attachment_9_dvbe_subcontractor_agreement.pdf

RFP 24-3003

California Department of Social Services

Attachment 9

DVBE SUBCONTRACTOR AGREEMENT

PART A: NAMED PARTIES

This Agreement is entered into between Contractor: , hereinafter referred (Contractor Name) to as Bidder, and DVBE subcontractor: , hereinafter referred

(DVBE Subcontractor Name) to as Subcontractor, on: , consisting of the following conditions:

(Date)

1. Bidder has bid or intends to bid 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 Bidder if the Bidder is awarded the contract.

2. Bidder has proposed the Subcontractor as a disabled veteran business enterprise subcontractor in the bid; and Bidder intends to employ the subcontractor to perform certain work or services under the primary agreement if the Bidder 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 Bidder.

PART B:

The State requires the Bidder to provide, prior to the contract award, a written agreement signed by the Bidder and each disabled veteran business enterprise subcontractor proposed by the Bidder in the bid proposal submitted to the State, to include certain terms and conditions specified below. These written agreements shall become null and void if the Bidder is not awarded a contract as result of this bid invitation.

Bidder and the Subcontractor agree that, in the event the CDSS awards the primary agreement to the Bidder, the Bidder 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: . 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: / / and completed by: / /

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

4. The percentage of the entire primary contract to be awarded to the Subcontractor is: %.

(Must commit at least 3% of the entire bid amount unless otherwise specified within the solicitation.)

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

(Attach Additional Sheets If Necessary)

This Agreement has been executed by the parties identified below:

Bidder’s Company Name: Subcontractor’s Company Name:

By (Authorized Signature): Date Signed: By (Authorized Signature): Date Signed:

Printed Name and Title of Person Signing: Printed Name and Title of Person Signing:

RFP 24-3003

California Department of Social Services

Attachment 9

DVBE PROGRAM REQUIREMENTS SUPPLIER CHECKLIST

Please do not submit this checklist with your bid. It is provided for your use only. Checking every box of your elected compliance option does not guarantee that your bid will be evaluated compliant.

ITEM

Bidder Declaration & Subcontractor/Supplier List included with bid.

STD 843 included with bid (Note: This is only applicable if you are Certified DVBE bidder)

Attached completed DVBE Subcontractor Agreement(s) (Note: If you are a certified DVBE bidder 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 BidSync website.