att_1__required_attach_checklist.docx
DOCX document 27 KB Posted
- Attached to
- IFB 25-3065 ASL Interpreting Services
- Solicitation number
- 0000039669
- Issued by
- California
About this file
This is a Required Attachment Checklist for IFB 25-3065 ASL Interpreting Services issued by the California Department of Social Services (CDSS). The checklist serves as a submission verification document that bidders must complete and return with their bid packages to confirm inclusion of all required attachments. Bidders are required to certify submission of 18 distinct items, including minimum qualifications certification, bid/bidder certification sheets, rate sheets, bidder references, subcontractor references where applicable, and various statutory declarations and certifications. The checklist includes verification columns for both bidder certification and CDSS staff confirmation to ensure responsive bids contain all mandatory documentation.
The required attachments encompass financial, compliance, and organizational documentation necessary for bid evaluation. Bidders must submit rate sheets, Disabled Veteran Business Enterprise declarations and agreements if applicable, payee data records, contractor certification clauses, and Darfur Contracting Act certifications. Additional conditional submissions include California Civil Rights Laws attachments, Target Area Contract Preference Act forms, and labor hour summaries, each marked as applicable or not applicable depending on bidder circumstances. Bidders must also verify corporate good standing with the California Secretary of State and provide appropriate business licenses for jurisdictions where services will be performed, with exempted status documentation required for businesses operating in unincorporated areas. The checklist indicates that bid responsiveness depends entirely on submission of all required attachments as specified.
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Text version
| IFB 25-3065 | Attachment 1 |
| California Department of Social Services | Page 1 of 2 |
Bidder Name:
Required Attachment Checklist A complete bid or bid package will consist of the items identified below.
Complete this checklist to confirm the items in your bid. Using the “Bidder Certification” column, place a check mark or “X” next to each item that you are submitting to CDSS. CDSS staff will use the shaded “CDSS Verification” column to confirm receipt of all required documents. For your bid to be responsive, all required attachments must be submitted. This checklist must be returned with your bid package.
| Attachment Name/Description |
| Bidder Certification |
| CDSS Verification |
| 1. Submitted Attachment 1, Required Attachment Checklist |
| |_| Yes |
| |_| Yes |
|_| No
| 2. Submitted Attachment 2, Minimum Qualifications Certification |
| |_| Yes |
| |_| Yes |
|_| No
| 3. Submitted Attachment 3, Bid/Bidder Certification Sheet signed by an individual authorized to bind the Bidder contractually. | |
| a. If Small Business or Disabled Veteran Business Enterprise certified, submitted a copy of Department of General Services certification | |_| Yes |
| |_| Yes | |
| |_| Yes |
|_| No
| 4. Submitted Attachment 4, Rate Sheet |
| |_| Yes |
| |_| Yes |
|_| No
| 5. Submitted Attachment 5, Bidder References |
| |_| Yes |
| |_| Yes |
|_| No
| 6. Submitted Attachment 6, Subcontractor References, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 7. Submitted Attachment 7, Bidder Declaration, GSPD-05-105 |
| |_| Yes |
| |_| Yes |
|_| No
| 8. Submitted Attachment 8, Disabled Veteran Business Enterprise Declarations, STD 843 |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 9. Submitted Attachment 9, DVBE Subcontractor Agreement, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 10. Submitted Attachment 10, Commercially Useful Function Evaluation Form, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 11. Submitted Attachment 11, Contractor Certification Clause, CCC 04/2017 |
| |_| Yes |
| |_| Yes |
|_| No
| 12. Submitted Attachment 12, Darfur Contracting Act Certification DGS PD 1 |
| |_| Yes |
| |_| Yes |
|_| No
| 13. Submitted Attachment 13, Payee Data Record, STD 204 |
| |_| Yes |
| |_| Yes |
|_| No
| 14. Submitted Attachment 14, California Civil Rights Laws Attachment, DGS OLS 04, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 15. Submitted Attachment 15, Target Area Contract Preference Act, STD 830, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 16. Submitted Attachment 16, Bidder’s Summary of Contract Activities and Labor Hours, DGS PD 526, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 17. Is the Bidder’s corporation in good standing and qualified to conduct business in California as verified by the Secretary of State? |
| |_| Yes |
|_| No |_| Yes |_| No
| 18. As applicable, submitted a copy of the appropriate business license for the city or county which Bidder will be performing business. All businesses based in unincorporated areas are required to submit signed proof of “exempted” business license status from the city or county, if applicable. |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
CDSS Use Only Comments/Notes:
Signature of CDSS Contracts Analyst Date
Signature of CDSS Contracts Manager Date image1.png
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