Bidders_Checklist.pdf

State of California Solicitation Number: 24WS0004 Department of Veterans Affairs

ATTACHMENT 1

BIDDER’S CHECKLIST

ELEVATOR MAINTENANCE AND REPAIR 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.

Original 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 –

Bidder Declaration - GSPD-05-105 –

Commercially Useful Function (CUF) Certification, if applicable –

Disabled Veteran Business Enterprise (DVBE) Participation in Exempt Contracts –

Iran (if applicable)

Darfur Contracting Act –

Non-Collusion Declaration -

Proof of Minimum Qualifications –

Sample Acord / Proof of Insurance –

Copies of All Required Licenses or Certifications Indicated in this Solicitation -

California Civil Rights Laws –

D.I.R. Registration if applicable –

STD 1000 - GenAI Disclosure and Factsheet

Contractor Certification Clauses (CCC-4/2017) - The CCC-4/2017 can be found on the Internet at http://www.ols.dgs.ca.gov/standard+language under the “Resources” tab.

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