Addendum_1_03A3898.pdf

“Provide a safe, sustainable, integrated and efficient transportation system to enhance California’s economy and livability”

DEPARTMENT OF TRANSPORTATION

ADMINISTRATION

DIVISION OF PROCUREMENT AND CONTRACTS

1727 30th STREET, MS-65

SACRAMENTO, CA 95816

PHONE (916) 227-6000

TTY 711

https://dot.ca.gov/programs/procurement-and-contracts/

November 8, 2024

Addendum No. 1 Invitation for Bid (IFB) #03A3898

Multiple-Provider, On-Call, As-Needed, Daily Rate Service Contract for Motel Room Rentals in Truckee Area

NOTICE TO ALL PROSPECTIVE BIDDERS:

Addendum No. 1 is being issued for the above-referenced IFB. Bids for this work shall be with the full understanding of this Addendum.

The following represents questions submitted for this IFB and the Department’s responses:

Question 1: Could you please provide the PDFs of the following forms: California Civil Rights Laws Certification (ADM-0076), Darfur Contracting Act Certification (ADM-0077), Iran Contracting Act Certification (ADM-0078)?

Answer 1: Please see the requested PDF forms at the end of this addendum.

All other terms and conditions set forth in the IFB shall remain in full force and effect.

If you should have any questions regarding this addendum, please contact me Angelica Santillan at (916) 708-3898, or email: angelica.santillan@dot.ca.gov.

Sincerely, Angelica Santillan Angelica Santillan Contract Analyst http://www.dot.ca.gov/dpac/ http://www.dot.ca.gov/dpac/ mailto:angelica.santillan@dot.ca.gov

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION

ADM-0076 (NEW 01/2019)

ATTACHMENT

IFB Number

ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.

CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION

Instructions: Complete as applicable, and submit with bid, proposal, contract, or amendment when the total contract value is one hundred thousand dollars ($100,000) or more.

Pursuant to Public Contract Code section 2010, if a bidder or proposer executes, renews, or amends a contract one hundred thousand dollars ($100,000) or more on or after January 1, 2017, the bidder or proposer hereby certifies, under the penalty of perjury, compliance with the following:

1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts one hundred thousand dollars ($100,000) or more executed, renewed, or amended after

January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and

2. EMPLOYER DISCRIMINATORY POLICIES: For contracts one hundred thousand dollars ($100,000) or more executed, renewed, or amended after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).

CERTIFICATION

I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

PROPOSER/BIDDER FIRM NAME (PRINTED)

FEDERAL ID NUMBER (OR N/A)

BY (AUTHORIZED SIGNATURE)

PRINTED NAME AND TITLE OF PERSON SIGNING

DATE EXECUTED/SIGNED EXECUTED/SIGNED IN THE COUNTY AND STATE OF

DARFUR CONTRACTING ACT CERTIFICATION

ADM-0077 (REV 05/2020)

Darfur Contracting Act Certification

Instructions: Complete, as applicable, and submit with bid.

Public Contract Code Sections 10475-10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services ("DGS") to submit a proposal.

OPTION #1 - CERTIFICATION

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, complete and sign this section and submit with bid package.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below has not, within the previous three years, had any business activities or other operations outside of the United States; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

OPTION #2 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code Section 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #3 - WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code Section 10477(b), the Director of the DGS may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code Section 10476, but we have received written permission from the DGS to submit a bid or proposal pursuant to Public Contract Code Section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

IRAN CONTRACTING CERTIFICATION

ADM-0078 (NEW 01/2019)

ATTACHMENT

IFB Number

Iran Contracting Act Certification

Instructions: Complete, as applicable, and submit with proposal.

Prior to bidding on, submitting a proposal or executing a contract or renewal for a State of California contract for goods or services of one million dollars ($1,000,000) or more, a vendor must either: a) certify it is not on the current list of persons engaged in investment activities in Iran created by the California Department of General Services ("DGS") pursuant to Public Contract Code Section 2203(b) and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person, for 45 days or more, if that other person will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS; or b) demonstrate it has been exempted from the certification requirement for that solicitation or contract pursuant to Public Contract Code Section 2203(c) or (d).

To comply with this requirement, please insert your vendor or financial institution name and Federal ID Number (if available) and complete one of the options below. Please note, California law establishes penalties for providing false certifications, including civil penalties equal to the greater of two hundred fifty thousand dollars ($250,000) or twice the amount of the contract for which the false certification was made; contract termination; and three (3) year ineligibility to bid on contracts (Public Contract Code section 2205).

OPTION #1 - CERTIFICATION

I, the official named below, certify I am duly authorized to execute this certification on behalf of the vendor/financial institution identified below, and the vendor/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by DGS and is not a financial institution extending twenty million dollars ($20,000,000) 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 persons engaged in investment activities in Iran created by DGS.

Print Vendor Name/Financial Institution Federal ID Number (or N/A)

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #2 - EXEMPTION

Pursuant to Public Contract Code Sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran on a case-by-case basis to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services.

If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval.

Print Vendor Name/Financial Institution Federal ID Number (or N/A)

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed