3.__TCPA-_Print.pdf

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Attached to
RFP - 25SS0022 - Financial Governance
Solicitation number
0000039397
Issued by
California

About this file

This is a Target Area Contract Preference Act (TACPA) preference request form issued by the State of California Department of General Services, Dispute Resolution Unit and Preference Programs for solicitation number 25SS0022. The form is completed by bidders seeking TACPA preferences for goods and services contracts. Bidders must certify their California-based status and commit to performing either 50% of labor hours for goods contracts or 90% of labor hours for services contracts within designated TACPA zones. The form requires bidders to identify all firms in their supply chain, provide complete worksite addresses, report projected labor hours, and designate specific Census Tract and Block Group numbers corresponding to California-designated TACPA worksites using specified criteria letters.

TACPA preferences are available only when the lowest responsible bid and resulting contract exceeds $100,000. Bidders may claim a 5% worksite preference for eligible worksites and an additional 1% to 4% workforce preference based on the percentage of contract labor hours performed by TACPA-eligible employees, ranging from 1% preference for 5-9% eligible workforce participation to 4% preference for 20% or more participation. Bidders must complete Section III with a sworn certification under penalty of perjury attesting to their California-based status, compliance with labor hour requirements, hiring of eligible employees, and accuracy of all information provided. Failure to provide required information or non-compliance with TACPA requirements may result in denial of preferences or sanctions as prescribed by statute.

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STD. 830 (REV. 05/2022) (FRONT)

TARGET AREA CONTRACT PREFERENCE ACT

STATE OF CALIFORNIA- DEPARTMENT OF GENERAL SERVICES

DISPUTE RESOLUTION UNIT AND PREFERENCE PROGRAMS

PREFERENCE REQUEST FOR GOODS AND SERVICES SOLICITATIONS

Complete this form to request TACPA preferences for this bid.

SOLICITATION NUMBER AGENCY/DEPT

25SS0022

Target Area Contract Preference Act (TACPA) preferences are available only if the lowest responsible bid and resulting contract exceeds $100,000. Your firm must be California based. You must certify, under penalty of perjury, to perform either 50% of the labor hours required to complete a contract for GOODS, or 90% of the labor hours required to complete a contract for SERVICES in the Target Area Contract Preference Act zone(s) you identify in Section I. The TACPA provides bid selection preferences of 5% for eligible worksites (Section I), and 1% to 4% for hiring eligible workforce employees (Section II). To identify Census Tract and Block Group numbers contact the city or county Planning and Development Commission for the intended worksite or visit the U.S. Census Bureau website (www.census.gov).

Section I. 5% WORKSITE(S) PREFERENCE ELIGIBILITY AND LABOR HOURS

To the Bidder: Preference may be denied for failure to provide the following required information:

(1) Identify each firm in the supply chain, including yours, that will perform any of the contract labor hours required to complete this contract. Identify your role in the distribution process. Transportation hours performed by each carrier must be reported separately.

(2) List complete addresses for each firm named below.

(3) Report projected number of labor hours required to perform the contract for each firm.

(4) Enter the CENSUS TRACT number.

(5) Enter the BLOCK GROUP number.

(6) Identify the California designated TACPA worksite(s) by entering the proper Criteria letter A, B, C, D, E, F (see reverse for instructions) in the Criteria column.

(1) FIRM NAME and CONTRACT FUNCTION:

(Manufacturing, transportation, shipping, warehousing, admin., etc.)

Use additional pages, as needed, to fully report worksite information.

Section II. 1 % TO 4% WORKFORCE PREFERENCE

(2) (3)

WORKSITE ADDRESS PROJECTED

Street Address, City, County, State, Zip Code, Phone Number LABOR HOURS

TOTAL PROJECTED LABOR HOURS: 0.00

Bidders must qualify their firm's work site eligibility to request an additional 1% to 4% workforce preference in Section II.

D I request a 1 % preference for hiring eligible persons to perform 5 to 9% of the total contract labor hours.

□ I request a 2% preference for hiring eligible persons to perform 10 to 14% of the total contract labor hours.

□ I request a 3% preference for hiring eligible persons to perform 15 to 19% of the total contract labor hours.

D I request a 4% preference for hiring eligible persons to perform 20% or more of the total contract labor hours.

Section Ill. CERTIFICATION FOR WORKSITE AND WORKFORCE PREFERENCES

To receive TACPA preferences, the following certification must be completed and signed by the Bidder.

COMPLETE FOR ALL SITES LOCATED WITHIN A TACPA

PREFERENCE AREA(S)

(4) (5) (6)

TRACT NUMBER BLOCK NUMBER CRITERIA (A - F)

I hereby certify under penalty of perjury that the bidder (1) is a California based company as defined in the TACPA regulations; (2) shall ensure that at least 50% of the labor hours required to complete a contract for Goods, or 90% of the labor hours to complete a Services contract shall be performed at the designated TACPA worksite(s) claimed in Section I; (3) shall hire persons who are TACPA eligible employees to perform the specified percent of total contract labor hours as claimed in Section II; (4) has provided accurate information on this request. I understand that any person furnishing false certification, willfully providing false information or omitting information, or failing to comply with the TACPA requirements is subject to sanctions as set forth in the statutes.

BIDDER'S NAME & TITLE BIDDER'S SIGNATURE PHONE NUMBER EMAIL ADDRESS

FAX NUMBER DATE

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