attachment_1,_required_attachment_checklist.docx

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Attached to
IFB 24-3053 - Transcription Services
Solicitation number
0000032634
Issued by
Sacramento County, San Francisco City, California

About this file

This document is a Required Attachment Checklist for IFB 24-3053 issued by the California Department of Social Services (CDSS). The checklist identifies the 15 required attachments that must be submitted by bidders to be considered responsive, including the Minimum Qualifications Certification, Bid/Bidder Certification Sheet, Rate Sheet, Bidder and Subcontractor References, Bidder Declaration, Disabled Veteran Business Enterprise Declarations, Contractor Certification Clause, and other supporting documentation. Bidders must complete this checklist and return it with their bid package. CDSS staff will use the checklist to verify that all required documents have been submitted.

The checklist also requires bidders to confirm that their corporation is in good standing and qualified to conduct business in California, and to submit a copy of their appropriate business license. This is a competitive sealed bid process, but the document does not provide details on the products or services being procured, quantities, award dates, contract terms, or any pricing information.

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IFB 24-3053Attachment 1
California Department of Social ServicesPage 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, Generative Artificial Intelligence (GenAI) Reporting & Fact Sheet, STD 1000
|_| Yes
|_| Yes

|_| No

14. Submitted Attachment 14, Payee Data Record, STD 204
|_| Yes
|_| Yes

|_| No

15. Submitted Attachment 15, California Civil Rights Laws Attachment, DGS OLS 04
|_| Yes

|_| N/A |_| Yes |_| No |_| N/A

16. 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

17. 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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