A02_2024-05_Bidder_Certification.docx
DOCX document 27 KB Posted
- Attached to
- IFB 2024-05: Platform Holly Caretaker Services
- Solicitation number
- 0000032810
About this file
This document is a Bidder Certification Sheet for IFB Number 2024-05 issued by the California State Lands Commission for Platform Holly Caretaker Services. The certification sheet must be signed and returned with the bid submission, which requires meeting DVBE participation requirements. The bid must be submitted in accordance with the IFB instructions. The certification sheet collects basic information about the bidding company, including contact details, business type, and relevant licenses and certifications. Bidders must indicate if they are certified by the California Department of General Services as either a Small Business or a Disabled Veteran Business Enterprise, and provide the applicable certification number.
The document outlines the required components of the bid submission and the terms for signature authorization. It does not provide details on the project scope, quantities, timelines, or contract term.
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IFB Number 2024-05 Page 11 of 24 California State Lands Commission Platform Holly Caretaker Services
ATTACHMENT 2
BIDDER CERTIFICATION SHEET
1. An unsigned Bidder Certification Sheet may be cause for Bid rejection.
2. The Bidder Certification Sheet must be signed and returned along with all the required attachments and other required elements of the Solicitation as an entire package in duplicate with original signatures. The bid must be submitted in accordance with IFB instructions.
3. I have read and understand the DVBE participation requirements and have included documentation demonstrating that I have met the participation goals.
4. The signature affixed hereon and dated certifies compliance with all the requirements of this solicitation. The signature below authorizes the verification of this certification.
Basic Information:
| 1. Company Name |
| 2. Telephone Number |
3. Address
Indicate your organization type:
| 4. | Sole Proprietorship |
| 5. Partnership or Joint Venture | |
| 6. | Corporation |
Provide the applicable employee and/or corporation number:
| 7. Federal Employee ID No. (FEIN) |
| 8. California Corporation No. |
Provide applicable license and/or certification information:
| 9. Contractor’s State Licensing Board Number |
| 10. PUC License Number CAL-T- |
| 11. Required Licenses/Certifications |
| 12. Bidder’s Name (Print) |
| 13. Title |
| 14. Signature |
| 15. Date |
16. Are you certified with the Department of General Services, HYPERLINK "https://caleprocure.ca.gov/pages/sbdvbe-index.aspx"Office of Small Business & Disabled Veteran Business Enterprises (DVBE) (OSDS) as either a Certified Small Business or DVBE? Provide the applicable certification number:
| a. Small Business certification number: |
| b. Disabled Veteran Business Enterprise |
Certification number:
NOTE: A copy of your Certification is required to be included with this Bidder Certification Sheet if either of the above certifications are provided.
Date application was submitted to OSDS, if an application is pending:
Completion Instructions for Bidder Certification Sheet Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below.
| Item Numbers |
| Instructions |
| 1, 2, 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 Joint Venture. Any Joint Venture must be properly licensed by the California Department of Consumer Affairs, Contractor’s Licensing Board before the Contract may be awarded.
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.
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.
Complete if your firm holds a California contractor’s license. This information will used to verify possession of a contractor’s license for public works agreements.
Complete if your firm holds a PUC license. This information will be used to verify possession of a PUC license for public works agreements.
Complete, if applicable, by indicating the type of license and/or certification that your firm possesses and that is required for the type of services being procured.
| 12, 13, 14, 15 |
| Must be completed. These items are self-explanatory. |
If certified as a Small Business Enterprise OR certified as a Disabled Veterans Business Enterprise provide the certification number(s) and attach a copy of that certification(s). If your certification is pending, enter the date your application was submitted to OSDS.
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