Addendum__1_4-19-16.doc

Rev. 04/07/16

Form GSOP S5-PIN (01-05)

STATE OF CALIFORNIA

DEPARTMENT OF GENERAL SERVICES – PROCUREMENT DIVISION

ADDENDUM 1

DUE DATE

May 2, 2016 Responses must be delivered to the Procurement

Division before 2:00 PM on the Due Date

SOLICITATION #

0000001122

DATE

4/19/2016

DELIVERY DATE

As Specified

PAGE

REQUISITION. NO.

4265-0000000007

AGENCY BILLING CODE

83118

AGENCY PURCHASE EST NO.

15-CPH-2715

F.O.B. DESTINATION UNLESS

BID STATES OTHERWISE

ARE YOU CLAIMING PREFERENCE

AS A CALIFORNIA CERTIFIED SMALL BUSINESS?

YES NO

IF YES, MANUFACTURER?

YES NO

ARE YOU A NON-SMALL BUSINESS CLAIMING AT LEAST 25% SMALL BUSINESS SUBCONTRACTOR PREFERENCE?

YES NO

SUPPLIER CONTACT:

PHONE:

SUPPLIER NUMBER:

____ % CASH DISCOUNT FOR

PAYMENT WITHIN ____ DAYS

SEE REQUIRED PAYMENT DATE OF THE GENERAL PROVISIONS PARAGRAPH 30.

SHIP TO:

See Life Vest Distribution List – IFB Attachment #4

NAME (PRINT)

TITLE

FOR FURTHER INFORMATION, CONTACT:

PROCUREMENT OFFICIAL: Stacey Jaramillo-Solis

PHONE: (916_ 443-9614

EMAIL: Stacey.Jaramillo@dgs.ca.gov

SECTION 14835 ET SEQ. OF THE

CALIFORNIA GOVERNMENT CODE REQUIRES THAT A 5% PREFERENCE BE GIVEN TO BIDDERS WHO QUALIFY AS A SMALL BUSINESS OR BIDDERS WHO QUALIFY AS A NON-SMALL BUSINESS CLAIMING AT LEAST 25% CALIFORNIA CERTIFIED SMALL BUSINESS PARTICIPATION. FOR REQUIREMENTS SEE TITLE 2, CALIFORNIA CODE OF REGULATIONS, SECTION 1896, ET SEQ. THE REQUIREMENTS FOR NONPROFIT VETERAN SERVICE AGENCIES QUALIFYING AS A SMALL BUSINESS ARE CONTAINED IN SECTION 999.50 ET SEQ. OF THE MILITARY AND VETERANS CODE.

SIGNATURE DATE

Return To:

DGS/PROCUREMENT DIVISION

707 3RD ST. 2ND FL (95605)

P.O. BOX 989054

W. SACRAMENTO, CA 95798

TELEPHONE NUMBER FAX NUMBER

FEDERAL EMPLOYER IDENTIFICATION NUMBER

Bidder offers and agrees if this response is accepted within 45 calendar days from the date of opening to furnish all of the items upon which prices are quoted, at the prices set opposite each item, delivered at the designated point(s) by the method of delivery and within the times specified above and subject to the attached General Provisions. DECLARATIONS UNDER PENALTY OF PERJURY: By signing above, with inclusion of the date of signature, the above signed bidder DECLARES UNDER PENALTY OF PERJURY under the laws of the State of California as follows: (1) (STATEMENT OF COMPLIANCE). The above signed has complied with the non-discrimination program requirements of Government Code 12990 and Title 2, California Administrative Code Section 8103, and such declaration is true and correct. (2) the National Labor Relations Board declaration set forth in Paragraph 43 of the General Provisions is true and correct. (3) If a claim is made for the small business preference, the information set forth within is true and correct.

ADDENDUM # 1___

Addendum #1 for Invitation for Bid (IFB) #4265-0000001122 for Child, Youth and Adult Life Vests.

This Addendum changes the follow:

SOLICITATION NUMBER: This hereby corrects the solicitation number located on the top of the Invitation to Bid from 0000000007 to 0000001122.

Include a copy of this addendum with your bid response.

ALL OTHER REQUIREMENT, TERMS AND CONDITIONS REMAIN THE SAME.