Bid_Package_P25-00098.pdf
PDF 947 KB Posted
- Attached to
- Medication Dispensing Unit Installation
- Solicitation number
- 0000039726
- Issued by
- San Bernardino County, San Bernardino City, California
About this file
This is a bid package and supplementary bidding instructions document issued by the California Department of State Hospitals for the Medication Dispensing Unit Installation project located at Patton State Hospital in San Bernardino County. The project involves furnishing all labor, materials, and equipment for the medication dispensing unit installation in accordance with drawings dated April 21, 202X and the project manual dated December 1, 202X. Bids must be submitted on the enclosed Bid Form (Document 00 41 00) under sealed cover and delivered to the Department of State Hospitals, 3102 E. Highland Avenue, Patton, CA 92369, before 2:00 p.m. on January 21, 2026. The project scope includes performing all work as a lump sum contract with an additional contingency allowance set at 10% of the base work item amount. All work must be completed in accordance with prevailing wage rates as determined by the Department of Industrial Relations using February 2026 published rates.
Bid security is required at a minimum of 10% of the bid amount for proposals exceeding $10,000 and may be submitted as a bidder's bond, cashier's check, certified check, or cash. Bidders must hold a valid California State Contractor's License, be registered with the Department of Industrial Relations, and comply with Disabled Veteran Business Enterprise (DVBE) participation requirements as specified in Document 00 22 10 of the Project Manual; failure to meet required DVBE participation percentages will result in bid rejection as non-responsive. Bidders must also complete and submit multiple supplementary forms including the California Civil Rights Laws certification, Noncollusion Declaration, Payee Data Record (STD 204), Darfur Contracting Act certification, and Iran Contracting Act Verification Form. The bid evaluation process includes verification of contractor licensing, DIR registration, bonding, DVBE compliance, and other bidding requirements, with preliminary bid results to be emailed immediately after bid opening and final tabulation provided within 2-8 business days.
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Other files
| File | Type | Posted |
|---|---|---|
| P25-00098_PROJECT_MANUAL.pdf | ||
| JCCA__23790-8_Drawings_DSH-P_Med_Disp_Drawings.pdf |
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ADDITIONAL BID INFORMATION - 1
Governor Gavin Newsom
ADDITIONAL BID INFORMATION
Bidders are advised to read the Instructions to Bidders, Document 00 21 00 and the Supplementary Instruction to Bidders, Document 00 22 00 when utilized, of the Project Manual.
YOUR CALIFORNIA STATE CONTRACTOR’S LICENSE HAS NOT BEEN
VERIFIED BY THE DEPARTMENT OF STATE HOSPITALS. YOUR BID IS
SUBJECT TO REJECTION AT THE TIME OF BID OPENING IF:
1. Your license does not meet the requirements as set forth in the project manual.
2. Your license is suspended.
3. Your license is expired.
4. Your license has been cancelled.
5. Your company or any listed subcontractor is not currently registered with the Department of Industrial Relations (DIR).
6. Your company did not attend a mandatory pre-bid site inspection or meeting, if required.
BIDDING INSTRUCTIONS
REGISTRATION WITH THE DIR
1. ALL Contractors and subcontractors for public works projects must register with DIR. Check out http://www.dir.ca.gov/Public- Works/PublicWorks.html for complete information and the online registration site.
2. Beginning March 1, 2015, any contractor is not qualified to bid, be listed in a bid or engage in the performance of any contract for public work if they are not registered. Refer to Instructions to Bidders (Document 00 21 00), Article 2 for more information.
PROPOSAL FORM REQUIREMENTS
1. Submit bids on the enclosed Bid Form (Document 00 41 00).
2. Present bids under sealed cover, clearly identifying the project.
3. The Bid Form is not transferable.
BIDDER’S NAME
1. Submit the Bid Form under the same name as licensed.
BIDDER’S SECURITY (Does not apply to solicitations pursuant to GC 14838.7)
1. Bid Security is not required for bids under ten thousand dollars ($10,000).
2. Bid Security shall be a minimum of ten percent (10%) of the bid.
3. Bid Security may be bidder’s bond, cashier’s check, certified check
ADDITIONAL BID INFORMATION - 2
or cash. Personal checks will not be accepted.
4. Bid Security shall be made payable to: The Department of State
Hospitals.
5. When a Bidder’s Bond is used, it is required to be on the Bid Bond form (Document 00 43 13) attached. Attach the power of attorney for the attorney-in-fact and the signature must be notarized. Contact this office if another copy of the form is needed.
SIGNATURE
1. The Bidder, or Bidder’s authorized representative, is required to sign the bid.
2. Include the address of the Bidder or the authorized representative.
3. If the Bidder is a corporation, affix the corporate seal.
4. Sign the Bidder’s Bond (Does not apply to solicitations pursuant to
GC 14838.7).
5. Include applicable documentation; see Instructions to Bidders
(Document 00 21 00), Article 9.2.
ADDENDUM
Refer to the Instructions to Bidders for addendum information.
Acknowledge the addendum on the appropriate page of the Bid Form.
WITHDRAWAL OF BID
A written notice to withdraw a bid is required prior to the bid opening.
A notice not bearing an original signature will not be accepted.
IRREGULARITIES
1. The Bid may be rejected if the bid form is altered. Alterations are, but not limited to:
a. Additions or erasures not requested or required.
b. An incomplete bid.
c. A conditioned bid.
d. Irregularities of any kind.
e. Use of the term “N/A”.
2. If the bid amount or other items including the subcontractors list are changed after being inserted on the bid form, initial or sign the change.
3. Avoid the acronym “N/A” or the term ‘not applicable’ when filling out the bid form.
DVBE REQUIREMENTS (Does not apply to solicitations pursuant to GC 14838.7)
DVBE Requirements have changed. You must meet the required percentage of DVBE participation in order for your bid to be considered responsive. Please refer to the Instructions to Bidders (Document 00 21 00) and the DVBE Program Requirements (Document 00 22 10) of the Project Manual for additional information.
BID RESULTS
Bid results, bid rejections, awards, and project start dates shall be made available via email. The preliminary bid tabulation will be made available
ADDITIONAL BID INFORMATION - 3
immediately after the bid opening is completed and it will be emailed to bidders. A final bid tabulation will be emailed in about 2-8 business days after bidding requirements, such as bonds, licenses, DIR Registration, and DVBE, have been verified.
In addition to the Bid Form (Document 00 41 00) and Bidder’s Bond (Section 00 43 13), Bidders are required to complete and return the following forms with the bid. Other than the Payee Data Record form (Document 00 45 43), failure to submit all other required forms as noted below with the Bid Form and Bidder’s Bond (when required) will deem the bidder non-responsive.
CALIFORNIA CIVIL RIGHTS LAWS
California Civil Rights Laws form can be accessed via the link or URL below. A person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following: California Civil Rights Laws and Employer Discrimination Policies as outlined within the form.
To access this Form, click on this link. It can also be found at https://www.dgs.ca.gov/-/media/divisions/ols/forms/california-civil-rights-laws-attachment.ashx
NONCOLLUSION DECLARATION
Form is an Appendix document within the State Contract Manual, Chapter 10. It can be accessed via the link or URL below. Print and complete this form to certify that your bid is genuine, entirely independent, and free from any price-fixing, bid-rigging, or collusion with competitors.
To access this Form, click on this link. It can also be found at https://www.dgs.ca.gov/- /media/Divisions/OLS/Resources/SCM-VI---04-2026-Update/CH10-2026.pdf
LIST OF CERTIFIED SMALL BUSINESS SUBCONTRACTOR(S) SUMMARY
This form (Document 00 43 16-2) is attached to this Bid Package. All prime bidders must complete this form (Document 00 43 16). See Document 00 43 16 - 1 of this form for instructions on how to complete this form.
PAYEE DATA RECORD (STD. 204)
State’s Payee Data Record form can be accessed via the link or URL below. The Payee Data Record form is required in lieu of IRS W-9 when doing business with the State of California and will be used by the State to prepare tax information returns as stated on the form. Failure to submit the completed form with the Bid will not be cause for rejection of a Bid but will be required prior to Award of Contract if not on file.
To access this Form, click on this link. It can also be found at https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf.
DARFUR CONTRACTING ACT
Darfur Contract Act form can be accessed via the link or URL below. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services
ADDITIONAL BID INFORMATION - 4
to submit a proposal.
To access this Form, click on this link. It can also be found at https://www.dgs.ca.gov//-/media/Divisions/PD/Acquisitions/Solicitation-Document- Attachments/Darfur-Contracting-Act.pdf
IRAN CONTRACTING ACT VERIFICATION FORM
Iran Contracting Act Verification form can be accessed via the link or URL below.
Pursuant to the Iran Contracting Act of 2010, vendors are ineligible to bid on, submit a proposal for, enter into, or renew any contract with the state for goods or services of one million dollars ($1,000,000) or more if the vendor engages in investment activities in Iran, as defined in the Act.
To access this Form, click on this link.
It can also be found at https://www.dgs.ca.gov/- /media/Divisions/PD/PTCS/OPPL/SCM/SCM-Link-Docs/Iran-Contracting-Act.pdf
Division of Administrative Services, Business Management Branch | State of California | 1201 O Street | Sacramento, CA 95814
BID FORM
DSHMSTR: 06/17/2026 00 41 00 - 1 P25-00098
THE STATE OF CALIFORNIA FROM:
DEPARTMENT OF STATE HOSPITALS (Name of Bidding Firm)
ADMINISTRATIVE SERVICES DIVISION
FACILITIES, PLANNING, AND CONSTRUCTION
MANAGEMENT
DELIVER TO: BEFORE: 2:00 P.M., January 21, 2026 Department of State Hospitals unless amended by Addenda.
3102 E. Highland Avenue Patton, CA 92369
FOR:
Medication Dispensing Unit Installation Patton, San Bernardino COUNTY, CALIFORNIA P25-00098
Plainly mark outside of envelope with "Bid For”; followed by the above title and Project Number.
The undersigned hereby proposes and agrees to furnish all labor, materials, and equipment, and to perform all work required for the above-named Project in the manner and time prescribed in the Drawings dated April 21, 202X and Project Manual, dated December 1, 202X and such addenda thereto as may be issued prior to bid opening date and in accordance with prevailing wage rates ascertained by the Department of Industrial Relations and set forth on the DIR web site (Prevailing Wage Requirements) for General Prevailing Wage Rates as determined by the February 2026 DIR prevailing wage published rates. The Bid Price, set forth below in clear legible figures, includes the cost of Bonds, insurance, sales tax, and every other item of expense, direct or indirect, incidental to the Bid Price.
SCHEDULE OF WORK AND PRICES
WORK
ITEM
DESCRIPTION ITEM TOTAL IN FIGURES
1. Performing all work for the lump sum of: $
2.
Contingency Allowance(s) as specified in Section 01 21 00, not included in Work Items 1 above. Enter 10% of the amount entered into Work Item 1 for the lump sum amount of:
COMPLETE WORK: Total of Work Items 1 and 2 for the lump sum of: $
DETERMINATION OF BID: Determination of amount of bid will be on the basis of total sum of Work Items as verified by the State.
IMPORTANT - READ BEFORE SIGNING: Bid Form must be executed in same name-style in which the bidder is licensed. Bidder bidding jointly or as a combination of several business organizations is specially cautioned that such bidder must be jointly licensed in the same form and style in which the bid is executed. If making a bid as a joint venture, each person submitting the bid shall provide the information required below with respect to his or her licensure. The undersigned Bidder certifies and agrees to provide the information and comply with the requirements contained in Articles 1 through 10 on the following pages of the Bid Form. By signing, Bidder swears under penalty of perjury that the conditions of Article 2; Article 4, Paragraph 4.2; Article 7 and Article 9, Paragraph 9.2.1 are true.
DSHMSTR: 06/17/2026 00 41 00 - 2 P25-00098
Legal Name of Bidder: Federal I.D. No.:
Contractor's License No.: License Expiration Date: License Classification:
Contractor’s Public Works Registration No. (DIR):
Contractor’s DGS Small Business/DVBE Certification Number:
Business Address:
(Street and/or P.O. Box) (City) (State) (Zip)
E-Mail Address:
Business Telephone No.: Facsimile No.:
SIGN HERE =>
Signature of Bidder
Print Name and Title of Bidder
Executed this day of , 20 at , California.
ARTICLE 1 – BIDDER’S BUSINESS IDENTIFICATION
THIS BID IS SUBMITTED BY (check one):
Individual Partnership
Joint Venture Corporation
State in which Incorporated
NOTE: If Bidder is a corporation, the State in which incorporated shall be inserted above and the legal name of the corporation shall be set forth on Page 1, together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if Bidder is a partnership, the true name of the firm shall be set forth on Page 1, together with the signature of a partner authorized to sign contract in behalf of the partnership; and if Bidder is an individual, that person’s signature shall be placed on Page 1. If signature is by an agent, other than an officer of a corporation or a member of a partnership, a Power of Attorney must be on file with the Department prior to opening bids or submitted with the bid;
otherwise, the bid will be regarded as irregular and unauthorized. If bid is submitted by partnership or joint venture, the members are:
ARTICLE 2 – PREFERENCES AND INCENTIVES
2.1 Small Business Preference - By checking “yes” below, Bidder requests preference as a "Small Business" and further certifies under penalty of perjury, that the firm still meets the requirements of Section 1896 et. seq. Title 2, of the California Code of Regulations, and has either: 1) been approved by the Office of Small Business and Disabled Veteran Business Enterprise (DVBE) Services (OSDS) or; 2) submitted a complete application pursuant to Section 1896.14 to the OSDS by 5:00 p.m. on the bid opening date.
The Legal Name of Bidder and the Bidder’s OSDS Certification must be executed in the same name-style in which bidder is licensed. A Bidder bidding jointly or as a combination of several business organizations is specially cautioned that such bidder must be jointly licensed in same form and style in which the bid is executed.
DSHMSTR: 06/17/2026 00 41 00 - 3 P25-00098
Special attention is directed to Section 1896.16 for penalties for furnishing incorrect supporting information in obtaining preference.
2.1.1 Small Business Preference Claimed? Yes No
(List date filed if not yet certified)
2.2 Non-Small Business Subcontractor Preference - By checking “yes” below Bidder requests preference as a Non- Small Business and agrees to complete and submit Document 00 43 16-2 attached hereto, no later than forty-eight (48) hours after the time of receipt of bids (or the following business day if a weekend or state holiday). Special attention is directed to Section 1896.16 for penalties for furnishing incorrect supporting information in obtaining preference.
2.2.1 Non-Small Business Subcontractor Preference Claimed? Yes No
2.3 Disabled Veteran Business Enterprise Bid Incentive - By checking “yes” below, Bidder certifies and claims credit for achieving 1% or greater of DVBE Participation on this bid as is shown in Article 9 of this bid form and also requests that the corresponding DVBE Incentive be applied to this bid.
2.3.1 DVBE Incentive Claimed? Yes No
ARTICLE 3 – BONDING ASSISTANCE
In the event Bidder has received assistance in obtaining bonding for this Project, Bidder shall set forth name and nature of firm providing such assistance. Should that firm be listed as subcontractor, Bidder shall set forth the percentage of contract to be performed by that subcontractor.
Firm Providing Assistance and Nature of Assistance
Subcontractor: Yes No Percentage
ARTICLE 4 – CERTIFICATIONS - BID DEPOSITORY AND FEDERAL COURT FINDINGS
4.1 By signing this Bid Form, Bidder certifies that in preparation of this Bid Form, no bid was received by the bidder from a bid depository, which depository (as to any portion of the work) prohibits or imposes sanctions for the obtaining by bidder, or the submission to bidder by any subcontractor or vendor or supplier of goods and services, of a bid outside the bid depository. This certification shall constitute a warranty, the falsity of which shall entitle the State to pursue any remedy authorized by law, and shall include the right, at the option of the State, of declaring any contract made as a result thereof to be void.
4.2 By signing this Bid Form, Bidder swears under penalty of perjury that representations of the bid with respect to bidder's license are true and that no more than one final un-appealable finding of contempt of court by a Federal Court has been issued against the Contractor within the immediately preceding two-year period because of the Contractor's failure to comply with an order of a Federal Court which orders the Contractor to comply with an order of the National Labor Relations Board.
4.3 By signing this Bid Form, Bidder acknowledges that in in accordance with the provisions of Section 3700 of the Labor Code, every contractor will be required to secure the payment of compensation to his employees. The Bidder agrees that they are aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and will comply with such provisions before commencing the performance of the work of this contract.
4.4 By signing this Bid Form, Bidder certifies they will not ask an applicant for onsite construction-related employment to disclose orally or in writing information concerning the conviction history of the applicant on or at the time of an initial employment application.
DSHMSTR: 06/17/2026 00 41 00 - 4 P25-00098
This section shall not apply to a position for which the person or the state is otherwise required by state or federal law to conduct a conviction history background check or to any contract position with a criminal justice agency, as that term is defined in Section 13101 of the Penal Code.
This section shall not apply to a person to the extent that he or she obtains workers from a hiring hall pursuant to a bona fide collective bargaining agreement.
ARTICLE 5 – STATEMENT OF COMPLIANCE - NONDISCRIMINATION
Bidder (hereinafter referred to as "prospective contractor" in this Statement), by signing this Bid Form, hereby certifies, unless specifically exempted, compliance with Government Code Section 12990 (a-f), and CCR, Title 2, Division 4, Chapter 5, Section 8103, in matters relating to reporting requirements and the development, implementation and maintenance of a Nondiscrimination Program; as set forth in the General Conditions of the Contract for Construction. Prospective contractor agrees not to unlawfully discriminate, harass or allow harassment against any employee or applicants for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), medical disability (cancer), age (over 40), marital status, and denial of family care leave.
ARTICLE 6 – QUESTIONNAIRE
6.1 In accordance with Public Contract Code, Section 10162, the Bidder shall complete the following questionnaire:
6.1.1 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State or Local government project because of a violation of law or a safety regulation?
Yes No
6.1.2 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever received a safety violation or failed to file notifications to the Cal-OSHA, Federal OSHA, or EPA Agencies for employee records as required by CCR, Title 8, Section 5208 and CFR 40, Part 61?
If the answer to either 6.1.1 or 6.1.2 above is “Yes”, then give the date(s) of the citation(s) or failure to make notifications, and explain the circumstances by attachment to this Bid Form.
6.2 In order to verify compliance with California Air Resources Board In-Use Off-Road Diesel Fueled Fleets Regulation, Section 2449(i), Title 13, California Code of Regulations, the Bidder shall complete the following questionnaire:
6.2.1. Does the work for the above-named Project involve use of vehicles subject to California Air Resources Board In-Use Off-Road Diesel Fueled Fleets Regulation?
If the answer to 6.2.1 above is “Yes”, successful low Bidder shall, prior to the execution of a contract, submit copies of the valid Certificates of Reported Compliance, issued by the California Air Resources Board, for the fleet selected for the contract and listed subcontractors.
DSHMSTR: 06/17/2026 00 41 00 - 5 P25-00098
ARTICLE 7 – NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
By signing this Bid Form, Bidder, being first duly sworn, deposes and says that he or she is the authorized representative of the Bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and is not collusive or sham;
that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or that of any other Bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
ARTICLE 8 – ADDENDA
In submitting this bid, Bidder represents that Bidder has examined copies of all the Contract Documents and acknowledges receipt of the following addenda:
Addendum No.: Date: Addendum No.: Date:
Addendum No.: Date: Addendum No.: Date:
Addendum No.: Date: Addendum No.: Date:
Failure to acknowledge on the Bid Form receipt of an addendum shall not in itself be cause for withdrawal or rejection of bids, if it can be shown that bidder did, in fact, receive such addendum prior to bid opening.
ARTICLE 9 – DVBE COMPLIANCE & PARTICIPATION SUMMARY
9.1 In accordance with Public Contract Code Section 10115, et seq., the Department of General Services has established criteria to implement the DVBE Program Goal as set forth in Document 00 22 10 of the Project Manual.
Document 00 22 10, DVBE PARTICIPATION PROGRAM REQUIREMENTS cites the specific percentage of DVBE Participation required for this contract. Failure to meet this requirement will result in a non-responsive bid.
If DVBE Participation is a requirement for this bid, Bidder must complete Article 9.2.1 - DVBE PARTICIPATION SUMMARY.
Failure to meet the full percentage of required DVBE participation will cause the bid to be deemed non-responsive and the bid will be rejected by the State. Listed DVBE vendor or subcontractor relationships should be first tier.
Any DVBE person, firm, corporation or organization committed by the bidder to fulfill DVBE Participation must: 1) be certified with the OSDS, and; 2) perform or provide a Commercially Useful Function as defined in Military and Veterans Code Section
999. Failure to comply with these requirements will deem the bid non-responsive and the bid will be rejected by the State.
If DVBE participation is set at zero percent, Bidder may still claim DVBE Incentive for voluntary DVBE Participation of 1% or greater. To have DVBE Incentive applied to this bid, Bidder must claim the Incentive in ARTICLE 2.3 - PREFERENCES & INCENTIVES and complete ARTICLE 9.2 - DVBE PARTICIPATION SUMMARY of the Bid Form.
If any DVBE subcontractor will be performing work in excess of 1/2 of 1% of the bid amount, the subcontractor MUST be listed under ARTICLE 9.2.1 - DVBE PARTICIPATION SUMMARY AND ARTICLE 10 - LIST OF SUBCONTRACTORS in accordance with Public Contract Code Section 4100, et.seq.
DSHMSTR: 06/17/2026 00 41 00 - 6 P25-00098
9.2 DVBE PARTICIPATION SUMMARY NAME OF BIDDER:
Completion Instructions: Capture all required and non-required first tier DVBE Participation in the space below. Identify the proposed work (services, trade or materials) to be completed by the DVBE. List the Company name, contact information, OSDS Certification Number, and the DIR Registration Number. If the Bidder is a DVBE, list only the Bidder’s information as 100%; do not list additional subcontractors. Indicate the dollar amount of the work to be performed by each DVBE company and the corresponding percentage of this bid price rounded to two decimals. Add up each Dollar Amount and identify the total on the bottom row marked, TOTAL DVBE PARTICIPATION. Calculate and list the percentage of the bid price this amount represents.
Pursuant to Military and Veterans Code §999.7, the awarding department shall withhold, on a contract entered into on or after January 1, 2021, ten thousand dollars ($10,000) from the final payment, or the full final payment if less than ten thousand dollars ($10,000), until a prime contractor complies with the certification requirements of subdivision (d) of Section Military and Veterans Code §999.5. A prime contractor that fails to comply with the certification requirement shall, after notice, be allowed to cure the defect. Notwithstanding any other law, if, after at least 15 calendar days but not more than 30 calendar days from the date of notice, the prime contractor refuses to comply with the certification requirements, the awarding department shall permanently deduct ten thousand dollars ($10,000) from the final payment, or the full payment if less than ten thousand dollars ($10,000).
9.2.1 Listed hereinafter is the certified DVBE company(s) proposed to perform work if the contract is awarded to Bidder:
TYPE OF WORK
PERFORMED
(Service, Trade or Materials)
NAME OF DVBE COMPANY, CONTACT PERSON
AND PHONE NUMBER
OSDS
CERTIFICATION
NUMBER
DIR
REGISTRATION
NUMBER
DOLLAR AMOUNT
OF WORK PERFORMED
PERCENTAGE OF
BID PRICE
TOTAL DVBE PARTICIPATION:
DETERMINATION OF TOTAL DVBE PARTICIPATION: Determination of total DVBE participation will be on the basis of total sum of all listed DVBE above and as verified by the State. When there is a discrepancy between the Dollar Amount and the Percentage of Bid, the higher of the two will prevail.
DSHMSTR: 06/17/2026 00 41 00 - 7 P25-00098
ARTICLE 10 – LIST OF PROPOSED SUBCONTRACTORS NAME OF BIDDER _____________________________
Listed hereinafter are the name, location, license number, and registration number of all subcontractors who will be employed, and the kind of work which each will perform if the contract is awarded to the undersigned. I understand that under Public Contract Code Section 4100, et. seq., I must here clearly set forth the name and location of each subcontractor who will perform work or labor or render service to me in or about the construction of the work in an amount in excess of one-half of one percent (1/2 of 1%), of my total bid, and that as to any work in which I fail to do so, I agree to perform that portion myself or be subject to penalty under the act.
(Note: In case more than one subcontractor is named for the same kind of work, state the portion that each will perform.) I also understand that listed subcontractors must be registered with the Department of Industrial Relations in order to be listed for and to engage in the performance of work on Public Works projects.
Notwithstanding General Conditions Paragraph 1.1, the definition of a SUBCONTRACTOR for the purposes of the Subletting and Subcontracting law is as follows: A trade Contractor who is licensed with the Contractors’ State License Board with an A, B, C or D classification, as defined pursuant to PCC Section 4113.
Vendors or suppliers of materials only need not be listed.
C-16 or C-57 subcontractors must contract directly with the prime contractor, and must be first tier subcontractors. If a C-16 or C-57 subcontract is for more than
1/2 of 1% of the total bid, it must be listed below.
Failure to list Kind of Work, Name, Location or License Number shall cause the bid to be rejected as non-responsive.
Kind of Work Name Location (City) CSLB License No. DIR Registration No.
If further space is required below, copy this page and attached hereto to be made a part of the Bid Form. Sub List Page of
KNOW ALL MEN BY THESE PRESENTS:
That we, BIDDER’S BOND
STATE OF CALIFORNIA
DEPARTMENT OF STATE HOSPITALS
, as Principal, and as Surety, are held and firmly bound unto the State of California, hereinafter called the State, in the penal sum of ten percent (10%) of the total amount of the bid of the Principal above named, submitted by said Principal to the State of California, Department of State Hospitals, for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
THE CONDITION of this obligation is such that:
WHEREAS, the Principal has submitted the above-mentioned bid to the State of California, Department of State Hospitals, for certain construction specifically described as follows, for which bids are to be opened at
(Insert place where bids will be opened) on (Insert date of bid opening) for
(Copy here the exact description of work, including location, as it appears on the proposal)
NOW, THEREFORE, If the aforesaid Principal is awarded the contract and, within the time and manner required under the specifications, after the prescribed forms are presented to him for signature, enters into a written contract, in the prescribed form, in accordance with the bid, and files the two bonds with the Department, one to guarantee faithful performance and the other to guarantee payment for labor and materials, as required by law, then this obligation shall be null and void; otherwise, it shall be and remain in full force and virtue.
In the event suit is brought upon this bond by the Obligee and judgment is recovered, the Surety shall pay all costs incurred by the Obligee in such suit, including a reasonable attorney’s fee to be fixed by the court.
IN WITNESS WHEREOF, We have hereunto set our hands and seals on this day of , 20 .
(SEAL)
Name of Principal and Address for Service
By
Contractor Signature
Name of Surety and Address for Service
(SEA
By
Attorney-in-Fact Signature
NOTE: Signatures of those executing for the Surety must be properly acknowledged.
CERTIFICATE OF ACKNOWLEDGMENT
STATE OF CALIFORNIA
COUNTY OF ss
On this day of in the year of 20 before me, a notary public in and for the county and state aforesaid, personally appeared, and proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and proved to me on the basis of satisfactory evidence to be the attorney-in-fact of and acknowledged to me that he/she subscribed the name of the said company thereto as surety, and his/her own name as attorney-in-fact.
Notary Public
BIDDER’S BOND
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A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
BIDDER NAME PROJECT NUMBER
STATE OF CALIFORNIA
CERTIFIED SMALL BUSINESS SUBCONTRACTOR(S) SUMMARY
Form date 09/28/2004
Listed hereinafter is the name of business, address, telephone number, dollar amount or percentage of all certified subcontractors who will be employed, and the description of the work which each will perform if the contract is awarded to this bidder.
Failure to list name of business, address, telephone number, description of work to be performed and dollar amount or percentage of work for each subcontractor may be cause for denial of the non-small business subcontractor preference.
(If further space is required for the List of Proposed Subcontractors, additional sheets showing the required information, as indicated below, shall be attached hereto and made a part of the Bid).
CERTIFIED SMALL BUSINESS
SUBCONTRACTOR
(Name of Business)
CERTIFIED SMALL
BUSINESS
SUBCONTRACTOR
(Address)
CERTIFIED SMALL
BUSINESS
SUBCONTRACTOR
(Telephone
Number)
CERTIFIED SMALL
BUSINESS
SUBCONTRACTOR
($ or % Amount)
CERTIFIED SMALL
BUSINESS
SUBCONTRACTOR
(Description of Work) (Service or Materials)
LIST OF CERTIFIED SMALL BUSINESS SUBCONTRACTOR(S) SUMMARY
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Supplemental Forms to be included in the Bid Submission
All bidders must complete the forms below and include them with the Bid Form (Document 00 41 00), Bidder’s Bond (Document 00 43 13), and List of Certified Small Business Subcontractor(s) Summary (Document 00 46 16-2) forms. These supplemental forms can be downloaded from the internet using the links below:
1. California Civil Rights Laws - A person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:
California Civil Rights Laws and Employer Discrimination Policies as outlined within the form. https://www.dgs.ca.gov/-/media/divisions/ols/forms/california-civil-rights-laws-attachment.ashx
2. Noncollusion Declaration - Complete this form to certify that your bid is genuine, entirely independent, and free from any price-fixing, bid-rigging, or collusion with competitors.
Form is an Appendix document in the State Contract Manual, Chapter 10.
https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/SCM-VI---04-2026- Update/CH10-2026.pdf
3. Payee Data Record (STD 204) – This form is required in lieu of IRS W-9 when doing business with the State of California and will be used by the State to prepare tax information returns as stated on the form. Failure to submit the completed form with the Bid will not be cause for rejection of a Bid but will be required prior to Award of Contract if not on file. https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf.
4. Darfur Contracting Act - For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal. https://www.dgs.ca.gov//- /media/Divisions/PD/Acquisitions/Solicitation-Document-Attachments/Darfur- Contracting-Act.pdf
5. Iran Contracting Act Verification Form - Pursuant to the Iran Contracting Act of 2010, vendors are ineligible to bid on, submit a proposal for, enter into, or renew any contract with the state for goods or services of one million dollars ($1,000,000) or more if the vendor engages in investment activities in Iran, as defined in the Act.
https://www.dgs.ca.gov/-/media/Divisions/PD/PTCS/OPPL/SCM/SCM-Link-Docs/Iran- Contracting-Act.pdf
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Locate certified Small Business and Disabled Veteran Business Enterprises firms on the Cal eProcure System.
Search the Cal eProcure website to locate certified Small Business (SB) and Disabled Veterans Business Enterprise (DVBE) firms. No registration or log-in is required.
Go to https://caleprocure.ca.gov/
� Click on Quick Links
� Click on Find Certified Firms (SB / DVBE)
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Search for Certified SB/DVBE Firms
The system allows the user to customize your search and target your specific needs. Search by Business Name, Certification Type, Business Type, Keywords, Zip Code, Service Area ID, UNSPC Classifications, NAICS Classifications or License Code.
Bidders may consider trade subcontractors with a Contractor’s license, but are reminded to also consider services, and/or material suppliers whose business functions may be relevant to the project’s scope of work (commercially useful function, CCR, Title 2, Section 1896.6).
For Small Business and Disabled Veteran Business Enterprise certification program related inquiries:
Office of Small Business & Disabled Veteran Business Enterprise Services (OSDS)
Email: OSDSHelp@dgs.ca.gov
Phone: 916-375-4940
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DVBE Incentive Information for Construction Contracts
The Department of General Services (DGS) established a Disabled Veteran Business Enterprise
(DVBE) Incentive pursuant to a revision of the Military and Veterans Code § Sections 999.5(a) & (d), California Code of Regulations §1896.98 et seq. and Government Codes §14600, §14615 & §14838(F).
DVBE has two inter-related aspects to the program:
1. The DVBE Participation Program – where bidders must meet or exceed the required participation goal percentage set for the solicitation.
2. The DVBE Incentive Program which gives bidders an opportunity to improve their bid status based on the participation percentage attained from the DVBE Participation Program.
The DVBE incentive is only used during the bid evaluation process and is applied by reducing the bid price by the amount of incentive as computed from the lowest responsive and responsible bid price.
The percentage of incentive given is equal to the percentage of DVBE participation achieved from a minimum of 1.00 % to a maximum of 5.00 % not to exceed a total of $50,000. The SB Preference (5% up to $50,000) may be combined with the DVBE Incentive but will not exceed a combined total of $50,000.
Application of the incentive shall not displace an award to a certified Small Business by a non-small business.
Under the incentive program, a bidder claiming the “Non-Small Business preference” is considered a “non-small” business.
When a contractor achieves participation with a DVBE company, the contractor fulfills two needs: 1) it fulfills the required DVBE participation and 2) it gets an incentive to lower their competitive bid price for evaluation purposes only.
Application Check the appropriate box in the Bid Form requesting the DVBE Incentive and also list the participating DVBE company(s) in the DVBE Summary giving the subcontractor’s monetary bid amount and the percentage of the Prime’s bid.
Examples of the DVBE Incentive program being applied as recommended above:
Example (1) #1 Bidder A – (with 2.5% DVBE participation)
Less the Incentive (2.5% of $1,270,000) Adjusted Bid Price of #1 Low Bid
$1,270,000
- 31,750 $1,238,250
#2 Bidder B – (with 5% DVBE participation) Less the Incentive (5% of $1,270,000) Adjusted Bid Price of #2 Bid
$1,300,000
- 63,500 $1,236,500
Bidder A’s Adjusted Bid Price of $1,238,250 is higher than Bidder B’s Adjusted Bid Price of $1,236,500. Award will be made to Bidder B for $1,300,000. Bidder B holds the Low Bid position with the additional DVBE Incentive.
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Example (2)
#1 Bidder A – (with Small Business Preference) $1,250,000
#2 Bidder B – (with 5% DVBE participation) Less the Incentive (5% of 1,250,000)
Adjusted bid for comparison
$1,300,000
- 62,500
$1,237,500
Bidder A with a SB preference cannot be displaced by Bidder B utilizing only the incentive. Bidder B would have had to have been a SB in order to displace Bidder A.
Example (3) #1 Bidder A – (with 1.15 % DVBE participation)
Less the incentive (1.15% of $1,200,000) Adjusted bid for comparison
$1,200,000 -13,800 $1,186,200
#2 Bidder B – (with Non-Small Business Preference and 3.25% DVBE participation) Less the preference (5% or $50,000 max) Less the incentive (3.25% of $1,200,000) Adjusted bid for comparison
$1,250,000 -50,000
-39,000 $1,161,000
#3 Bidder C – (with Small Business Preference and 15.89% DVBE participation) (5% max. incentive) Less the preference (5% or $50,000 max) Less the incentive (5% max of $1,200,000) Adjusted bid for comparison
$1,275,000 -50,000
-60,000 $1,165,000
Applying only the preference, Bidder A and Bidder B would have the same bid price of $1,200,000, but Bidder B would have the lower bid because of the Non-Small Business Preference. Bidder B would thus be in the #1 position. But when adding in the incentive, calculations are based off the original low bid price of Bidder A. Thus, Bidder B has the lowest adjusted bid price at $1,161,000. Even though Bidder B claims a 3.25% incentive, Bidder B cannot displace Bidder C for the #1 position because Bidder C is a certified Small Business and cannot be replaced by a non-small business. The award would be made to Bidder C for $1,275,000. The order would be as follows:
#1 - Bidder C, #2 - Bidder B, #3 - Bidder A.
Example (4) #1 Bidder A – (with 2.15% DVBE participation)
Less the incentive (2.15% of $93,000) Adjusted bid for comparison
$93,000.00
- 1,999.50 $91,000.50
#2 er B – (with 8.97% DVBE participation) Less the incentive (5% of $93,000) Adjusted bid for comparison
$94,600.00
- 4,650.00
$89,950.00
#3 er C – (with Small Business Preference) Less the preference (5% of $93,000) Adjusted bid for comparison
$99,500.00
- 4,650.00 $94,850.00
Adjusting bids for evaluation gives Bidder B, with a higher incentive than Bidder A, a lower adjusted bid. Even though SB preference can take precedence over the incentive program, Bidder C’s adjusted bid is still higher than Bidder B’s original bid before the incentive was applied.
The award order would be as follows: #1 - Bidder B, #2 - Bidder C, #3 - Bidder A.
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Preferences for Certified Small Business (SB) & Non-Certified Small Business Contractors
This is an overview showing the benefits of being a State certified Small Business or utilizing Small Businesses in the construction, service, manufacturing and non- manufacturing fields.
Small Business Benefits:
State agencies should award at least 25% of their annual contracting dollars to certified Small Business.
The State gives a 5% preference to certified Small Businesses through the bidding process.
Government Code Section 14838.7 allows State agencies to solicit public works SB firms directly for projects up to the amount identified in Public Contract Code 10105 and updated biannually by the Department of Finance Budget Letter, BL-26-02 issued 03/18/2026 sets this amount at $484,000.
Agencies use the Department of General Service’s certified Small Business firm database to find suppliers, services, manufacturers and contractors.
Prompt payment.
Small Business Preferences:
The Small Business Procurement and Contract Act (Government Code, Section 14835) was enacted to afford small businesses which include Microbusinesses (MB) the same opportunities as their non-SB competitors. A 5 % preference is offered during the bidding process. Under the Prompt Payment Act, the State must pay a certified SB higher interest penalties for late payment of an undisputed invoice.
Non-Small Business Subcontractor Preference Departments offer a 5 % preference to businesses that commit 25 % of their bid to CA certified Small Businesses.
What is the 5% Preference?
State law allows certified SB’s, certified MB’s, and businesses who subcontract with certified SB/MB firm(s) to receive a 5% bidding preference on Public Works projects. The preference is used only for computation purposes up to a maximum amount of $50,000, to determine the winning bidder. The contract is awarded at the actual bid amount.
Applying and calculating the 5% Preference.
Take 5% of the lowest bid (Business A) and subtract that dollar amount from the bidder requesting the SB or non-SB preference (Business B). Compare the original bid of Business A with Business B using the Preference.
If the bid with the preference is less, Business B will be lower. But, if the bid with the preference is greater, Business A remains the lower.
Example:
Business A Business B with 5% preference $250,000 x 5 %
Preference Factor $12,500 Bid $260,000
Preference Factor - 12,500 $247,500
Conclusion: After applying the 5% preference, Business B now falls into low bidder position with an adjusted bid below that of Business A. Therefore, the contract is awarded to Business B, but at the original bid amount of $260,000.
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Small Business Requirements & Helpful Information
This information shows the certification requirements to be a State certified Small Business, access to publications, where to file and contracting opportunities for Public Works projects.
Small Business Certification Requirements Must be independently owned and operated.
Cannot be dominant in its field of operation.
Must have its principal office located in California.
Must have its owners, or officers in the case of a corporation, domiciled in California.
Together with its affiliates, be either.
1. A business with 100 or fewer employees and an average annual gross receipt of $14 million or less over the last three tax years, or
2. A manufacturer with 100 fewer employees.
3. A microbusiness. A small business will automatically be designated as a microbusiness, if gross annual receipts are less than $3,500,000; or the small business is a manufacturer with 25 or fewer employees.
Reference Publications and Forms Information can be found by linking to http://www.dgs.ca.gov/pd/Programs/OSDS/GetCertified.aspx The certification application process requires the contractor to complete and submit a 2-page application (with an original signature) along with supporting documents as specified in the “Required Support Documents” section of the certification application. The contractor may complete the application online via a fill-in format or mail a hard copy to:
Department of General Services Office of Small Business & DVBE Services 707 Third Street, 1st Floor, Room 400 West Sacramento, CA 95605
Filing Time Applications are processed on a “first-in”, “first-out” basis. To meet certification needs, the Office of Small Business and DVBE Services (OSDS) requests that all application packages be sent a minimum of 5-10 working days prior to the bid due date. To be considered a valid certified small business participant in a bid competition; a complete certification application package must be received and deemed complete by OSDS. For help: email OSDSHelp@dgs.ca.gov or call (916) 375-4940.
Utilizing State Contracting Opportunities Cal eProcure is the portal for the California State Contracts Register (CSCR) and the online SB & DVBE queries.
All contractors that wish to do business with the State via the Cal eProcure system must do a free registration using https://caleprocure.ca.gov/pages/CertificationProcess/sbdvbe-1.aspx to obtain a user name and password.
From that point forward, you will only need one user logon for all eProcurement functions. Some of the benefits of free registration:
Receive E-mail or Fax notifications regarding State business opportunities and other related correspondence View, download and/or electronically respond to solicitations posted in the CSCR and any other nationwide opportunities that are posted Cal eProcure.
View the status of any non-confidential State procurement or contracting transaction Suppliers should receive bid notifications matching your preferences as soon as they become available in the system. Suppliers also have the option to opt out of receiving notifications; however, please note that the opt-out action removes you from all communications and notifications from the State's acquisition arena, including SB/DVBE certification, if applicable. For more information go to https://caleprocure.ca.gov or call (916) 375-2000.
File details come from the government source that posted it. Updated .