attachment_9_-_dvbe_sub_agreement.pdf

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Attached to
RFP 27-3001 - Workers Compensation Third Party Administrator
Solicitation number
0000040419
Issued by
California

About this file

This is a Disabled Veteran Business Enterprise (DVBE) Subcontractor Agreement template issued by the California Department of Social Services (CDSS) in connection with RFP 27-3001 for a Workers Compensation Third Party Administrator contract. The agreement establishes the terms and conditions between a primary contractor (proposer) and a DVBE subcontractor, contingent upon the proposer being awarded the primary contract by CDSS. The document requires proposers to execute written agreements with any proposed DVBE subcontractors prior to contract award, specifying the subcontractor's work scope, performance timeline, and compensation structure. The agreement becomes null and void if the proposer does not receive the contract award.

The DVBE subcontractor agreement mandates that proposers commit to a minimum of 3 percent of the entire bid amount to the DVBE subcontractor, unless the solicitation specifies an alternative percentage. Proposers must clearly define the goods and services to be provided by the DVBE subcontractor, establish payment rates and conditions, and document specific performance dates within the primary contract term. The document includes a supplier checklist requiring proposers to submit bidder declarations, DVBE subcontractor agreements, proof of California DVBE certification from the Department of General Services/Office of Small Business Services (DGS/OSDS), and confirmation that the DVBE's proposed participation constitutes a commercially useful function relevant to the contract. Compliance with all checklist items is necessary for proposal evaluation, though completion of the checklist does not guarantee proposal approval.

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RFP 27-3001 Attachment 9 California Department of Social Services Page 1 of 3

DVBE Subcontractor Agreement

Part A: Named Parties

This Agreement is entered into between Contractor, (Contractor Name), hereinafter referred to as Proposer, and Disabled Veteran Business Enterprise (DVBE) subcontractor, (DVBE Subcontractor Name), hereinafter referred to as Subcontractor, on (Date), consisting of the following conditions:

1. Proposer has submitted a proposal or intends to submit a proposal on a solicitation issued by the State of California, Department of Social Services, hereinafter referred to as CDSS. The CDSS will enter into a contract (the primary agreement) with the Proposer if the Proposer is awarded the contract.

2. Proposer has proposed the Subcontractor as a DVBE subcontractor in the proposal;

and Proposer intends to employ the subcontractor to perform certain work or services under the primary agreement if the Proposer is awarded the CDSS contract.

3. Subcontractor intends to provide certain work or services or products/goods under the primary agreement if the contract is awarded to the Proposer.

Part B:

CDSS requires the Proposer to provide, prior to the contract award, a written agreement signed by the Proposer and each DVBE subcontractor proposed by the Proposer in the proposal submitted to CDSS, to include certain terms and conditions specified below.

These written agreements shall become null and void if the Proposer is not awarded a contract as a result of this proposal request.

Proposer and the Subcontractor agree that, in the event CDSS awards the primary agreement to the Proposer, the Proposer will employ the Subcontractor to provide goods and/or services in accordance with the following terms and conditions:

1. The term of this Agreement is: MM/DD/YYYY to MM/DD/YYYY. The parties estimate that the goods and/or services will be provided/performed by the Subcontractor within the contract term.

2. The parties estimate that the goods and/or services will be provided/performed by the Subcontractor commencing on: MM/DD/YYYY and completed by MM/DD/YYYY.

3. The rate and conditions of payment by the Proposer to the Subcontractor are:

4. The percentage of the entire primary contract to be awarded to the Subcontractor is %. (Must commit to at least 3% of the entire bid amount unless otherwise specified within the solicitation.)

California Department of Social Services Page 2 of 3

5. Description of services and/or goods to be performed/supplied by the Subcontractor:

This Agreement has been executed by the parties identified below:

Proposer’s Company Name:

By (Authorized Signature):

Printed Name and Title of Person Signing:

Subcontractor’s Company Name:

By (Authorized Signature):

Printed Name and Title of Person Signing:

California Department of Social Services Page 3 of 3

DVBE Program Requirements Supplier Checklist

Please do not submit this checklist with your proposal. It is provided for your use only.

Checking every box of your elected compliance option does not guarantee that your proposal will be evaluated compliant.

Item

Bidder Declaration, GSPD-05-105 and Subcontractor/Supplier List included with proposal.

DVBE Declarations, DGS PD 843 included with proposal (Note: This is only applicable if you are Certified DVBE Proposer).

Attached completed DVBE Subcontractor Agreement(s) (Note: If you are a certified DVBE proposer this is only applicable if you intend to utilize a DVBE subcontractor).

Listed at least one California certified DVBE subcontractor.

Checked the box(es) for “Yes.”

Listed specific goods and/or services DVBE(s) agrees to provide.

Proposed DVBE contract performance is a “commercially useful function” relevant to the contract.

Listed the percentage of contract for the DVBE’s participation.

Proposed DVBE participation meets the 3% requirement (unless a different percentage is specified).

Provided proof of DVBE certification for each DVBE identified via a printout from the DGS/OSDS website.

DVBE Subcontractor Agreement
Part A: Named Parties
Part B:
DVBE Program Requirements Supplier Checklist
Item

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