Bidders_Checklist.pdf
PDF 102 KB Posted
- Attached to
- 26BS0003 - Temporary Relief - Medical Director, Physician, and Physician Assistant Services
- Solicitation number
- 0000039015
- Issued by
- California
About this file
This is a Bidders' Checklist document issued by the State of California Department of Veterans Affairs for Solicitation Number 26BS0003 regarding Temporary Relief Medical Director, Physician, and Physician Assistant Services at the Veterans Home of California - Barstow. The solicitation requires submission of bids in response to an Invitation for Bid format. A mandatory walkthrough is required for this procurement. The checklist specifies that all submitted documents must be returned with the bid and serves as a guide for bidders to ensure complete submission of required materials.
Bidders must submit multiple documentation items including a Bidder Certification, signed Bid Rate Sheet, completed Payee Data Record (STD 204), Bidder Declaration (GSPD-05-105), and Contractor Certification Clauses (CCC-4/2017). Additionally, bidders must provide proof of a valid California business license or equivalent business standing documentation, a sample invoice, and documentation demonstrating compliance with a 100-mile radius requirement. The checklist also indicates conditional submissions for Commercially Useful Function (CUF) Certification, Disabled Veteran Business Enterprise (DVBE) Declarations, Iran contracting compliance, and Darfur Contracting Act compliance as applicable. All company names listed on submitted documents must match exactly with the company name on the Payee Data Record, and failure to submit documents as prescribed may result in delays in contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| Contractor_Certification_Clauses__CCC_.pdf | ||
| STD_205.pdf | ||
| Exhibits_A-E.pdf | ||
| CV_012_CUF_Certification_Form.pdf | ||
| STD_213.pdf | ||
| Sample_Insurance_Template.pdf | ||
| Bidders_Certification.pdf | ||
| Darfur_Contracting_Act_Certification.pdf | ||
| Iran_Contracting_Act.pdf | ||
| IFB_Letter.pdf | ||
| DVBE_Declarations.pdf | ||
| DVBE_Program_Requirements.pdf | ||
| STD_204.pdf | ||
| CALIFORNIA_CIVIL_RIGHTS_LAWS_CERTIFICATION.pdf | ||
| GSPD-05-105_-_Bidder_Declaration.pdf | ||
| Bid_Rate_Sheet.xlsx | XLSX spreadsheet |
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Text version
State of California Solicitation Number:26BS0003 Department of Veterans Affairs
BIDDER’S CHECKLIST
Temporary Relief Medical Director, Physician, and Physician Assistant 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
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
Documentation of compliance with 100 mile radius requirement.
https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language
File details come from the government source that posted it. Updated .