Attachment_1,_Required_Attachment_Checklist.docx
DOCX document 27 KB Posted
- Attached to
- IFB 24-3038 CWD Facility Accessibility Reviews
- Solicitation number
- 0000032168
- Issued by
- California
About this file
This document is a Required Attachment Checklist for Invitation for Bid (IFB) 24-3038 issued by the California Department of Social Services (CDSS). The purpose of this IFB is to obtain bids from qualified contractors to provide physical accessibility reviews of County Welfare Departments (CWDs) in compliance with federal mandates and in alignment with CDSS's mission. The checklist outlines the required attachments that must be submitted with the bid, including certifications, rate sheets, references, subcontractor information, and various certifications and forms. The bid package must be submitted by the stated due date, and the contract will be awarded accordingly.
The checklist also verifies that the bidder's corporation is in good standing and qualified to conduct business in California, and that the appropriate business licenses have been submitted. Pricing terms, set-asides, and funding requirements are not explicitly stated in this document, but are likely covered in the IFB and associated contract materials.
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Text version
| IFB 24-3038 | 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, Darfur Contracting Act Certification DGS PD 1 |
| |_| Yes |
| |_| Yes |
|_| No
| 12. Submitted Attachment 12, Iran Contracting Act Verification Form, DGS PD 3, if applicable |
| |_| Yes |
| |_| Yes |
|_| No
| 13. Submitted Attachment 13, California Civil Rights Laws Attachment, DGS OLS 04, if applicable |
| |_| Yes |
| |_| Yes |
|_| No
| 14. Submitted Attachment 14, Contractor Certification Clause, CCC 04/2017 |
| |_| Yes |
| |_| Yes |
|_| No
| 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. Submitted Attachment 17, Payee Data Record, STD 204 |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 18. Submitted Attachment 18, Generative Artificial Intelligence (GenAI) Reporting & Fact Sheet, STD 1000 |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 19. 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
| 20. 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
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