Attachment_1,_Required_Attachment_Checklist.docx
DOCX document 42 KB Posted
- Attached to
- IFB 24-3089 - Pre-Scheduled Interpreter
- Solicitation number
- 0000034362
- Issued by
- California
About this file
This is a Required Attachment Checklist (Attachment 1) for IFB 24-3089 from the California Department of Social Services (CDSS). The document serves as a comprehensive checklist for bidders to verify the completeness of their bid package submission.
The checklist details 19 required items including certifications, forms, and documentation that bidders must submit. Key requirements include the Minimum Qualifications Certification, Bid/Bidder Certification Sheet, Rate Sheet, Bidder References, Contractor Certification Clause, and various specialized forms like the Generative Artificial Intelligence Reporting & Fact Sheet (STD 1000). The checklist also requires proof of California principal place of business, appropriate business licenses, and verification of good standing with the Secretary of State. Each item includes checkboxes for both bidder certification and CDSS verification, with some items marked as applicable only in specific circumstances (e.g., DVBE-related documentation, Iran Contracting Act verification).
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Text version
| IFB 24-3089 | 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, Iran Contracting Act Verification Form, DGS PD 3, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 16. Submitted Attachment 16, California Civil Rights Laws Attachment, DGS OLS 04, if applicable |
| |_| Yes |
|_| N/A |_| Yes |_| No |_| N/A
| 17. Proof of principal place of business located in the State of California included |
| |_| Yes |
|_| No |_| Yes |_| No
| 18. 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 |
|_| No |_| Yes |_| No
| 19. Is the Bidder’s corporation in good standing and qualified to conduct business in California as verified by the Secretary of State? |
| |_| 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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