C1547020_Bidder_s_Checklist_w.Submittal_docs_F.pdf
PDF 2 MB Posted
- Attached to
- C1547020 Portable Toilet/Restroom Rental
- Solicitation number
- 0000000843
- Issued by
- San Diego County, California
About this file
This is a bid package from the California Department of Parks and Recreation's San Diego Coast District for portable toilet rental and services (Contract C1547020). The solicitation seeks services for multiple state beaches and parks including Carlsbad, South Carlsbad, San Elijo, Torrey Pines State Beach (South and North), Torrey Pines Natural Reserve, Silver Strand State Beach, and Border Field State Park. The contract term is from June 1, 2016 through May 31, 2018. Bids are due by 2:00 PM on April 6, 2016 at the San Diego Coast District Office. The scope includes regular servicing and maintenance of portable restrooms at specified locations with varying quantities and service frequencies across different periods throughout the year.
The bid package contains detailed service schedules for each location broken down by sector (North and South), with specific requirements for handicap accessible and regular units. Required bid documents include the Bidder's Checklist, Service Contract Bid Forms (DPR325B), DVBE Participation Summary (for incentive use only), Disabled Veteran Business Enterprise Declarations, Small Business Subcontractor Participation Worksheet (if applicable), and Darfur Contracting Act Certification. The solicitation includes provisions for small business preference (5%) and DVBE participation incentives. Pricing must be provided for regular services as well as additional portable restrooms and services that may be requested.
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Other files
| File | Type | Posted |
|---|---|---|
| C1547020_Bid_Booklet.pdf |
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Text version
State of California Natural Resources Agency Edmund G. Brown Jr., Governor
DEPARTMENT OF PARKS AND RECREATION Lisa Ann L. Mangat, Director
San Diego Coast District 4477 Pacific Highway San Diego, CA 92110
Bidder’s Checklist
Items below must be submitted with your bid. Bids missing this information will be regarded as non-responsive and therefore rejected.
_____Bidder’s Checklist
_____Service Contract Bid Forms (DPR325B)
_____Bidder’s DVBE Participation Summary (for incentive use only) (DPR 486)
_____Disabled Veteran Business Enterprise Declarations (for incentive use only)
(STD 843)
_____Small Bus. Subcontractor Participation Worksheet (if applicable) (DPR 85)
_____Darfur Contracting Act Certification (DPR 74)
YOUR RETURN ADDRESS
(REQUIRED)
INVITATION TO BID (IFB)
Park Name:
San Diego Coast District North and South Sector Units (Beach/Parks)
Project Name:
C1547020 - Portable Toilet Rental and Services Bid Date: @ 2:00 p.m. Wednesday, April 6, 2016 Department of Parks and Recreation DELIVER AND ATTENDING San Diego Coast District Office BID OPENING: 4477 Pacific Highway San Diego, CA 92110
DPR 325B (Rev. 10/2008)(Excel 10/10/2008) Page 1
4477 Pacific Highway, San Diego CA 92110 4/6/2016 2:00 PM
San Diego, CA 92110
FOR DEPARTMENT USE ONLY
C1547020 12
San Diego Coast District
BID OPENING
DATE
DISTRICT NAME AND ADDRESS
State of California - The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
NAME OF BUSINESS EMAIL ADDRESS
BUSINESS ADDRESS
SMALL BUSINESS PREFERENCE
Not eligible for SB preference
Partnership. Full names of partners:
Corporation. State in which incorporated:
Individual
I hereby propose to provide all labor, materials, tools, and equipment necessary to furnish and/or maintain portable chemical toilet units, complete and ready for use as specified on the back of this form, in accordance with the bid documents and such addenda thereto as may be issued prior to bid opening date.
BIDDER'S SIGNATURE DATE PRINTED NAME TITLE
TIME
Exhibit B, Attachment 1
A five percent preference will be granted to bidders properly approved as a Certified Small Business (SB) or a Certified Microbusiness (MB), or to a non-small business subcontracting 25% or more of the total monetary amount of the bid in supplies and/or labor costs with Certified Small Business subcontractors in accordance with Title 2, California Code of Regulations, Section 1896, et seq. To qualify as a Certified Small Business, the business must have an approved certification on file with the Office of
Small Business and DVBE Services (OSDS), 707 Third Street, First Floor - Room 400, West Sacramento, CA 95605, by 5:00 p.m. on bid opening day.
Claiming preference as a Certified Small Business
STATUS OF BUSINESS (Check appropriate box.)
CONTRACTOR NAME
AGREEMENT NO. PAGE
of
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM
(Attach a copy of the SB certification printout from OSDS' website) Claiming 25% SB subcontractor participation (Attach form DPR 85, Small Business Subcontractor Participation Worksheet)
PHONE NO.
FAX NO.
CITY/STATE/ZIP CODE
EXHIBIT B, ATTACHMENT 1
BID FORM-C1547020
PORTABLE RESTROOM RENTAL/SERVICE
BID PRICE SCHEDULE – UNIT BID SUMMARY
The bidder hereby proposes to furnish all labor, materials, tools and equipment to perform all work required to provide portable restrooms, maintain and service those restrooms at Carlsbad, South
Carlsbad State Beach, San Elijo State Beach, Torrey Pines State Beach South and North, Torrey Pines
Natural Reserve, Silver Strand State Beach, & Border Field State Park, which are all within San Diego
County, California, in accordance with contract documents schedules marked “Bid Forms” Exhibit B, Attachment I, hereby attached and made a part of this bid.
Therefore for the following stipulated sums which price includes all applicable taxes and other expenses.
TERM: The term of this contract shall be from June 1, 2016 through May 31, 2018.
Service Period-North Sector (Carlsbad, San Elijo & Torrey Pines)
Total Price$
6/1/16 – 6/30/16 $________________
7/1/16 – 6/30/17 $________________
7/1/17 – 5/31/18 $________________
Total all Sheets of Additional Portable Restrooms and Additional Chemical Toilet
Services item #10, 11, 12 for extra pick ups from all schedule sheets (pages 3-16), Exhibit B, Attachment I $__________________
Service Period-Silver Strand Service Period – Border Field State Park
Total Price$______________ Total Price$_____________________
6/1/16 – 6/30/16-$________________ 6/1/16 – 6/30/16-$________________
7/1/16 – 6/30/17-$________________ 7/1/16 – 6/30/17-$________________
7/1/17 – 5/31/18-$________________ 7/1/17 – 5/31/18-$________________
Total all Sheets of Additional Portable Restrooms and Additional Portable
Restroom Services item #11, 12 for extra pick ups from all schedule sheets (pages 3-
12), Exhibit B, Attachment I
Silver Strand - $_________________ Border Field SP - $__________________
BID GRAND TOTAL - (All) $____________________
Grand Total Written Out:_________________________________________________
In case of discrepancy between the stipulated grand total and the actual sum of the totals, the actual sum of the totals shall prevail.
SUBMIT BID FORMS IN DUPLICATE
3 12
North Sector
1 6/1/2016 6/30/2016 X Contractor X X X X X 17 4 68
2 7/1/2016 9/30/2016 X Contractor X X X X X 53 4 212
3 10/1/2016 3/31/2017 X Contractor X X X 52 4 208
4 4/1/2017 5/31/2017 X Contractor X X X X 26 4 104
5 6/1/2017 6/30/2017 X Contrator X X X X X 17 4 68
6 7/1/2017 9/30/2017 X Conractor X X X X X 52 4 208
7 10/1/2017 3/31/2018 X Contractor X X X 52 4 208
8 4/1/2018 5/31/2018 X Contractor X X X X 26 4 104
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Carlsbad State Beach Carlsbad Blvd., Carlsbad CA 92009
10 10
DISTRICT
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
E
M
From To
TYPE OF
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
4 12
1 6/1/2016 6/30/2016 X Contractor X X X 8 1 8 North Sector
2 7/1/2016 9/30/2016 X Contractor X X X X 40 1 40
3 10/1/2016 3/31/2017 X Contractor X X 26 1 26
4 4/1/2017 6/30/2017 X Contractor X X X 26 1 26
5 7/1/2017 9/30/2017 X Contractor X X X X 39 1 39
6 10/1/2017 3/31/2018 X Contractor X X 26 1 26
7 4/1/2018 5/31/2018 X Contractor X X X 17 1 17
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District South Carlsbad State Beach 7201 Carlsbad Blvd., Carlsbad CA 92009
20 10
DISTRICT
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly
Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
5 12
2 7/1/2016 9/30/2016 X Contractor X X X X 30 1 30
3 10/1/2016 3/31/2017 X Contractor X X 26 1 26
4 4/1/2017 6/30/2017 X Contractor X X X 26 1 26
5 7/1/2017 9/30/2017 X Contractor X X X X 30 1 30
6 10/1/2017 3/31/2018 X Contractor X X 26 1 26
7 4/1/2018 5/31/2018 X Contractor X X X 17 1 17
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District San Elijo State Beach Campground 2050 Highway 101, Cardiff, CA 92008
10 10
DISTRICT
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a
6 12
2 7/1/2016 9/30/2016 X Contractor X X X X 30 1 30
3 10/1/2016 3/31/2017 X Contractor X X 26 1 26
4 4/1/2017 6/30/2017 X Contractor X X X 26 1 26
5 7/1/2017 9/30/2017 X Contractor X X X X 30 1 30
6 10/1/2017 3/31/2018 X Contractor X X 26 1 26
7 4/1/2018 5/31/2018 X Contractor X X X 17 1 17
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District San Elijo State Beach Campground 2050 Highway 101, Cardiff, CA 92008
10 10
DISTRICT
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a
7 12
1 6/1/2016 6/30/2016 X contractor X X X X X 17 1 17 North Sector
2 6/1/2016 6/30/2016 X contractor X X X X X 17 5 85
3 6/1/2016 6/30/2016 contractor X X X X X 17 1 17
4 7/1/2016 6/30/2017 X contractor X X X X X 209 1 209
5 7/1/2016 6/30/2017 X contractor X X X X X 209 5 1,045
6 7/1/2016 6/30/2017 contractor X X X X X 209 1 209
7 7/1/2017 6/30/2018 X contractor X X X X X 208 1 208
8 7/1/2017 6/30/2018 X contractor X X X X X 208 5 1,040
9 7/1/2017 5/31/2018 contractor X X X X X 191 1 191
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Torrey Pines Reserve/West Upper Lot 12600 North Torrey Pines Rd., San Diego, CA
10 10 sink washing station sink washing station sink washing station
DISTRICT
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a
8 12
1 6/1/2016 6/31/2016 X Contractor X X X X X X 10 7 70 North Sector
2 6/1/2016 6/31/2016 X Contractor X X X X X X 10 2 20
3 7/1/2016 6/30/2017 X Contractor X X X X X X 40 7 280
4 7/1/2016 6/30/2017 X Contractor X X X X X X 40 2 80
5 7/1/2017 6/30/2018 X Contractor X X X X X X 30 7 210
6 7/1/2017 5/31/2018 X Contractor X X X X X X 30 2 60
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Torrey Pines State Beach/North Beach Lot1800 Mcgonigle Rd., San Diego, CA
DISTRICT
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
S $ $
PORTABLE RESTROOM RENTAL AND/OR SERVICE BID FORM - Exhibit B, Attachment 1
9 12
1 6/1/2016 6/31/2016 X Contractor X X X X X X 10 7 70 North Sector
2 6/1/2016 6/31/2016 X Contractor X X X X X X 10 2 20
3 7/1/2016 6/30/2017 X Contractor X X X X X X 40 7 280
4 7/1/2016 6/30/2017 X Contractor X X X X X X 40 2 80
5 7/1/2017 6/30/2018 X Contractor X X X X X X 30 7 210
6 7/1/2017 5/31/2018 X Contractor X X X X X X 30 2 60
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Torrey Pines Reserve/South Beach Lot 12600 North Torrey Pines Rd., San Diego, CA
DISTRICT
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
S $ $
From To u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
Hdcp Reg
10 12
1 6/1/2016 6/31/2016 X Contractor X X 4 1 4 South Sector
2 7/1/2016 6/30/2017 X Contractor X X 52 1 52
3 7/1/2017 5/31/2018 X Contractor X X 52 1 48
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Border Field State Park Monument Mesa next to Equestrian Staging Area -
1500 Monument Rd., San Diego, Ca
DISTRICT
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly
Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
S $ $
From To Week PERIOD SERVICE SERVICE [(C)X(D)] u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PERIOD [(A)X(B)]
u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
Hdcp Reg u n o n
M u e
T e d
W h u
T r i
F a t
S u n o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
11 12
1 6/1/2016 6/30/2016 X Contractor X X X 8 2 16 South Sector
2 7/1/2016 9/30/2016 X Contractor X X X 27 2 54
3 10/1/2016 3/31/2017 X Contractor X X 26 2 52
4 4/1/2017 6/30/2017 X Contractor X X X 26 2 52
5 7/1/2017 9/30/2017 X Contractor X X X 26 2 52
6 10/1/2017 3/31/2018 X Contractor X X 26 2 52
7 4/1/2018 5/31/2018 X Contractor X X X 17 2 34
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Border Field State Park 1500 Monument Rd., San Diego, Ca
2 10
DISTRICT
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly
Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
12 12
1 6/1/2016 6/30/2016 X Contractor X X X 8 1 8 South Sector
2 7/1/2016 9/30/2016 X Contractor X X X 27 1 27
3 10/1/2016 3/31/2017 X Contractor X X 26 1 26
4 4/1/2017 6/30/2017 X Contractor X X X 26 1 26
5 7/1/2017 9/30/2017 X Contractor X X X 26 1 26
6 10/1/2017 3/31/2018 X Contractor X X 26 1 26
7 4/1/2018 5/31/2018 X Contractor X X X 17 1 17
TOTAL COST FOR REGULAR SERVICES
ADDITIONAL CHEMICAL TOILETS - If requested, the contractor shall furnish the following additional chemical toilets:
TOTAL COST FOR ADDITIONAL TOILETS [(F)x(G)]
ADDITIONAL SERVICES - If requested, the contractor shall provide the following additional services:
TOTAL COST FOR ADDITIONAL SERVICES [(H)x(I)x(J)]
TOTAL BID PRICE
DPR 325B Page 2
FOR DEPARTMENT USE ONLY
C1547020
San Diego Coast District Silver Strand State Beach 5000 Highway 75, Coronado, CA 92118
15 4
DISTRICT
Bidder completes (D), (E), (G), (J), TOTAL COSTS, and TOTAL BID PRICE.
ESTIMATED REQUIREMENTS FOR CHEMICAL TOILET SERVICE ARE AS FOLLOWS:
PERIOD OF SERVICE I
T
TOILET PROVIDE
D
BY
SERVICE DAYS
SERVICE
FREQUENCY
Weekly Every Other
Week
(A)
NO. OF
SERVICE
DAYS FOR
PERIOD
(B)
NO. OF
TOILETS
EACH
SERVICE
(D)
COST PER
TOILET
PER
SERVICE
(E)
COST FOR
SERVICE
PERIOD
[(C)X(D)]
TYPE OF TOILETS (F) NO. OF EXTRA CHEMICAL TOILETS (G) COST PER TOILET
TYPE OF TOILETS (H) NO. OF TOILETS PER SERVICE
(J) COST PER TOILET
— Bidder understands that the quantities below are estimates only, for purposes of comparing bids, and that the State reserves the right to increase or decrease the amount of any item or eliminate any item or items as may be deemed necessary or advisable by the State. Such changes shall not affect the unit price of that item or any other items.
— In case of discrepancy between the unit price and the total set forth for the item, the unit price shall prevail. In case of discrepancy between the stipulated totals and the actual sum of the totals, the actual sum of all items shall prevail.
u n
S o n
M u e
T e d
W h u
T r i
F a t
S
(C)
NO. OF TOILETS
SERVICED IN
CONTRACT
PERIOD [(A)X(B)]
(I) NO. OF ADDITIONAL SERVICES
CONTRACTOR NAME
AGREEMENT NO. PAGE
of u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S u n
S o n
M u e
T e d
W h u
T r i
F a t
S
PARK UNIT
Hdcp Reg
Handicapped Accessible
Handicapped Accessible
Regular
Regular
CHEMICAL TOILET UNITS TO BE MADE OF
Fiberglass Wood Metal
LOCATION WITHIN PARK UNIT
u n
S o n
M u e
T e d
W h u
T r i
F a t
COMPANY NAME CONTRACTING WITH NATURE OF WORK TIER
DOLLAR
VALUE
OF
Total Small Business Subcontractor Dollar Value
Total Amount of Bid
TOTAL % OF BID FOR ALL SMALL BUSINESS SUBCONTRACTORS
DPR 85 (Rev. 6/2011)(Excel 6/6/2011)
COMPLETION INSTRUCTIONS
SMALL BUSINESS PREFERENCE
State of California - Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
Certified Small Businesses (SBs) may receive a 5% preference. Non Certified Small Business (SB) contractors may receive a 5% preference by subcontracting a minimum of 25% of the total monetary amount of their bid to Certified Small Businesses.
See the DPR 478, Small Business Notice for more information about the SB Preference.
COMPANY NAME: List the names of the subcontractors and suppliers proposed for the 25% Small Business (SB) subcontractor participation.
CONTRACTING WITH: Enter the name of the company with which the company listed is contracting.
NATURE OF WORK: Identify the proposed work (or materials or equipment) to be provided.
TIER: The Bidder may count toward its 25% Small Business participation goal the dollar value of work and supplies to be obtained by its primary subcontractors and suppliers from SB subcontractor firms as second and third level tier subcontractors/suppliers. Using the following codes, indicate the contracting tier for each SB company listed for participation:
0 = Prime or Joint Contractor 1 = Primary Subcontractor or Supplier 2 = Subcontractor/Supplier of Level 1 Subcontractor/Supplier 3 = Subcontractor/Supplier of Level 2 Subcontractor/Supplier
DOLLAR VALUE: Enter the dollar amount of the bid to be performed by the listed company’s own forces.
PERCENTAGE OF BID: Enter the percentage of the total bid amount the dollar value represents.
PRINTOUT: In order to claim the 25% Small Business participation credit, a printout from the Office of Small Business and DVBE Services eProcurement website for each SB listed.
PRINT-
OUT
DATE CONTRACTOR NAME
PART I
IS CONTRACTOR A CALIFORNIA CERTIFIED SMALL BUSINESS?
YES NO
If Yes, attach Contractor's certification printout from the eProcurement website to this form and stop here.
If No, you still may qualify for the Small Business Preference, complete Part II below.
PART II
SB CERT NO.
SB CERT NUMBER:
SB CERT NUMBER:
SB CERT NUMBER:
COMPANY NAME CONTRACTING WITH NATURE OF WORK TIER
DOLLAR
VALUE
OF
Total Small Business Subcontractor Dollar Value
Total Amount of Bid
TOTAL % OF BID FOR ALL SMALL BUSINESS SUBCONTRACTORS
DPR 85 (Rev. 6/2011)(Excel 6/6/2011)
COMPLETION INSTRUCTIONS
SMALL BUSINESS PREFERENCE
State of California - Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
Certified Small Businesses (SBs) may receive a 5% preference. Non Certified Small Business (SB) contractors may receive a 5% preference by subcontracting a minimum of 25% of the total monetary amount of their bid to Certified Small Businesses.
See the DPR 478, Small Business Notice for more information about the SB Preference.
COMPANY NAME: List the names of the subcontractors and suppliers proposed for the 25% Small Business (SB) subcontractor participation.
CONTRACTING WITH: Enter the name of the company with which the company listed is contracting.
NATURE OF WORK: Identify the proposed work (or materials or equipment) to be provided.
TIER: The Bidder may count toward its 25% Small Business participation goal the dollar value of work and supplies to be obtained by its primary subcontractors and suppliers from SB subcontractor firms as second and third level tier subcontractors/suppliers. Using the following codes, indicate the contracting tier for each SB company listed for participation:
0 = Prime or Joint Contractor 1 = Primary Subcontractor or Supplier 2 = Subcontractor/Supplier of Level 1 Subcontractor/Supplier 3 = Subcontractor/Supplier of Level 2 Subcontractor/Supplier
DOLLAR VALUE: Enter the dollar amount of the bid to be performed by the listed company’s own forces.
PERCENTAGE OF BID: Enter the percentage of the total bid amount the dollar value represents.
PRINTOUT: In order to claim the 25% Small Business participation credit, a printout from the Office of Small Business and DVBE Services eProcurement website for each SB listed.
PRINT-
OUT
DATE CONTRACTOR NAME
PART I
IS CONTRACTOR A CALIFORNIA CERTIFIED SMALL BUSINESS?
YES NO
If Yes, attach Contractor's certification printout from the eProcurement website to this form and stop here.
If No, you still may qualify for the Small Business Preference, complete Part II below.
PART II
SB CERT NO.
SB CERT NUMBER:
SB CERT NUMBER:
DPR 486 (New 1/2010)(Excel 1/26/2010)
C1547020
COMPANY INFORMATION
COMPANY INFORMATION: List the information (Company Name, Contact information) of subcontractor(s) and supplier(s) proposed for DVBE. If prime contractor is a DVBE, the name must be listed for participation.
COMPLETION INSTRUCTIONS
PART 1 — SUMMARY OF DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) PARTICIPATION
State of California - Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
COMPANY NAME
CONTACT
COMPANY NAME
CONTACT
I hereby certifiy that I have made a diligent effort to ascertain the facts with regard to the representations made herein. In making this certification, I am aware of Section 12650 et seq. of the Government Code providing for the imposition of treble damages for making false claims against the State and Section 10115.10 of the Public Contract Code making it a crime for intentionally making an untrue statement in this certificate.
PART 2 — BIDDER'S CERTIFICATION
BIDDING COMPANY'S NAME
SIGNATURE
DATE
TITLE (e.g. BUSINESS OWNER/CHIEF EXECUTIVE OFFICER, ETC.)
CONTRACTING WITH: Show the name of the department or company with which the company listed is contracting.
PRINT OUT: In order to claim DVBE participation credit, a printout from the eProcurement system showing their supplier ID and the status of their certification must be furnished with the bidder's bid or upon the signing of contract documents. Check mark if a copy of the printout is included.
NATURE OF WORK: Identify the proposed work (or materials or equipment) to be provided.
TIER: Bidder may count toward its participation goal the dollar value of work and supplies to be obtained by its primary subcontractors and suppliers from DVBE firms as second and third level tier subcontractors/suppliers. Contracting tier should be indicated with the following designations:
DVBE company listed for participation.
0 = Prime or Joint Contractor 1 = Primary Subcontractor or Supplier 2 = Subcontractor/Supplier of Level 1 Subcontractor/Supplier 3 = Subcontractor/Supplier of Level 2 Subcontractor/Supplier
DOLLAR VALUE: The dollar amount of the bid to be performed by the listed company’s own forces.
PERCENTAGE OF BID: The percentage of the total bid amount the dollar value represents.
CONTRACTING WITH
PERCENT OF BID
PRINT-
OUT
TIER
NATURE OF WORK
CONTACT PHONE
DOLLAR VALUE
COMPANY NAME
CONTACT
CONTRACTING WITH
PERCENT OF BID
PRINT-
OUT
TIER
NATURE OF WORK
CONTACT PHONE
DOLLAR VALUE
CONTRACTING WITH
PERCENT OF BID
PRINT-
TIER
NATURE OF WORK
CONTACT PHONE
DOLLAR VALUE
COMPANY NAME
CONTACT
CONTRACTING WITH
PERCENT OF BID
PRINT-
TIER
NATURE OF WORK
CONTACT PHONE
DOLLAR VALUE
BIDDER'S DVBE PARTICIPATION
PRINTED NAME
OUT
OUT
SOLICITATION NUMBER
DVBE CERTIFICATION NO.
DVBE CERTIFICATION NO.
DVBE CERTIFICATION NO.
DVBE CERTIFICATION NO.
DVBE CERTIFICATION NO.: Provide the DVBE Certification Number assigned to company.
http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf
DPR 74 (Rev. 5/2013)(Excel 5/16/2013)
DO NOT COMPLETE THIS FORM UNLESS YOUR COMPANY MEETS THE CRITERIA OF OPTION #1 OR OPTION #2.
FOR DEPARTMENT USE ONLY
C1547020
State of California - Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
DARFUR CONTRACTING ACT CERTIFICATION
Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.
DO NOT COMPLETE OR RETURN THIS FORM IF: Within the previous three years, your company HAS NOT had any business activities or other operations outside of the United States.
AGREEMENT/PAPO NO.
OPTION #1 - CERTIFICATION
If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.
COMPANY/VENDOR NAME (Printed)
BY (Authorized Signature)
PRINTED NAME AND TITLE OF PERSON SIGNING
DATE EXECUTED EXECUTED IN THE COUNTY AND STATE OF
FEDERAL ID NUMBER
OPTION #2 - WRITTEN PERMISSION FROM DGS
Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.
We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.
COMPANY/VENDOR NAME (Printed)
INITIALS OF SUBMITTER
PRINTED NAME AND TITLE OF PERSON INITIALING
FEDERAL ID NUMBER
All other companies, complete Option #1 or Option #2 and return:
File details come from the government source that posted it. Updated .