att_2_-_minimum_qualifications_certification.pdf

IFB 23-3079 Attachment 2 California Department of Social Services Page 1 of 5

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:

A. 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.

As of the final date for bid submission, Bidder must have at least five (5) years of continuous archive box pickup and delivery services experience with a California State Agency or California Public Agency. All requested fields must be completed in order to satisfy this Minimum Qualification.

Name of CA State or CA Public Entity Served

Brief Description of Service

Years of Experience

(MM/YY-MM/YY)

B. Provide evidence of satisfaction of Minimum Qualification B.2 by completing the checkbox below. All requested fields must be completed in order to satisfy this Minimum Qualification.

Bidder shall have the appropriate business license for the city or county of primary business location and provide a copy with bid submission. Bidder must be a legal business entity authorized to do business in the State of California.

☐ Bidder certifies that a business license from the city or county in which the Bidder is headquartered has been submitted with the bid.

C. 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.

California Department of Social Services Page 2 of 5

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

http://www.sos.ca.gov/business/.

SOS Entity File Number SOS Status

[Select One]

D. Provide evidence of satisfaction of Minimum Qualification B.4 by completing the checkbox below. All requested fields must be completed in order to satisfy this Minimum Qualification.

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

☐ Bidder certifies that their principal place of business located in the state of California and all personnel must reside and conduct services within the state of California.

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

Bidder must submit, with the bid, a list of at least three business references that includes current and/or former paying clients for whom bidder has provided services similar to those required herein within the last five years. References may be contacted by the CDSS to validate the information provided by the bidder to determine the client’s overall satisfaction with the services provided. Bidder is responsible for notifying their references that CDSS may contact them for reference and performance information. CDSS will contact references during normal business hours, Monday through Friday, between the hours of 8:00 a.m.

and 5:00 p.m. PT. If references cannot be reached, the bid may be deemed non-responsive and rejected. If references obtained are not favorable, the CDSS may reject the bid. Refer to Attachment 5 - Bidder References. Note: If bidder has been awarded a contract greater than $10,000.00 for similar services with CDSS within the last five years, reference to this contract must be utilized as one of the three required business references.

Name of Firm Brief Description of Services Provided

Dates of Service

(MM/YY-MM/YY)

California Department of Social Services Page 3 of 5

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

Bidder must possess a valid California Department of Motor Vehicles (DMV) issued Motor Carrier Permit authorizing transportation of property for hire by motor vehicle and operate within the scope of the permit. Permit must be in good standing at the time of bid submission and during the term of the agreement.

Bidder must submit a copy of Motor Carrier Permit with bid.

California DMV Issued Motor Carrier Permit Number

Permit Standing

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

1. Bidder must have (covered) transportation that will be locked when unoccupied.

☐ Bidder certifies that the covered truck or large van shall be locked when unoccupied.

2. Bidder must submit photographs of vehicle(s) showing the front (including license plate), side, and rear (including license plate), to be used in the performance of the resulting contract. Bidder must provide a description of the cargo capacity which includes: 1) maximum weight limit, and 2) length, height, and width of the storage area. Bidder must ensure each vehicle can accommodate: an estimated volume of 0-500 boxes, weighing 0- 12,500 pounds, with an average box size of 15” x 12” x 10”.

Description Of The Cargo Capacity And Vehicle(s)

Vehicle License

The Maximum Weight Limit

Length Height Width Of The Storage Area

California Department of Social Services Page 4 of 5

Plate Number

☐ Bidder certifies that they have submitted photographs.

3. Bidder must submit a copy of current registration of (non-fleet) vehicle(s) to be used in the performance of the resulting contract

☐ Bidder certifies that they have a copy of the current registration for the vehicle(s) to be used in the performance of the resulting contract.

4. If vehicles to be used for the proposed contract are leased, a copy of the lease agreement and photographs (as described in G.2, above) must be included with bid submission.

☐ Bidder certifies that they have submitted a copy of the lease agreement if the vehicle(s) to be used for the proposed contract are leased.

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

Bidder must submit a valid and appropriate California Driver’s License issued by the California Department of Motor Vehicles.

☐ Bidder certifies that they have provided a copy of a valid and appropriate California Driver’s License.

I. Provide evidence of satisfaction of Minimum Qualification B.9 by completing the checkbox below. All requested fields must be completed in order to satisfy this Minimum Qualification.

Bidder shall ensure that each driver connected with performance of the resulting Agreement possesses and maintains for the duration of the Agreement a valid and appropriate California Drivers License issued by

CA DMV.

☐ Bidder certifies that each driver connected with performance of the resulting Agreement possesses and maintains for the duration of the Agreement a valid and appropriate California Drivers License issued by CA DMV.

California Department of Social Services Page 5 of 5

J. Provide evidence of satisfaction of Minimum Qualification B.10 by completing the table below. All requested fields must be completed in order to satisfy this Minimum Qualification.

Bidder must have a verifiable Unique Entity ID (UEI) or registration # assigned in the System for Award Management (SAM) website:

https://sam.gov/content/home

All fields must be filled in below.

SAM Unique Entity ID or Registration # SAM Status

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

Authorized Signature

Name of Firm

Name and Title (Please Print)

Date