Bidder_Declaration_Form_(2).pdf
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- Attached to
- Put the name here
- Solicitation number
- 0000000454
- Issued by
- Sacramento County, San Francisco City, California
About this file
This is a Bidder Declaration Form (GSPD-05-105) from the California Department of General Services, Procurement Division. The form is designed to collect information about prime bidders and their subcontractors for state contracts, including certification status (MB, SB, NVSA, DVBE) and details about proposed work elements.
The form requires bidders to disclose whether they will use subcontractors, specify their certification status, and provide details about equipment rental if applicable. For DVBE-certified companies, additional information is required regarding broker/agent status and equipment ownership. The form includes a table for listing subcontractor information including contact details, certification status, work performed, percentage of bid price, good standing status, and rental equipment details. The document concludes with a certification statement requiring the bidder to confirm the accuracy of provided information under penalty of perjury.
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| std204[1].pdf | ||
| Bidder_Certification_Sheet.doc | DOC document |
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Text version
State of C alifornia—
O epartm eni of G eneral Services, Procurem ent D ivision
G
SPD-O
S-1 d5 (REV 08!09) S olicitation N
1.
Prim e bidder inform ation (R eview attached B idder D eclaration Instructions prior to com pletion of this form a.
Identify current C alifornia certifications) (M
B, SB, N
VSA, Q
VBE):
or N one ~
(If "N one; go to Item
#2) b.
W ill subcontractors be used for this contract? Yes Q
N o Q
{If yes, indicate the distinct elem ent of w ork your firm w ill perform in this contract e.g., list the proposed products produced by your firm , state if your firm ow ns the transportation vehicles that w ill deliver the products to the State, identify w hich solicited services your firm w ill perform etc.). Use additional sheets,as necessary.
c.
If you are a C alifornia certified DVBE:
(1) Are you a broker or agent? Yes ~
N o a
(2) If the contract includes equipm ent rental, does our co any o n at least 51 % of the equipm ent provided in this contract (quantity and value}? Yes ~
N o ~
N /A
2.
If no subcontractors w ill be used, skip to certification below . O therw ise, list all subcontractors for this contract. (Attach additional pages if necessary):
Subcontractor Name,Contact Person, Phone Number &Fax Number
Subcontractor Address &Email Address to tertifitation (MB,SB, NVSA, DUBE or None)
Work performed or gaotls provided for this contract
Corresponding of bid price Good
Standing?
51%
Rental?
0%
0%0%
CERTIFICATIO
PI: By signing the bid response, I certify under penalty of perjury that the inform ation provided is true and correct.
P a g e of c ~'
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