Attachment_5_-_Good_Standing_Form.docx

This document is a Good Standing Form for RFP 25-04, related to Flexible Spending Accounts, COBRA, and Retiree Billing, specifically designed for the California state procurement process. The form requires bidders to classify their business entity type, which includes options for individuals, sole proprietorships, partnerships, and various corporate structures (corporations, LLCs, LPs, and LLPs), both from California and outside the state.

The form mandates that bidders provide proof of good standing based on their business classification: California-based entities must attach proof of good standing in California, while out-of-state entities must provide documentation of either qualification to do business in California (if conducting intrastate business) or good standing in their home jurisdiction (if not conducting California intrastate business). The document includes a signature section for a legally authorized representative to certify the information's accuracy, with spaces for the company name, signature, execution date, and the printed name and title of the signing official.