Attachment_1-_RFP_Submission_Checklist_03152024.pdf

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Attached to
RFP - 25SS0022 - Financial Governance
Solicitation number
0000039397
Issued by
California

About this file

This is a Request for Proposal (RFP) submission checklist issued by the State of California, Department of Veterans Affairs, for RFP# 25SS0022. The document serves as a comprehensive guide for proposers outlining all required documentation and certifications that must accompany a proposal submission. The checklist includes sixteen mandatory attachments covering proposal certifications, minimum qualifications, rate sheets, commercially useful function certifications, payee data records, contractor certification clauses, insurance certificates, and various statutory compliance documents including Darfur Contracting Act, Iran Contracting Act, and California Civil Rights certifications. Proposers must also submit non-collusion affidavits (notarized), valid California business licenses or equivalent documentation, and sample invoices. The submission must ensure that company names are identical across all documents, licenses, permits, certifications, and insurance materials, with original signatures required where specified.

The checklist emphasizes financial governance and compliance requirements as critical components of the proposal evaluation process. Four reference attachments—including sample contract documents (STD 213), DVBE program requirements, a CalVet organizational chart, and a sample technical proposal score sheet—are provided for informational purposes only and should not be included in the submission. Failure to submit required documents in the prescribed manner may result in delayed contract award. The document does not specify pricing terms, set-asides, incumbent information, response dates, or contract term length, as these details are contained in the broader RFP documentation.

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State of California RFP# 25SS0022 Department of Veterans Affairs

ATTACHMENT 1

RFP SUBMISSION CHECKLIST

Financial Governance

The checklist below is a summary of documents to be submitted based on requirements in the Request for Proposal. Return this checklist with your proposal. Place a check-mark or “X” next to each document that you are submitting. Original Signatures are required on the documents where specified.

The company name listed on all documents submitted (ex. licenses, permits, certifications, and insurance) must be identical to the company name on the Payee Data Record (STD 204).

Failure to submit these documents in the manner prescribed may delay award of Agreement.

Required Name/Description

YES Attachment 1 – Proposal Submission Checklist (Attachment 1)

YES Attachment 2 - Proposal/Proposer Certification Sheet (Attachment 1) YES Attachment 3 – Minimum Qualification Responses (Attachment 1)

YES Attachment 4 – Proposer’s Rate Sheet (Attachment 2) YES Attachment 5 – Commercially Useful Function Certification Form (Attachment 1) YES Attachment 6 - Proposer Declaration GSPD-05-105 (Attachment 1) YES Attachment 7 - Payee Data Record (STD 204) (Attachment 1)

YES Attachment 8 – Contractor Certification Clauses (CCC 04/2017) (Attachment 1) YES Attachment 9 – Insurance Certificate (Attachment 1)

YES Attachment 10 - Darfur Contracting Act (Attachment 1) YES Attachment 11- Iran Contracting Act Certification (Attachment 1) YES Attachment 12- California Civil Rights Certification (Attachment 1)

YES Attachment 13 - DVBE Declarations (Std. 843), if applicable (Attachment 1) Attachment 14 – Sample Technical Proposal Score Sheet

Attachment 15 – Sample Agreement (Std. 213 and Exhibits) YES Attachment 16 - Proposer Reference Form (Attachment 1)

YES Attachment 17 - Non-Collusion Affidavit (must be notarized) (Attachment 1)

YES Valid California city or county business license; or, if a corporation located within the State of California, incorporation documents or letter from the Secretary of State; or, if not a California business, an affidavit that business is in good standing with the State, Province, or Country in which business is headquartered (Attachment 1)

YES Sample Invoice (Attachment 1)

State of California RFP# 25SS0022 Department of Veterans Affairs

The following attachments are included in the RFP as reference only and should not be included in the submission.

Required Name/Description

NO Sample Contract Documents – STD 213 Standard Agreement and Exhibits NO DVBE Program Requirements (informational) NO Calvet Org chart NO Attachment 14 – Sample Technical Proposal Score Sheet

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