 3.1.11 |
| End of Sheet |
&11
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