att_2__minimum_qualifications_cert.docx

Minimum Qualifications Certification As required in the IFB, Bidder must complete and return this Certification, along with written evidence of how each qualification is met. All required fields must be completed to satisfy this requirement. Additional rows may be added, if necessary.

Evidence of Minimum Qualifications:

1. Provide evidence of satisfaction of Minimum Qualification B.1 by completing the table below. All requested fields must be completed in order to satisfy this Minimum Qualification. Additional rows may be added, if necessary.

As of the final date for bid submission, Bidder must have at least one (1) year of consecutive experience providing American Sign Language interpreting services with a California State Agency or California Public Agency as described in Exhibit 2, Sample Agreement, Exhibit A, Scope of Work.

(MM/YY – MM/YY)

2. Provide evidence of satisfaction of Minimum Qualification B.2 by completing the table or checking the box below. All requested fields must be completed in order to satisfy this Minimum Qualification. Additional rows may be added, if necessary.

Bidder must be a legal business entity authorized to do business in the State of California. A business license from the city or county in which the Bidder is headquartered shall be submitted with the bid. All businesses based in unincorporated areas are required to submit signed proof of “exempted” business license status from the city or county, if applicable.

|_| Or, Bidder certifies that it is a legal business entity authorized to do business in the State of California, is based in an unincorporated area, and has submitted signed proof of “exempted” business license status from the city or county, if applicable.

3. Provide evidence of satisfaction of Minimum Qualification B.3 by completing the table below. All requested fields must be completed in order to satisfy this Minimum Qualification. Additional rows may be added, if necessary.

Bidder’s corporation must be in good standing and qualified to conduct business in California as verified by the California Secretary of State.

4. Provide evidence of satisfaction of Minimum Qualification B.4 by completing the table below. All requested fields must be completed in order to satisfy this Minimum Qualification. Additional rows may be added, if necessary.

Bidder shall have their principal place of business located in California and all personnel must reside and conduct services within California.

Principal Business Address (Street, City, State, Zip Code)

5. Provide evidence of satisfaction of Minimum Qualification B.5 by checking the box below. All requested fields must be completed in order to satisfy this Minimum Qualification.

Bidder shall ensure all sign language interpreters hold a valid and current certification with membership by the following recognized certifying agencies:

|_| Bidder certifies that all sign language interpreters hold a valid and current certification and membership with Registry of Interpreters for the Deaf (RID) with a level no less than Certificate of Interpretation (CI), Certificate of Transliteration (CT), Comprehensive Skills Certificate (CSC), National Interpreter Certification (NIC), or Certified Deaf Interpreter (CDI).

Or, |_| Bidder certifies that all sign language interpreters hold a valid and current certification and membership with the National Association of the Deaf (NAD) or the American Consortium of Certified Interpreters (ACCI) with a level no less than Level III (Generalist), Level IV (Advanced) or Level V (Master) AND a valid and current membership with RID.

6. Provide evidence of satisfaction of Minimum Qualification B.6 by completing below. All requested fields must be completed in order to satisfy this Minimum Qualification.

The Bidder must certify that they employ, retain, or are contracted with at least thirty (30) certified hearing sign language interpreters who are proficient in both interpreting the spoken English language to ASL (voice to sign) and ASL to the spoken English language (sign to voice) while ensuring cultural and linguistic comprehension of the end user.

|_| The Bidder certifies that they have on staff certified hearing sign language interpreters who are proficient in both interpreting the spoken English language to ASL (voice to sign) and ASL to the spoken English language (sign to voice) while ensuring cultural and linguistic comprehension of the end user.

7. Provide evidence of satisfaction of Minimum Qualification B.7 by completing below. All requested fields must be completed in order to satisfy this Minimum Qualification.

The Bidder must certify that it employs, retains, or is contracted with at least five (5) Certified Deaf Interpreters/Deaf Interpreters (CDI/DI) who are proficient in interpreting simultaneously and consecutively while ensuring cultural and linguistic comprehension of the end user.

|_| The Bidder certifies that it employs, retains, or is contracted with at least five (5) Certified Deaf Interpreters/Deaf Interpreters (CDI/DI) who are proficient in interpreting simultaneously and consecutively while ensuring cultural and linguistic comprehension of the end user.

8. Provide evidence of satisfaction of Minimum Qualification B.8 by completing below. All requested fields must be completed in order to satisfy this Minimum Qualification.

Bidder must be in business for the primary purpose to provide sign language interpreting services for persons who are Deaf, DeafBlind, Deaf Disabled, Hard of Hearing, Late Deafened (DDBDDHHLD).

|_| Bidder certifies that they are in business for the primary purpose to provide sign language interpreting services for persons who are DDBDDHHLD.

Bidder certifies this response fulfills the minimum qualifications outlined by signing below.

California Public Employee’s Retirement System PBM Solicitation No. 2015-7755 Attachment B, Exhibit 1

Request for Proposal No. 2014-7233 Attachment A, Exhibit 1

Authorized Signature Name of Firm

Name and Title (Please Print) Date