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This is a Bidder's Checklist from the State of California Department of Veterans Affairs for Solicitation Number 25CRY016, seeking Temporary Relief Custodian Staffing Services. The document provides a comprehensive list of documents that potential bidders must submit with their bid package, including a Bidder's Checklist, Bidder Certification, Bid Rate Sheet, Payee Data Record, and various other required certifications and declarations.

The checklist emphasizes the importance of consistent company naming across all submitted documents, specifically matching the name on the Payee Data Record (STD 204). Bidders must provide documentation such as business licenses, incorporation documents, or good standing affidavits, and complete various state-required certifications including Commercially Useful Function (CUF), Disabled Veteran Business Enterprise (DVBE) declarations, and compliance with California Civil Rights Laws. The document also includes a link to the Contractor Certification Clauses and requires submission of a sample invoice, with a warning that failure to submit documents as prescribed may delay the agreement award.

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State of California Solicitation Number: 25CRY016 Department of Veterans Affairs

BIDDER’S CHECKLIST

Temporary Relief Custodian Staffing Services

The checklist below is a summary of documents to be submitted based on requirements in the Invitation for Bid. This checklist should be returned with your bid. Place a check-mark or “X” next to each document being submitted.

Signatures are required on the documents where specified.

The company name listed on all documents submitted (ex. licenses, permits, certifications, and insurance) must be identical to the company name on the Payee Data Record (STD 204). Failure to submit these documents in the manner prescribed may delay award of Agreements.

Bidder’s Checklist

Bidder Certification

Bid Rate Sheet

Signed Payee Data Record - STD 204 (and STD 205 if Applicable)

Bidder Declaration - GSPD-05-105

Commercially Useful Function (CUF) Certification, if applicable

Disabled Veteran Business Enterprise (DVBE) Declarations – DGS PD 843, if applicable

Iran, if applicable

Darfur Contracting Act

California Civil Rights Laws

Contractor Certification Clauses (CCC-4/2017) - The CCC-4/2017 can be found on the Internet at https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List- Folder/Standard-Contract-Language

Valid California city or county business license; or, if a corporation located within the State of California, incorporation documents or letter from the Secretary of State; or, if not a California business, an affidavit that business is in good standing with the State, Province, or Country in which business is headquartered.

Sample Invoice

File details come from the government source that posted it. Updated .