Attachment 4 - SEI Certification.docx

DOCX document 46 KB Posted

Attached to
RFP 2026-04 Enterprise Strategic Planning Services
Solicitation number
0000039752
Issued by
California

About this file

This is a Socially and Economically Disadvantaged Business Enterprise (SEI) Certification document related to RFP 2026-04 Enterprise Strategic Planning Services for Covered California. The attachment establishes certification requirements and verification procedures for proposers seeking to qualify as an SEI or disadvantaged business enterprise for this solicitation. The document outlines the standards and documentation necessary for businesses to demonstrate their eligibility status, including ownership structure, control, and socioeconomic disadvantage criteria. Proposers must complete and submit the certification as part of their proposal package to be considered for any applicable set-asides or preferences under the state of California's small business procurement programs.

The certification document serves as a compliance and verification tool to ensure that only qualified disadvantaged enterprises receive consideration for set-aside opportunities within this contract. Proposers claiming SEI status must provide supporting documentation and meet specific regulatory definitions established by the state. This certification requirement directly impacts proposal evaluation and potential award opportunities, as it may determine eligibility for preferential contracting programs or scoring advantages included in the RFP evaluation criteria.

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Text version

Covered California RFP 2026-04: Enterprise Strategic Planning Services

California Health Benefit Exchange Budget Detail

ATTACHMENT 4 – STATEMENT OF ECONOMIC INTERESTS CERTIFICATION

In order to be deemed responsive, the Proposer must enter its information below where indicated with brackets and provide an authorized signature for certification.

[Month XX, 2025]

[Proposer Organization Name] [Address] [City, State Zip]

Covered California Attention: [Contract Analyst] 1601 Exposition Blvd.

Sacramento, CA 95815

Upon award of the contract, [Proposer Organization Name] agrees to provide a completed Title 10, California Code of Regulations, Chapter 12, Article 1, Statement of Economic Interests (Form 700), if required.

[Proposer Representative Name]

File details come from the government source that posted it. Updated .