attachment_1,_required_attachment_checklist.docx
DOCX document 30 KB Posted
- Attached to
- IFB 24-3053R - Transcription Services
- Solicitation number
- 0000033144
- Issued by
- California
About this file
This document is an IFB (Invitation for Bid) Attachment 1 from the California Department of Social Services (CDSS) for bid IFB 24-3053R. It outlines the required attachments and documentation that must be submitted as part of the bid package. The required attachments include a Minimum Qualifications Certification, Bid/Bidder Certification Sheet, Rate Sheet, Bidder and Subcontractor References, Bidder Declaration, Disabled Veteran Business Enterprise (DVBE) forms, Contractor Certification Clause, Darfur Contracting Act Certification, Generative Artificial Intelligence Reporting & Fact Sheet, and Payee Data Record. Bidders must also provide proof that their corporation is in good standing and qualified to conduct business in California, as well as applicable business licenses. All required attachments must be submitted for the bid to be considered responsive.
The bid package does not provide details on pricing, set asides, incumbents, funding requirements, or contract term. This attachment focuses solely on the required bid submission documentation.
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Text version
| IFB 24-3053R | 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, 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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