Attachment_5_-_Good_Standing_Form.docx
DOCX document 30 KB Posted
- Attached to
- RFP 25-03 Employee Assistance Program
- Solicitation number
- 0000036100
- Issued by
- California
About this file
This document is a Good Standing Form for RFP 25-03 for an Employee Assistance Program, applicable to bidders in California and potentially other jurisdictions. The form is designed to verify the legal status and business qualifications of potential bidders, with checkboxes for different business entity types including individuals, partnerships, California corporations, limited liability companies, and foreign entities conducting business in or outside of California.
The form requires bidders to provide proof of good standing, either in California or their home jurisdiction depending on their business structure and intended business activities. Bidders must attach appropriate documentation demonstrating their legal status and ability to conduct business, and include an authorized signature certifying the accuracy of the information provided. The document appears to be part of a procurement process for an Employee Assistance Program, with the form serving as a critical component of vendor qualification and compliance verification.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_1_-_Administrative_Rules.docx | DOCX document | |
| Exhibit_D_-_EAP_RFP_25-03_Benefits_Matrix.xlsx | XLSX spreadsheet | |
| Attachment_4_-_General_Certifications_Form.docx | DOCX document | |
| Attachment_7A_-_Bidder_Declaration.docx | DOCX document | |
| Exhibit_B_-_Payment_Provisions-Benefits.docx | DOCX document | |
| Exhibit_C4_-_ACI_Service_Agreement.pdf | ||
| RFP_25-03_Employee_Assistance_Program.docx | DOCX document | |
| Attachment_3_-_Acceptance_of_Short_Form_Agreement_Terms.docx | DOCX document | |
| Attachment_7B_-_DVBE_Declaration.docx | DOCX document | |
| Exhibit_A_-_USI_Marketing_Letter_RFP_25-03_EAP.pdf | ||
| Exhibit_C1_-_ACI_EAP_Benefits_Summary.pdf | ||
| Exhibit_C2_-_ACI_Utilization_Q-4_2024.pdf | ||
| Exhibit_C3_-_ACI_Utilization_Q-1_2025.pdf | ||
| Attachment_2_-_Services_-_Short_Form_Agreement_Terms.docx | DOCX document | |
| Attachment_6_-_Darfur_Contracting_Act_Certification.docx | DOCX document | |
| Exhibit_E_-_2025_Benefit_Fair_Locations.xlsx | XLSX spreadsheet |
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Text version
RFP 25-03 Employee Assistance Program
ATTACHMENT 5
GOOD STANDING FORM
Please check one:
Bidder is an Individual or Sole Proprietorship.
Bidder is a General Partnership.
Bidder is a California corporation, limited liability company (“LLC”), limited partnership (“LP”), or limited liability partnership (“LLP”).
Attach proof of good standing in California.
Bidder is a foreign (outside of California) corporation, LLC, LP, or LLP, and conducts or will conduct (if awarded the contract) intrastate business in California.
Attach proof of qualification to do business and good standing in California.
Bidder is a foreign (outside of California) corporation, LLC, LP, or LLP, and does not (and will not if awarded the contract) conduct intrastate business in California.
Attach proof of good standing in home jurisdiction.
By signing below, signer certifies they are duly authorized to legally bind the Bidder:
Legal Name of Company (Printed):
| Signature: |
| Date Executed: |
Printed Name and Title of Person Signing:
Rev. 2020-07 Page 1 of 1
File details come from the government source that posted it. Updated .