Bidders_Checklist.pdf
PDF 126 KB Posted
- Attached to
- 24BS0031 - Temp Relief Chief Medical Officer
- Solicitation number
- 0000032694
About this file
This document is a Bidder's Checklist for the State of California's solicitation for Temporary Relief Physician/Surgeon Services for the Department of Veterans Affairs. The checklist outlines the required documents that bidders must submit, including a Bidder Certification, Bid Rate Sheet, Payee Data Record, Bidder Declaration, Commercially Useful Function Certification, and various other certifications and licenses. The contract opportunity is for the Veterans Home of California - Barstow, which requires these temporary physician and surgeon services. The solicitation number is 24BS0031, and the contract term is not specified.
The pricing terms, set-asides, and funding sources are not detailed in this document. However, the checklist indicates that the company name listed on all submitted documents must match the Payee Data Record, and failure to submit the required documents may delay the award of the agreements.
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Other files
| File | Type | Posted |
|---|---|---|
| 4._Bid_Rate_Sheet.xlsx | XLSX spreadsheet | |
| Addendum_1.pdf | ||
| 12b._Exhibit_A-1_DRAFT.pdf | ||
| 1._IFB_-_Electronic_Bid_Submittal.pdf | ||
| 4._Bid_Rate_Sheet_DRAFT.xlsx | XLSX spreadsheet | |
| Exhibits_-_A-E.pdf | ||
| Verification_Documents.pdf | ||
| 12d._Exhibit_B-1_DRAFT.pdf | ||
| Addendum_2.docx | DOCX document | |
| GSPD-05-105_-_Bidder_Declaration.pdf | ||
| 12a._Exhibit_A_DRAFT.pdf |
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Text version
State of California Solicitation Number:24BS0031 Department of Veterans Affairs
BIDDER’S CHECKLIST
Temporary Relief Physician/Surgeon 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.
STD 1000 Generative Artificial Intelligence (GenAI) Disclosure and Factsheet
Sample Invoice 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 .