Att.3_IFB_Narrative_Response_Form.docx
DOCX document 41 KB Posted
- Attached to
- ADA Wheelchair Lift Van Conversion
- Solicitation number
- 0000038047
- Issued by
- California
About this file
This is a Narrative Response Form issued by the California Department of General Services (DGS) Procurement Division for an Invitational for Bids (IFB) related to ADA Wheelchair Lift Van Conversion services under Business Unit 5225, Event ID 38047. The form requires bidders to provide written responses addressing specific requirements and certifications. Bidders must declare their intent regarding Generative Artificial Intelligence (GenAI) usage, specifically whether they intend to provide GenAI as a deliverable to the State or utilize GenAI from third parties to complete deliverables that materially impact system functionality, risk, or contract performance. Additionally, bidders must submit responses confirming compliance with various socioeconomic program requirements and certifications before bid submission.
The form addresses multiple compliance requirements including Disabled Veteran Business Enterprise (DVBE) certification status, Small Business (SB) preferences, and Target Area Contract Preference Act (TACPA) eligibility. Bidders must declare their Secretary of State Business Entity Number and California Department of Tax and Fee Administration Retailer's Seller Permit number. Critical certifications required include the Iran Contracting Act Certification, which requires bidders to confirm they are not on the DGS list of persons engaged in investment activities in Iran and to disclose any financial institution relationships extending credit for energy sector activities in Iran. Bidders conducting business outside the United States within the preceding three years must submit the Darfur Contracting Act Form. All responses must comply with Commercially Useful Function requirements per IFB Section 21, and all socioeconomic program participants must meet these standards.
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Other files
| File | Type | Posted |
|---|---|---|
| Att.1_Exhibit_D_-_Work_Authorization_Form.docx | DOCX document | |
| STD_204.pdf | ||
| IFB_38047_Wheelchair_Van_Conversion.docx | DOCX document | |
| Att.1_Exhibit_C_-_Admin_Requirements.docx | DOCX document | |
| Att.1_Exhibit_G_-_Insurance_and_Liability_Terms.docx | DOCX document | |
| Att.1_Exhibit_E_-_Van_Inspection_Form.docx | DOCX document | |
| Att.1_Exhibit_B_-_Cost_Worksheet.docx | DOCX document | |
| Agreement_Cover_Letter.docx | DOCX document | |
| Att.1_Exhibit_F_-_Authorized_Warranty_Repair.docx | DOCX document | |
| Att.2_Cost_Worksheet.xlsx | XLSX spreadsheet | |
| Att.1_Exhibit_A_-_Statement_of_Work.docx | DOCX document | |
| Att.4_Van_Wheelchair_Lift_Drawings.docx | DOCX document | |
| Att.1_Exhibit_A-1_-_Specifications.docx | DOCX document |
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Text version
| Department of General Services | Wheelchair Lift Van Conversion |
| Procurement Division | BU 5225 Event ID 38047 |
ATTACHMENT 3 – NARRATIVE RESPONSE
Instructions: Bidder must complete each line item outlined below:
| BIDDER NAME: |
NARRATIVE QUESTIONS:
1. GENERATIVE ARTIFICIAL INTELLIGENCE (GenAI) REQUIREMENTS IFB Section 17
Does Bidder intend to:
a) Provide GenAI as a deliverable to the State; OR
☐YES
☐NO
| b) Utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts (i) functionality of the System, (ii) risk to the State, or (iii) Contract performance. |
| ☐YES |
☐NO
PREFERENCES & INCENTIVES IFB Section 20
Disabled Veteran Business Enterprise (DVBE) Requirement By checking “yes”, Bidder claims to meet the mandatory DVBE requirements as an Office of Small Business and DVBE Services (OSDS) Certified DVBE firm, OR
☐YES
☐NO
| By checking “yes”, Bidder claims to meet the mandatory DVBE requirements by subcontracting the minimum % to OSDS Certified DVBE subcontractors |
| ☐YES |
☐NO
| DVBE Incentive: By checking “yes”, Bidder claims to achieve 1% - 5% DVBE Incentive by being an OSDS Certified DVBE Firm or subcontracting to OSDS Certified DVBE subcontractor(s). |
| ☐YES |
☐NO
| Small Business (SB) Preference: By checking “yes”, Bidder claims to be an OSDS Certified SB and requests the SB Preference. |
| ☐YES |
☐NO
| Non-Small Business Preference: By checking “yes”, Bidder claims to subcontract a minimum of 25% of its bid to Certified SB’s and requests the SB Preference. |
| ☐YES |
☐NO
| Target Area Contract Preference Act (TACPA) Preference: By checking “yes”, Bidder claims a TACPA Preference and has included the fully completed Standard Form 830, Bidder’s Summary form, and Manufacturer’s Summary form (if supplying goods) with bid. |
| ☐YES |
☐NO
*All bidders and/or subcontractors fulfilling any socioeconomic program must perform a Commercially Useful Function (CUF) in accordance with IFB Section 21.
Bidder conducted business outside of the United States within the last three (3) years? IFB Section 17 ☐ YES ☐ NO (If “Yes” Bidder must submit the Darfur Contracting Act Form)
Bidder’s Secretary of State Business Entity Number:
Bidder’s California Department of Tax and Fee Administration Retailer’s Seller Permit number: or ☐ NA
CERTIFICATION:
IRAN CONTRACTING ACT CERTIFICATION (see IFB Section 17)
1. Is your company on the current DGS list of persons engaged in investment activities in Iran?
Yes or No response only
☐ YES ☐ NO
2. Is your company a financial institution extending $20 million or more in credit to another person/vendor who will use the credit to provide goods or services in the energy sector in Iran and is identified on the current DGS list of persons engaged in investment activities in Iran?
Yes or No response only
☐ YES ☐ NO
3. Has Bidder obtained an exemption from the certification requirement under the Iran Contracting Act? Yes or No response if Bidder answered Yes to Questions 1 or 2; otherwise, select N/A. If “Yes”, submit documentation demonstrating exemption approval with the bid response.
☐ YES ☐ NO ☐ NA
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