Attachment1-ProposalSubmissionChecklist.docx
DOCX document 18 KB Posted
- Solicitation number
- RFP2425-03
- Issued by
- Sacramento County, San Francisco City, California
About this file
This is a proposal submission checklist for RFP-2324-06 HICAP Modernization from the California Department of Aging. The checklist outlines 13 required attachments that must be submitted by the proposal submittal deadline for a proposal to be considered responsive. The required attachments include a proposal submission checklist, proposer's certification, minimum qualifications response, proposer's references, rate sheets, and various compliance certifications.
The checklist requires several financial and administrative documents including rate sheets, a payee data record (Standard Form 204), financial solvency certification, and insurance certifications. It also mandates civil rights compliance documentation through the California Civil Rights Certification (CDA 9026), Contractor Certification Clauses (CCC-4/2017), and TACPA Preference forms. The checklist specifically notes that some forms like the Payee Data Record must be obtained from external websites rather than being included in the RFP package.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment7-ProposersRateSheet-Word.docx | DOCX document | |
| Attachment10-DVBECert.pdf | ||
| RFP-2425-03-T3-Addendum1.pdf | ||
| Attachment8-CivilRightsCert.docx | DOCX document | |
| Attachment16-CA_DVBE_ProgramRequirements.pdf | ||
| Attachment11-PayeeData.pdf | ||
| RFP-2425-03-CA_Title3-B-LegalSvcsPN.pdf | ||
| Attachment15-Tacpa.pdf | ||
| Attachment5-MinimumQualifications.docx | DOCX document | |
| Attachment17-GenAI-STD1000.pdf | ||
| Attachment9-ProposerDeclaration.pdf | ||
| Attachment12-InsuranceCert.docx | DOCX document | |
| Attachment7-ProposersRateSheet-Excel.xlsx | XLSX spreadsheet | |
| Attachment13-FinancialSolvencyCert.docx | DOCX document | |
| Attachment6-References.docx | DOCX document | |
| Attachment14-CCC-417.docx | DOCX document | |
| Attachment4-ProposerCertification.docx | DOCX document |
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Text version
California Department of Aging RFP Number: RFP-2324-06 HICAP Modernization
ATTACHMENT 1
Proposal Submission Checklist Complete this checklist to confirm the items in your proposal. For your proposal to be considered responsive, Attachments 1 through 13 in this checklist must be submitted by the Proposal Submittal Deadline indicated in this RFP. Include this checklist with your proposal package. (Items in bold are required, otherwise an item is required only if relevant or optional) Proposer's Name: _____________________________________________________________
| Attachment |
| Name of Attachment |
| ______ |
| Attachment 1 |
| Proposal Submission Checklist (this is your cover sheet) – followed by Proposer’s Table of Contents. |
| ______ |
| Attachment 2 |
| Proposer’s Certification (include Completed & Signed copy) |
| ______ |
| Attachment 3 |
| Minimum Qualifications Response (2 pages, include Completed & Signed copy) |
| ______ |
| Attachment 4 |
| Proposer’s References |
| ______ |
| Attachment 5 |
| Proposer’s Rate Sheets (include Completed Excel version & Signed Word version) |
| ______ |
| Attachment 6 |
| California Civil Rights Certification (CDA 9026) |
| ______ |
| Attachment 7 |
| Proposer Declaration Form (GSPD 05-105) |
| ______ |
| Attachment 8 |
| DVBE Declaration Form (Std. 843) |
| ______ |
| Attachment 9 |
| Payee Data Record (Std. 204) |
This form is not included in this RFP. Please obtain from the following web site:
http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf
| ______ |
| Attachment 10 |
| Insurance Certifications (print and initial) |
| ______ |
| Attachment 11 |
| Financial Solvency Certification |
| ______ |
| Attachment 12 |
| Contractor Certification Clauses (CCC – 4/2017) |
| ______ |
| Attachment 13 |
| TACPA Preference forms |
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