Attachments_-_All_-_C5612048.pdf

Valley State Prison – Media School Request for Quote #C5612048-1 Audio and Video Production Program Attachment 1 California Department of Corrections and Rehabilitation

ATTACHMENT #1

CONTRACTOR QUALIFICATIONS – C5612048

Contractor

Mandatory Qualifications (Must meet all requirements) Met

Not Met

Ref. Page Staff Qualifications

(Resume)

1. Contractor must have at least one year of verifiable history successfully providing training in a correctional setting using the delivery model specified in this SOW.

2. Contractor must have an established curriculum that has already been validated through successful training with inmates in a correctional setting.

3. Contractor must have an established computer and technology system design solution for installation in a correctional setting that satisfies the CDCR technology security requirements.

4. Contractor must demonstrate established relationships with potential employers for people who have completed training in this particular digital trade.

PASS / FAIL PASS FAIL

Desirable Qualifications Met/Not

Met

Ref. Page Staff Qualifications

(Resume)

1. The Contractor shall offer a proprietary curriculum, live video calls, a help desk, an image repository, a messaging platform, cloud file storage, and a Wikipedia clone that has been tried and

Audio and Video Production Program Attachment 1 California Department of Corrections and Rehabilitation successfully tested within CDCR.

2. The Contractor must have demonstrated successful implementation of a Computer and Related Technology course in the CDCR correctional education environment.

3. The Contractor must have Remote Instructors host weekly live sessions on technical concepts introduced through the LMS, supplementing the curriculum by providing real-world applications for abstract ideas.

STAFF QUALIFICATIONS

CDCR TITLE

CONTRACTOR STAFF

Mandatory Qualifications (Must meet requirement)

Met Not Met

Ref. Page Staff Qualifications

(Resume) Minimum relevant work experience/knowledge in the Deliverables reflected in section M. Deliverables for all Contractor staff, shall be no less than two years' within the last five years.

PASS / FAIL PASS FAIL

Audio and Video Production Program Attachment 2 California Department of Corrections and Rehabilitation

(Rev 10/2022) Page 1 of 2

ATTACHMENT #2

CUSTOMER REFERENCE FORM

Bidder/Contractor:

Make copies of this form, the CDCR requires three (3) Contractor References for each proposed Contractor and Contractor Staff.

Contractor’s (Bidder) Name

Consultant’s Name (proposed) Contractor’s Customer Reference Name Contract Number

Dollar amount of the Contract

Customer Contact Name and Title

Phone Number

Fax Number

E-Mail Address

Contractor’s (Bidder) Name

Consultant’s Name (proposed) Contractor’s Customer Reference Name Contract Number

Dollar amount of the Contract

Customer Contact Name and Title

Phone Number

Fax Number

E-Mail Address

Contractor’s (Bidder) Name

Consultant’s Name (proposed) Contractor’s Customer Reference Name Contract Number

Dollar amount of the Contract

Customer Contact Name and Title

Audio and Video Production Program Attachment 2 California Department of Corrections and Rehabilitation

(Rev 10/2022) Page 2 of 2

Phone Number

Fax Number

E-Mail Address

Audio and Video Production Program Attachment 3 California Department of Corrections and Rehabilitation

ATTACHMENT #3

BIDDER DECLARATION*

https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf

*Referenced by link

Audio and Video Production Program Attachment 4 California Department of Corrections and Rehabilitation

ATTACHMENT #4

PAYEE DATA RECORD (STD 204)*

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

Rev.

SUPPLEMENT VENDOR PAYEE DATA RECORD FORM

Form to be completed by Vendor.

LEGAL NAME OF BUSINESS

DBA

FEIN OR SSN NUMBER

BUSINESS PHYSICAL ADDRESS

STREET

CITY

STATE ZIP

REMIT TO INFORMATION

(WHERE YOU WANT YOUR PAYMENTS SENT. ADDRESS MUST MATCH REMIT TO ADDRESS ON INVOICE.)

COMPANY NAME

STREET(P.O. Box)

CITY

STATE ZIP

CONTACT INFORMATION

SALES CONTACT PERSON ACCOUNTING CONTACT PERSON

TITLE TITLE

PHONE PHONE

FAX FAX

SALES E-MAIL ADDRESS

WEB-SITE ADDRESS:

PURCHASING INFORMATION

SERVICE TYPE OF SERVICE PROVIDED:

COMMODITY TYPE OF PRODUCT PROVIDED:

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

Rev. 6/2/20

SUPPLEMENT VENDOR PAYEE DATA RECORD FORM

BUSINESS DESIGNATION

(Fill out only if registered with the Dept. of General Services)

SMALL BUSINESS (SB) CERTIFICATION # - EXPIRATION DATE

MICRO BUSINESS (MB) CERTIFICATION # - EXPIRATION DATE

DVBE BUSINESS CERTIFICATION # - EXPIRATION DATE

SMALL BUSINESS PUBLIC WORK CERTIFICATION # - EXPIRATION DATE

NP VETERAN SERVICE AGENCY CERTIFICATION # - EXPIRATION DATE

NON-PROFIT RECOGNITION CERTIFICATION # - EXPIRATION DATE

TAX INFORMATION

(Fill out if you expect a 1099 at the end of the year)

WITHHOLDING TAX INFORMATION

TYPE OF RECIPIENT (PLEASE SELECT ONE/ SHOULD

MATCH SECTION 3 OF STD 204)

RENTS CORPORATION (REGULAR)-------------

ROYALTIES MEDICAL CORPORATION----------

OTHER INCOME (PRIZED, AWARDS) LEGAL CORPORATION----------------- (

FISHING BOAT PROCEEDS NON-PROFIT CORP.-----

MEDICAL AND HEALTHCARE PAYMENTS LLC C-CORPORATION ---------

NONEMPLOYEE COMPENSATION LLC S-CORPORATION---------

SUBSTITUTE PAYMENTS (DIVIDENDS/INTEREST) LLC PARTNERSHIP ---------------------

DIRECT SALES SINGLE MEMBER LLC -----

CROP INSURANCE PROCEEDS TAX EXEMPT ORG. --------------------- (OTHER THAN NON PROFIT CORP.)

EXCESS GOLDEN PARACHUTE PAYMENTS INDIVIDUAL/ SOLE PROP--

GROSS PROCEEDS PAID TO AN ATTORNEY ESTATE-------------------------------------------------

STATE TAX WITHHELD QUALIFIED INTERMEDIARY

ARTIST OR ATHLETE

GOVERNMENT OR INT. ORGANIZATION

NOMINEE

FIDUCIARY

AUTHORIZES FOREIGN AGENT

TYPE OF RECIPIENT UNKNOWN

PRIVATE FOUNDATION

STOP! Only fill out this section if your company has sold their receivables to another company

FACTORING VENDOR (WHEN A VENDOR SELLS RECEIVABLES TO A THIRD PARTY) ATTACH COPY OF THE

LETTER FROM VENDOR NOTIFIYING CDCR OF THE ASSIGNMENT

COMPANY NAME

DBA

STREET(P.O. Box)

CITY

STATE ZIP

Audio and Video Production Program Attachment 6 California Department of Corrections and Rehabilitation

ATTACHMENT #6

CONFIDENTIALITY AND NON-DISCLOSURE AGREEMENT

I certify that I shall hold in confidence all discussions, bids, proposals, correspondence, memoranda, working papers, procurement of goods and services, or any other information on any media, which has any bearing on or discloses any aspect of projects within the California Department of Corrections and Rehabilitation’s (CDCR) Business Information System (BIS) Project. Based on my involvement with BIS, where applicable, I certify that I have no personal or financial interest and no present employment or activity, which would be incompatible with my participation in the discussions, review and or participation in the procurement process for this procurement and any related procurement thereof.

For the duration of my involvement in this Project, I agree not to accept any gift, benefit, gratuity or consideration, or begin a personal or financial interest in a party who is offering, or associated with a business, on the Project.

At all times during and after the process by which the CDCR procures Contractor’s services, CDCR’s employees, CDCR’s prospective bidders, and/or CDCR’s Vendors shall keep confidential, and shall not disclose to any third party or use, such confidential information, except in the course of their employment by or contractual relationship with the Department, and for the benefit of CDCR. The parties shall protect CDCR’s confidential information using the same degree of care, but no less than a reasonable degree of care, as such party uses to protect his/her/its own confidential information. The parties shall carefully restrict access to CDCR’s confidential information, and they may disclose it only to their employees, contractors, and/or other State agencies that have a need to know it and are bound by obligations of confidentiality.

I understand that consultants can be categorized as a public official for purposes of adherence to Conflict of Interest laws and the filing of a Statement of Economic Interests (Form 700). I certify that I have read and understand Conflict of Interest provisions identified in the online document “Ethics Orientation for State Officials” sponsored by the State of California Department of Justice, Office of the Attorney General and the Fair Political Practices Commission .

I certify that I will keep confidential and secure and will not copy, give or otherwise disclose to any other party who has not signed a copy of this confidentiality agreement, all information concerning the planning, processes, development or procedures of the Project and all bids, proposals, correspondence, etc. which I learn in the course of my duties on the Project. I understand that the information to be kept confidential includes, but is not limited to, specifications, administrative requirements, terms and conditions, any aspect of any supplier’s response or potential response to the solicitation, and includes concepts and discussions as well as written or electronic materials. I understand

Audio and Video Production Program Attachment 6 California Department of Corrections and Rehabilitation that if I leave this Project before it ends, I must still keep all Project information confidential. I understand that following completion of this project that I must still maintain confidentiality should the Project and/or my organization be subject to follow-on contracting criteria per Public Contract Code §10365.5. I agree to follow any instructions provided related to the Project regarding the confidentiality of Project information.

I fully understand that any unauthorized disclosure I make may be a basis for civil or criminal penalties and/or contract termination. I agree to advise the CDCR IT Acquisitions Unit, immediately in the event that I either learn or have reason to believe that any person who has access to Project confidential information has or intends to disclose that information in violation of this agreement. I also agree that any questions or inquiries from bidders, potential bidders or third parties shall not be answered by me and that I will direct them to the CDCR’s IT Acquisitions Unit.

Date:________________

Signature:_______________________________________________

Printed Name:____________________________________________

Title____________________________________________________

Organization:_______________________________________________________

Telephone #:____________________ Fax #:________________________

Email :____________________________________________________________

Audio and Video Production Program Attachment 7 5California Department of Corrections and Rehabilitation

DISABLED VETERANS BUSINESS ENTERPRISE DECLARATIONS

The following link listed below allows bidders to access the DVBE Declarations statement. This statement is required to be submitted, even if you have no DVBE participation for this Solicitation. If you have no DVBE participation, simply reply on the form “N/A”, and include the form with your solicitation reply.

https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf

Audio and Video Production Program Attachment 8 California Department of Corrections and Rehabilitation

ATTACHMENT #8

DELIVERABLES EXPECTATION DOCUMENT (DED)

Deliverable Title:

Stakeholder Roles and Responsibilities-

The following RACIVS chart shows the stakeholders for this deliverable and their respective roles and responsibilities:

Deliverable R A C I V S

XX

RACIVS Key R = Responsible

Person or party responsible for ensuring deliverable is completed to Accountable's, Verifies’, and Signs-Off’s satisfaction

A = Accountable

Person or party accountable for successful completion of the deliverable

C = Consulted Person(s) or party(ies) assigned to provide consultation if needed I = Informed Person(s) or party(ies) identified to simply be informed of deliverable progress V = Verifies Person(s) or party(ies) identified to review the deliverable and advise

Signs-Off to accept or reject the deliverable S = Signs-Off Person or party that is the approving authority (signatory) for the completed deliverable

Anticipated Start and Stop Date

Out-of-Scope

The following items are not in scope for this deliverable:

Assumptions

The following assumptions have been identified for this deliverable:

Summary of Tasks

Artifacts (to be uploaded to SharePoint EA repository)

Approved CDCR User Project Manager Date

Approved Project Consultant Team Lead Date

Audio and Video Production Program Attachment 9 California Department of Corrections and Rehabilitation

ATTACHMENT #9

DELIVERABLE ACCEPTANCE DOCUMENT (DAD)

CONTRACTOR

CDCR CONTRACT DED NUMBER:

DELIVERABLE TITLE:

DELIVERABLE COMPLETION

TOTAL COST OF APPROVED $

DESCRIPTION OF TASKS AND DELIVERABLE:

CDCR’S ACCEPTANCE OR REJECTION:

AUTHORIZED AND APPROVED:

CONTRACTOR / DATE

CDCR USER PROJECT MANAGER /

DATE

Note: Once the Contractor and the CDCR User Project Manager, or a selected representative, has approved the DAD as stipulated in the Agreement, the Contractor may submit an invoice to the CDCR.

Audio and Video Production Program Attachment 10 California Department of Corrections and Rehabilitation

CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION

Pursuant to Public Contract Code section 2010, if a bidder or proposer executes or renews a contract over $100,000 on or after January 1, 2017, the bidder or proposer hereby certifies compliance with the following:

1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts over $100,000 executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and

2. EMPLOYER DISCRIMINATORY POLICIES: For contracts over $100,000 executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).

CERTIFICATION

I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Proposer/Bidder Firm Name (Printed)

Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

ASHLEY.MATHUS

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Audio and Video Production Program Attachment #13 California Department of Corrections and Rehabilitation

RESPONSE CHECKLIST

Item Administrative Requirements Completed (Y/N) a.

Signed/date Request for Quote - IT Goods/Services - Informal Competitive EIS 4004(C) (all pages)

b. Contractor’s SB/DVBE Certification, if applicable.

c.

A copy of the Contractor’s valid California city or county business license (if applicable).

d.

Total number of years the Contractor has been in business performing services as described in Exhibit A, SOW.

e.

A statement outlining the Contractor’s qualifications as listed in Exhibit A, SOW.

f.

Detailed description of the Contractor’s approach for completing the activities and tasks/deliverables identified in Exhibit A, SOW, including the functions, roles, and responsibilities of the proposed Candidate(s).

g. Detailed curriculum

h. Detailed description of Certificats that can/shall be earned.

i.

Resumes of each proposed Contractor Staff. Resumes must document years of experience in performing the services as described in Exhibit A, SOW, Section L. Descriptions must include the company/project name and start and end dates that relate to the specific experience of the proposed Contractor Staff.

j.

Completed Attachment 1. Indicate if qualifications for Contractor and each Contractor Staff have been met/not met and reference associated page number in resume.

k.

At least three (3) references for each proposed Contractor and Contractor Staff, must be reported on Attachment #2, Customer Reference Form. References should be for Agreements of the same complexity and magnitude as proposed in Exhibit A, SOW.

l. Completed Rate Sheet Exhibit B-1.

m. Completed Bidder Declaration Form (GSPD-05-105)

n. Completed Payee Data Record (STD 204)

o. Completed PMM Statement- if applicable p.

Completed Disabled Veteran Business Enterprise Declaration (STD.

843), Attachment #7, if applicable.

q.

Completed California Civil Rights Laws Certification, Attachment #10.

r.

Completed TACPA Preference Request Form (STD. 830), Attachment #11, if applicable.

s.

Completed GENAI Disclosure and Fact Sheet (Std 1000).

Attachment #12.

t. Completed Response Checklist