C23635017__IFB.pdf

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Attached to
C23635017-Septic pumping services for Humboldt Redwoods State Park
Solicitation number
0000030644
Issued by
Humboldt County, Eucalyptus Hills CDP, California

About this file

This document is an Invitation for Bid (IFB) for the Department of Parks and Recreation, North Coast Redwoods District to provide septic pumping services for Humboldt Redwoods State Park and Grizzly Creek Redwoods State Park in Humboldt County, California. The scope of work includes pumping, hauling, and disposing of sewage from multiple septic vaults and tanks within the parks, as well as emergency pumping services. The contract requires the successful bidder to have all necessary permits for septic pumping and sewage disposal within Humboldt County. Pumping services must be provided within two weeks of a standard request and within two hours of an emergency request.

The contract does not specify any pricing terms, set asides, or incumbent information. Funding requirements and sources are also not provided. The IFB does not include any additional legal language or contract clauses.

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INVITATION FOR BID

BID BOOKLET

For

Department of Parks and Recreation

PLANS AND SPECIFICATIONS

Septic Tank & Vault Pumping Services North Coast Redwoods District

Humboldt County

March 2024

C23635017

STATE OF CALIFORNIA

DEPARTMENT OF PARKS AND RECREATION

North Coast Redwoods District Eureka, California

Bidder

DPR 478 (Rev. 4/2023)(Excel 4/14/2023)(Page 1 of 2)

$29,870 $28,421

Small Business Status

Claims small business status, but is not CA certified

Does not claim to be a small business Claims small business status, but their CA certification has expired

Claims small business and is CA Certified

$28,975 $28,975

$29,520 $29,520

Bid Amount Bid After 5% Preference

$30,750 $30,750

Small Business (SB) Notice 5% Small Business Preference

1. What is a California Certified Small Business (SB)?

a) For a business to be considered a Small Business (SB), they must be certified with the State of California - Department of General Services in accordance with California Code of Regulations, Title 2, Section 1896.94.

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

b) Your business may be eligible if it meets all of the following*:

1. Must be independently owned and operated.

2. Cannot be dominant in its field of operation.

3. Must have its principal office located in California.

4. Must have its owners (or officers in the case of a corporation) domiciled in California.

5. Together with its affiliates, be either:

° A business with 100 or fewer employees, and an average annual gross receipts of $16 million or less over the previous three tax years, or

° A manufacturer with 100 or fewer employees.

6. Microbusiness: A small business will automatically be designated as a microbusiness if gross annual receipts, together with all affiliates, are less than $5,000,000 or, the small business is a manufacturer with 25 or fewer employees.

* For additional details visit the Department of General Services (DGS) website.

2. What is the SB Preference?

a) State law allows certified small business (SB) and microbusiness (MB) firms to receive a 5% bidding preference on applicable state solicitations. The 5% preference is also available for non-certified businesses who subcontract 25% of contract amount with a certified SB/MB.

b) The effect of the preference is to help SBs/MBs be more competitive in the bid process, thereby enhancing state contract awards directly or indirectly to SB/MB. The preference is only used for computation purposes to determine the winning bidder, the contract is awarded at the actual bid amount.

3. In no event shall the SB preference or non-SB subcontracting reference exceed $50,000 in any single bid.

4. How does the 5% Small Business (SB) Preference Work?

a) The following example shows how the 5% preference computation works, and how it is used to determine a successful bidder.

The State of California www.dgs.ca.gov/PD/Contact

Department of General Services Receptionist: (916) 375-4940 Office of Small Business and DVBE Services 24-hour recording: (916) 322-5060 707 Third Street, First Floor – Room 400 FAX: (916) 375-4950 West Sacramento, CA 95605 OSDSHelp@dgs.ca.gov

DPR 478 (Rev. 4/2023)(Page 2 of 2)

b) Computation Method for example 4-a:

1. Five percent is applied to the lowest (non-certified small business) responsible bid ([Bidder 2] $28,975 x .05 = $1448.75).

2. The preference amount ($1,448.75) is subtracted from the certified small business (Bidder 4’s) bid amount ($29,870 - $1,448.75 = $28,421.25).

3. Bidder 4’s computed total is $28,421.25, making them the lowest bidder.

4. The contract is awarded to Bidder 4 for $29,870.

c) NOTE: The 5% SB preference is applied to currently certified and registered small businesses and is used for bid evaluation purposes and does not alter the bid's actual amount.

5. Documentation

a) Bidders must provide a printout from the State's SB/DVBE vendor system showing your certification and expiration date from the following web site. www.Caleprocure.ca.gov

b) If a non-certified firm is claiming the SB Preference based on subcontracting at least 25% of the contract to a certified SB/MB, you must include a complete GSPD 05-105 with your bid. An evaluated bid under the 25% SB subcontracting qualification cannot displace a certiffied and registered SB.

c) At completion of peformance and when SB participation was included toward SB goals under this contract, then the contractor must complete and submit form DPR 489 to the State's designated representative under this contract and within the time specified within the contracting documents or within 60 days of receipt of final payment, which ever is sooner.

6. Verification

Information submitted by the bidders to claim the SB Preference will be verified by the State. If evidence of an alleged violation is found during the verification process, the State shall initiate an investigation, in accordance with the requirements of the PCC §10115, et seq., and MVC §999 et seq., and follow the investigatory procedures required by the 2 CCR §1896.80. Contractors found to be in violation of certain provisions may be subject to loss of certification, penalties and/or contract termination.

7. To locate SB/MB contractors:

a) Contact the department’s contracting official named in this solicitation for any SB/MB contractors who may have identified themselves as potential subcontractors, and to obtain suggestions for search criteria to possibly identify SB/MB contractors for the solicitation. You may also contact the department’s SB/DVBE Advocate for assistance: www.parks.ca.gov/advocate.

b) Access the list of all certified SB/MBs by using the Department of General Services, Procurement Division (DGS-PD) online certified firm database at: www.Caleprocure.ca.gov

c) Search by “Keywords” or United Nations Standard Products and Services Codes (UNSPSC) that apply to the elements of work you want to subcontract to a SB/MB.

d) Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at: www.Caleprocure.ca.gov

8. Information The State of California, Department of General Services, Procurement Division, Office of Small Business and DVBE Services (OSDS) offers many services that assist contractor/business owners with a variety of information designed to streamline the State contracting process. OSDS also certifies SB/MB contractors. For more information, please contact OSDS to find out more:

DPR 479IW (Rev. 12/2022)(Excel12/20/2022)(Page 1 of 5)

1. Bidder's attention is directed to the Disabled Veteran Business Enterprise (DVBE) Participation Requirement for bidders, as outlined in the accompanying bid package.

Disabled Veteran Business Enterprise (DVBE) Notice

2. What is a Disabled Veteran Business Enterprise (DVBE)?

a. For a business to be considered a Disabled Veteran Business Enterprise (DVBE), they must be certified with the State of California - Department of General Services in accordance with California Code of Regulations, Title 2, Section 1896.94. Please see the following website for more information about DVBE certification benefits and eligibility requirements:

www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or- Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

b. Only DVBEs who perform a commercially useful function relevant to this solicitation, may be used to satisfy the DVBE incentive program requirements.

3. Commercially Useful Function Definition

a. California Code of Regulations, Title 2, § 1896.61(l): The term "DVBE contractor, subcontractor or supplier" means any person or entity that satisfies the ownership (or management) and control requirements of §1896.61(f); is certified in accordance with §1896.70;

and provides services or goods that contribute to the fulfillment of the contract requirements by performing a commercially useful function.

b. A person or entity must perform a commercially useful function (CUF) as defined under Military and Veterans Code (MVC) §999.

c. A contractor, subcontractor, or supplier will not be considered to perform a commercially useful function if the contractor's, subcontractor's, or supplier's role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of disabled veteran business enterprise participation.

4. What is the DVBE Incentive Program?

a. The DVBE Incentive Program was established by statute and applies to contracts solely financed by State funds. This program is separate from the DVBE Participation Program. The incentive is designed to encourage bidders to partner with DVBE subcontractors.

The DVBE Participation Requirement for this solicitation has been waived – however the DVBE Incentive still applies.

There is no minimum DVBE participation requirement for this solicitation.

DVBE Incentive for Invitation For Bid (IFB) (Participation Requirement Waived)

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

DPR 479IW (Rev. 12/2022)(Excel 12/20/2022)(Page 2 of 5)

b. The incentive may be combined with other incentives and preferences up to an established cap of $100,000.00. The incentive is used only for evaluation purposes and does not alter the amounts of the actual bids.

5. Reporting Requirement

a. If, for this agreement, a contractor made a commitment to achieve disabled veteran business enterprise (DVBE) participation, within 60 days of receiving final payment under this agreement (or within such other time period as may be specified elsewhere in this agreement) the contractor must certify in a report to the awarding department:

i) the total amount the prime contractor received under the contract

ii) the name and address of the DVBE(s) that participated in the performance of the contract

iii) the amount each DVBE received from the prime contractor

iv) that all payments under the contract have been made to the DVBE(s)

v) the actual percentage of DVBE participation that was achieved

b. You will be required to report to DPR the actual dollars spent with each DVBE subcontractor on form STD. 817. If awarded the contract you will receive this form at the completion of the contract. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Military & Veterans Code (M&VC) § 999.5(d)).

6. Who is eligible to receive the incentive?

a. Any responsive and responsible bidder who has attained .01% DVBE participation or higher with a registered and certified DVBE.

7. Documentation

a. Bidders must document DVBE participation commitment by completing and submitting the following forms:

1) GSPD 05-105, Bidder Declaration: The GSPD 05-105 is used to document the proposed prime contractor and subcontractors, including their roles and responsibilities. The form must be submitted with the bid package. If there is a discrepancy between the dollar amount and percentage of bid for DVBE participation then the percentage shall prevail.

2) DGS PD 843, DVBE Declaration: All disabled veteran owners and disabled veteran managers of the DVBE must complete the form and submit it with the bid package. A DGS A DGS PD 843 needs to be submitted by every DVBE supplier who is part of a bid whether they are the prime contractor or subcontractor.

b. Bids that fail to submit the completed required forms to confirm the level of DVBE participation will not be eligible to receive the DVBE incentive. Clerical and typographical errors on these forms may be corrected at the State’s sole discretion.

c. Information submitted by the bidders to claim the DVBE incentive(s) will be verified by the State. If evidence of an alleged violation is found during the verification process, the State shall initiate an investigation, in accordance with the requirements of the PCC §10115, et seq., and MVC §999 et seq., and follow the investigatory procedures required by the 2 CCR §1896.80.

Contractors found to be in violation of certain provisions may be subject to loss of certification, penalties and/or contract termination.

c. Table A – Invitation For Bid (IFB) (aka Low Price Method)

a. Low Price Method

A B C

$98,000.00 $102,100.00 $100,000.00

0% 8% 4.5%

1 3 2 n/a 5% 4% n/a $4,900.00

(5% x $98,000) $3,920.00

(4% x $98,000) n/a 97,100.00

($102,100 - $4,900) 96,080.00

($100,000 - $3,920)

3 2 1

DPR 479IW (Rev. 12/2022)(Excel 12/20/2022)(Page 3 of 5)

Confirmed DVBE Participation of DVBE Incentive Amount for IFB

5% or more

4% - 4.99%

3% - 3.99%

2% - 2.99%

.01% - 1.99%

5% of lowest responsive and responsible bid

4% of lowest responsive and responsible bid

3% of lowest responsive and responsible bid

2% of lowest responsive and responsible bid

1% of lowest responsive and responsible bid

Final Rank:

DVBE Incentive (from Table A)

Incentive Amount (% x Lowest Responsive and Responsible Bid Price)

Adjusted Bid Price (Bidder's Price - Bidder's Incentive Amount)

Bidder Name

Original Bid Price

DVBE Participation for certified DVBE Prime or Subcontractors

Initial Ranking

8. How does the DVBE Incentive Program Work?

a. The DVBE incentive is used only for evaluation purposes to determine the successful bidder and does not alter the amounts of the actual bids. A dollar cap of $100,000.00 is set for all combined incentives and preferences.

b. For contracts to be awarded based on the Low Price Method, the incentive amount is equal to a percentage of the lowest responsive and responsible bid based on the amount of DVBE participation in the bid being evaluated per Table A below. The Computation Method does not include the small business preference; however, the small business preference may be applied and may affect the application of the incentive and the outcome of the ranking.

9. Computation Method

The State of California www.dgs.ca.gov/PD Department of General Services Receptionist: (916) 375-4940 Office of Small Business and DVBE Services 24-hour recording: (916) 322-5060 707 Third Street, First Floor – Room 400 FAX: (916) 375-4950 West Sacramento, CA 95605 OSDSHelp@dgs.ca.gov

DPR 479IW (Rev. 12/2022)(Excel 12/20/2022)(Page 4 of 5)

10. Substitution of Proposed DVBE

a. If awarded the contract, the DVBE subcontractors and/or contractors proposed by bidder must be used unless prior written notice of substitution is provided to the state and the state approves such substitution.

b. The notice must include a minimum of: (1) a written explanation of the reason for the substitution; and (2) an updated GSPD 05-105 must be submitted to the award office of Department of Parks and Recreation. The substitution request must before approved before the substitution can take place.

c. Failure to adhere to at least the DVBE participation proposed by the successful bidder may be cause for contract termination and recovery of damages under the rights and remedies due the state under the default section of the contract.

d. Contractor understands and agrees that should award of this contract be based in part on their commitment to use the Disabled Veteran Business Enterprise (DVBE) subcontractor(s) identified in their bid or offer, per Military and Veterans Code 999.5 (e), a DVBE subcontractor may only be replaced by another DVBE subcontractor and must be approved by the State. Changes to the scope of work that impact the DVBE subcontractor(s) identified in the bid or offer and approved DVBE substitutions will be documented by contract amendment.

e. Failure of Contractor to seek substitution and adhere to the DVBE participation level identified in the bid or offer may be cause for contract termination, recovery of damages under rights and remedies due to the State, and penalties as outlined in M&VC § 999.9; Public Contract Code (PCC) § 10115.10, or PCC § 4110 (applies to public works only).

11. To locate DVBE contractors:

a. Contact the department’s contracting official named in this solicitation for any DVBE contractors who may have identified themselves as potential subcontractors, and to obtain suggestions for search criteria to possibly identify DVBE contractors for the solicitation. You may also contact the department’s SB/DVBE Advocate for assistance – www.parks.ca.gov/advocate.

b. Access the list of all certified DVBEs by using the Department of General Services, Procurement Division (DGS-PD) online certified firm database at:

https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx?psNewWin=true

Search by “Keywords” or United Nations Standard Products and Services Codes (UNSPSC), that apply to the elements of work you want to subcontract to a DVBE.

c. Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at:

www.Caleprocure.ca.gov

d. The State of California, Department of General Services, Procurement Division, Office of Small Business and DVBE Services (OSDS) offers many services that assist contractor/business owners with a variety of information designed to streamline the State contracting process. OSDS also certifies

b. DGS PD 843, DVBE Declaration

DPR 479IW (Rev. 12/2022)(Excel 12/20/2022)(Page 5 of 5)

a. GSPD 05-105, Bidder Declaration

DISABLED VETERAN BUSINESS ENTERPRISE (DVBE)

DVBE Documentation Checklist

1. The State of California acknowledges the service and sacrifice of its disabled veterans, in part, through the “Disabled Veteran Business Enterprise (DVBE) Participation Program.” As mandated bylaw, state agencies have a goal to award at least 3% of their annual contract dollars to certifiedDVBE’s.

2. When a firm bids on a state DPR contract that contains DVBE participation, the firm may benefit from the DVBE Incentive program. We encourage all suppliers to obtain as much DVBE participation as possible.

3. INCOMPLETE DOCUMENTATION (GSPD 05-105 AND DGS PD 843) MUST RESULT IN

DISQUALIFICATION FROM FURTHER PARTICIPATION IN THE SELECTION PROCESS FOR THE

CONTRACT.

4. The following checklist is provided to assist bidders with their DVBE participation documentation:

All DVBE participation is indicated.

The names of each participating DVBE company is listed with the dollar value and applied percentage of the bid.

A copy of the printout from eProcurement system showing the company’s DVBE certification status.

The DVBE participation percentage listed agrees with the dollar value claimed.

A completed and signed DGS PD 843 is included with the bid for every DVBE (whether prime contractor or subcontractor) included.

PLANS AND SPECIFICATIONS

Septic Tank & Vault Pumping Services

North Coast Redwoods District Humboldt County, CA

March 2024

C23635017

TABLE OF CONTENTS

Number of Pages Cover Page ............................................................................................................. ….1 Small Business Notice Disabled Veteran Business Enterprise (DVBE) Notice Table of Contents Invitation for Bids/Instructions to Bidders (DPR 940A)

Sample Contract and Other Required Documents:

Refuse Disposal Bid Form (DPR 326B Sample) Standard Agreement (STD 213 Sample) Standard Agreement Exhibit A (DPR 603 Sample) Standard Agreement Exhibit B (DPR 604 Sample) Standard Agreement Exhibit D (DPR 605S Sample) Bidder’s (DVBE) Participation (DPR 486 Sample) Disabled Veteran Business Enterprise Declarations (DGS PD 843 Sample) Contractor’s Actual SB/MB &DVBE Participation (DPR 489 Sample) Small Business Subcontractor Participation Worksheet (DPR 85 Sample) Payee Data Record (STD 204 Sample) Payee Data Record Supplement (DPR 88 Sample) Darfur Contracting Act Attachment (DPR 74 Sample) CCC 04/2017, Contractor Certification Clauses (Sample) Bidder Declaration (GSPD-05-105 Sample)

Special Provisions:

Exhibit A, Attachment 1 - Specifications

Bid Forms to be completed and submitted with bid package:

Bidders Checklist Refuse Disposal Bid Form (DPR 326B) Bidder’s DVBE Participation (DPR 486) Disabled Veteran Businesses Enterprise Declarations (DGS PD 843) Small Business Contractor Participation Worksheet (DPR 85) Darfur Contracting Act Attachment (DPR 74) Bidder Declaration (GSPD-05-105)

C23635017

Date:

Time:

Location:

at

Department of Parks and Recreation

Contact Person:

Phone No.:

E-mail:

DPR 940A (Rev. 5/2023)(Excel 5/4/2023)(Page 1 of 3) jason.norris@parks.ca.gov

Humboldt Redwoods State Park and Grizzly Creek Redwoods State Park

2:00 PM

3431 Fort Avenue, Eureka, CA 95503

Jason Norris 707-832-1490

11/1/2023 or upon DGS-OLS approval through 10/31/2026

North Coast Redwoods District

Eureka, CA 95502 PO Box 2006 pump, haul sewage and clean vaults and/or septic tanks as per Exhibit A, Attachment 1, Specifications to multiple loactions

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

1.

At the above time and place the bids will be publicly opened and read for furnishing services, material, or equipment, or to perform all work required to:

complete and ready for use in accordance with plans and specifications and such addenda as may be issued prior to bid opening date.

Additional requirements/information are as follows:

Due to remote location and nature of having to be within 2 hours of our on-call requirement, bidders must be based in Humboldt or Mendocino County. In order to be deemed responsive, the bidder must submit proof of a business location in Humboldt or Mendocino County. Contractor must carry all necessary permits for pumping septic tanks within Humboldt County as well as hauling and disposing of sewage.

Prospective bidders may examine and obtain specifications and bid forms, or receive assistance with questions regarding this Invitation for Bids by calling, e-mailing or mailing a request to:

The anticipated performance period of the contract is

Bids shall take into consideration all such conditions as may affect the work. Bidder should carefully examine the entire bid documents and become fully aware of the nature and location of the work, the quantities of work, and conditions to be encountered in performing the work. Due to our remote location and nature of having to respond within 2 hours of our on-call requirement, bidders must be based in Humboldt or Mendocino County. In order to be deemed responsive, bidders must submit proof of a business location in Humboldt or Mendocino County.

2. Bid documents consist of all forms, instructions, notices, specifications, and any addenda thereto, that describe the project or services to be performed and the requirements for bidding. All bidders are responsible to inquire as to addenda issued.

Sealed bids will be accepted by the Department of Parks and Recreation until the following date and time, at the following location.

3. Bids shall be submitted in duplicate a sealed envelope. This envelope shall include the return address of the bidder, be marked "Bid - Do Not Open" and delivered to the place shown above prior to the time and date of the bid opening.

It is the responsibility of the bidder to ensure that his/her bid is received in proper time. Facsimile (Fax) responses will not be considered.

SERVICE CONTRACTS

INVITATION FOR BIDS/INSTRUCTIONS TO BIDDERS

CONTRACT/BID NO.:

April 5, 2024

4. No bids will be accepted after the date and time set for the bid opening.

5. Prices shown on the Bid Form shall include all applicable taxes and other items of expense incident to the bid price.

6. Any bid may be withdrawn prior to the hour fixed above, provided that the written request for withdrawal is submitted by the bidder or his/her duly authorized representative and filed at, e-mailed to or sent by FAX to the place shown above. An oral or other form of request to withdraw a bid is not acceptable.

7. Bids will be opened and read publicly at the time and place indicated above. Bidders or their authorized agents are invited to be present.

8. Bids may be rejected if they show any alterations to form, additions not called for, conditioned bids, incomplete bids, or irregularities of any kind. Only those bids which cover all the work outlined will be considered. The State reserves the right to reject any or all bids.

9. If the contract is awarded, it will be awarded to the lowest responsible bidder whose bid complies with the prescribed requirements.

10. In the case of a tie bid, the determination of a successful bidder will be made by a coin toss in the presence of all interested bidders, at a time and date set by the originating office.

11. All bids shall remain valid for 30 calendar days after the bid opening date.

12. The basic agreement for contracting with the State, "STD. 213 - Standard Agreement," is included in bid documents in sample form for informational purposes.

13. The contract shall be signed by the successful bidder and returned within five (5) working days after the bidder receives notice that the contract has been awarded.

14. The contract shall be a binding contract upon the State only after approval by the State.

DPR 940A (Rev. 5/2023)(Page 2 of 3)

A. Upon written request by any bidder who has submitted a bid, the agency must post a notice of the proposed contract award in a place accesible by the general public including any internet site identified in the IFB at least five days prior to awarding the contract.

If contract is not awarded to the low bidder, the low bidder shall be notified by FAX, overnight courier, e-mail, or personal delivery five (5) working days prior to the award of contract.

Procedure for Protesting an Award

B. Inspection of bids is permitted as follows:

C. There are time limits in which to file a protest. A protest must be filed with the agency and DGS after notice of intent to award the contract, but before the actual award.

D. Once a protest is filed the contract may not be awarded until the protest is withdrawn or DGS has rendered a decision.

After bid opening, all bids shall be available for public inspection.1.

DPR 940A (Rev. 5/2023)(Page 3 of 3)

A copy of the written protest should be sent to:

Department of Parks and Recreation Administrative Services Division Manager, Contract Services Unit

P.O.Box 942896 Sacramento, CA 94296-0001

Protests of award shall be in writing and filed with:

Department of General Services Office of Legal Services

Attention: Protest Coordinator 707 Third Street, 7th Floor

West Sacramento, CA 95605 Email: OLSProtests@dgs.ca.gov

E. After filing a protest, the protestant has five calendar days to file a detailed written statement of the protest grounds if the original protest did not contain the complete grounds for the protest.

DPR 326B (Rev. 10/2008)(Excel 10/10/2008) Page 1

FOR DEPARTMENT USE ONLY

C23635017 15

North Coast Redwoods District

PO Box 2006

BID OPENING

2:00pm

Eureka, CA 95502

DATE

DISTRICT NAME AND ADDRESS

REFUSE DISPOSAL SERVICE BID FORM

State of California - The Resources Agency

DEPARTMENT OF PARKS AND RECREATION

NAME OF BUSINESS

BUSINESS ADDRESS CITY/STATE/ZIP CODE

Partnership. Full names of partners:

Corporation. State in which incorporated:

Individual

I hereby propose to provide all labor, materials, tools, and equipment necessary to perform all work required to haul refuse 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

STATUS OF BUSINESS (Check appropriate box.)

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

SMALL BUSINESS PREFERENCE

Not eligible for SB preference

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 (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.

EMAIL ADDRESS

SAM

PLE

4/5/2024

2 15

VAULT

1 3 1 3

2 3 1 3

3 3 1 3

4 3 1 3

5 3 1 3

6 3 1 3

7 3 1 3

8 3 1 3

10 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Hidden Springs Campground

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Hidden Springs Combo #1 X 1500 1 x year

Hidden Springs Combo #2 X 1500 1 x year

Hidden Springs Combo #3 X 1500 1 x year

Hidden Springs Combo #4 X 1500 1 x year

Hidden Springs Comfort A X 1500 1 x year

Hidden Springs Comfort B X 1000 1 x year

Hidden Springs Comfort C X 1500 1 x year

Hidden Springs Comfort D X 1500 1 x year

Emergency Pumpings X 1500 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

AGREEMENT NO. PAGE

of

CONTRACTOR NAME

SAM

3 15

1 3 1 3

2 3 1 3

3 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Williams Grove

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Williams Grove Comfort X 1500 1 x year

Williams Grove Group X 1500 1 x year

Williams Grove Emergency X 1500 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICT

CONTRACTOR NAME

DISTRICTDISTRICT

SAMP

LE

4 15

1 1 1 1

2 1 1 1

3 1 1 1

4 6 1 6

5 3 1 3

6 1 1 1

7 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Burlington HQ

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Residence #12 X 1500 Once

Burlington #13 X 1500 Once

Residence #1 RTR house X 1500 Once

1500 2 x YearLift Station Pump Chamber 1500 1 x Year

Burlington Campground X 20,000 Once

Emergency Pumping Lift Station

RTR shop X 1500 1x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICT

5 15

1 X 3 1 3

2 X 1 1 1

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Woman's Federation

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Womans Fed. Comfort 1500 1 x year

Womans Fed. Emergency 1500 Once

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

CONTRACTOR NAMECONTRACTOR NAME

DISTRICT

6 15

1 X 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Garden Club

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Garden Club Vault 750 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICT

7 15

1 X 6 1 6

2 X 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Founder Grove

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Founders Grove Comfort 1500 2 x year

Founders Grove Emergency 1500 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICT

SA

MP

8 15

1 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Marin Group Comfort

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Marin Group Comfort X 1500 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

9 15

1 3 1 3

2 3 1 3

3 3 1 3

4 3 1 3

TOTAL BID PRICE

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

SERVICE FREQUENCY

AS INDICATED

1 x year

1 x year

1 x year

1 x year

TANK TYPE

SEPTIC

Albee Creek Combo #1

Albee Creek Combo #2

X

X

X

Location

Albee Creek Comfort

Albee Creek Emergency

FOR DEPARTMENT USE ONLY

North Coast Redwoods

C23635017

Albee Creek Campground Humboldt Redwoods State Park

GALLONS

1500X

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

10 15

1 3 1 3

2 3 1 3

3 3 1 3

5 2 1 2

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Cuneo Creek Horse Camp

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Cuneo Creek Combo X 1500 1 x year

Cuneo Creek Outhouse Lower X Outhouse 1 x year

Cuneo Creek Outhouse Upper X Outhouse 1 x year

Emergency Pumpings X 1500 Twice

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

11 15

1 Hamilton Barn E-Camp Vault X 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Hamilton Barn E-Camp Vault

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

750 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

12 15

1 Baxter E Camp 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Baxter Environmental Camp

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

X 100 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

13 15

1 Dyerville Lookout X 6 1 6

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Dyerville Lookout

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

2500 2 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

14 15

1 3 1 3

2 3 1 3

3 1 1 1

4 3 1 3

5 3 1 3

6 3 1 3

7 3 1 3

TOTAL BID PRICE

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Grizzly Creek Redwoods State Park Grizzly Creek Redwoods Campground

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

Grizzly Creek Comfort X 1500 1 x year

Grizzly Creek Combo X 1500 1 x year

Grizzly Creek Maintenance Yard X 1500 Once

Residence #1 X 1500 1 x year

Residence #2 X 1500 1 x year

Cabin Area X 1000 1 x year

Grizzly Creek Emergency X 1500 1 x year

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

15 15

1 Residence #16 3 1 3

TOTAL BID PRICE

X 1500 1 x year

PUMPING SERVICE AND MAINTENANCE SCHEDULE AS FOLLOWS:

TANK TYPE

GALLONS

SERVICE FREQUENCY

AS INDICATEDLocation SEPTIC

FOR DEPARTMENT USE ONLY

C23635017

North Coast Redwoods Humboldt Redwoods State Park Mattole Road

DISTRICT LOCATION WITHIN PARK UNIT

Exhibit B, Attachment 1 - Septic and Holding Tank Pumping Services Bidder completes (D), (E), and TOTAL BID PRICE.

I T E M

(A)

NO. OF

SERVICE

DAYS FOR

PERIOD

(B)

NO. OF

TANKS

EACH

SERVICE

(D)

COST PER

SERVICE

(E)

COST FOR

SERVICE

PERIOD

[(C)X(D)]

— 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.

PARK UNIT

(C)

NO. OF

SERVICES

IN CONTRACT

PERIOD

[(A)X(B)]

CONTRACTOR NAME

AGREEMENT NO. PAGE

of

DISTRICTDISTRICTDISTRICTDISTRICT

CONTRACTOR NAMECONTRACTOR NAME

DISTRICTDISTRICTDISTRICTDISTRICTDISTRICTDISTRICT

2. The term of this Agreement is: SAMPLE

Contractor's Name:

Agreement Number:

Page: 1 of 1

SCOPE OF WORK

1. Contractor agrees to provide to the Department of Parks and Recreation (DPR) services as described herein:

2. The services shall be performed at:

3. The services shall be provided during:

4. The project representatives during the term of this Agreement will be:

State Agency: Contractor:

Section/Unit: Section/Unit:

Attention: Attention:

Address: Address:

City/State/Zip Code: City/State/Zip Code:

Phone: Phone:

Fax: Fax:

E-mail Address: E-mail Address:

DPR 603 (Rev. 2/2011)(Excel 2/10/2011)

Department of Parks and Recreation

EXHIBIT A

(Standard Agreement)

SAMPLE

Page: 1 2

BUDGET DETAIL AND PAYMENT PROVISIONS

1. Invoicing and Payment

A. For services satisfactorily rendered, and upon receipt and approval of the invoices, the State agrees to compensate the Contractor for actual expenditures incurred in accordance with the rates specified in

, marked Exhibit B, Attachment 1, which is attached hereto and made a part of this Agreement.

B. Invoices shall include the Agreement Number and shall be submitted in triplicate not more frequently than monthly in arrears to:

2. Budget Contingency Clause

A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, the State shall have no liability to pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement.

B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State, or offer an agreement amendment to Contractor to reflect the reduced amount.

3. Prompt Payment Clause

Payment will be made in accordance with, and within the time specified in, Government Code Chapter 4.5, commencing with Section 927.

4. Timely Submission of Final Invoice

A. A final undisputed invoice shall be submitted for payment no more than ninety (90) calendar days following expiration or termination date of this Agreement, unless a later or alternate deadline is agreed to in writing by the project representative.

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