C5310-116674_-_Attachments.pdf

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Attached to
CCC CMD: HAZWOPER Training
Solicitation number
0000035861
Issued by
Humboldt County, California

About this file

This document is a comprehensive bid package for HAZWOPER (Hazardous Waste Operations and Emergency Response) Training services issued by the California Conservation Corps (CCC) for Contract #C5310-116674. The solicitation covers 40-hour HAZWOPER training at 10 different CCC locations across California, including centers in Fortuna, Ukiah/Willits, Solano, Delta, Monterey, Los Padres, Camarillo, Norwalk, Pomona/LA, and San Diego. Additionally, the bid includes 24-hour First Responder Awareness training at 3 locations: Ukiah/Willits, Delta, and Norwalk. The bid is to be submitted electronically to Armando Avila before 6/25/2025 at 2:00 PM, with the contract term covering fiscal year 2025/2026.

The bid package requires multiple attachments including a bid submission checklist, bidder declaration, payee data record, proof of insurance, cost sheet, and various compliance certifications. Bidders must provide comprehensive pricing for each training location, with the total cost to include all expenses. Insurance requirements include Commercial General Liability, Commercial Automobile Insurance, and Worker's Compensation, each with specific coverage limits and endorsement conditions. The solicitation emphasizes compliance with state regulations, including nondiscrimination policies, civil rights laws, and the Darfur Contracting Act, with potential bidders required to certify their compliance across multiple dimensions of state procurement requirements.

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CCC CMD, HAZWOPER Training

Agreement # C5310-116674

ATTACHMENT 1

BID SUBMISSION ATTACHMENT CHECKLIST

A complete bid submission will consist of the items identified below. Complete this checklist to confirm the items in your bid. Place a check mark or “X” next to each item that you are submitting to the State. For your bid to be responsive, all required attachments must be returned. This checklist should be returned with your bid submission.

Attachment Required Attachment Name/Description

_____ Attachment 1 YES Bid Submission Attachment Checklist

_____ Attachment 2 YES Bidder Declaration

_____ Attachment 3 YES Payee Data Record

_____ Attachment 4 YES Contractors Certification Clause

_____ Attachment 5 YES Darfur

_____ Attachment 6 YES California Civil Rights Laws Attachment

_____ Attachment 7 YES Proof of Insurance

_____ Attachment 8 YES Cost Sheet

_____ Attachment 9 YES BID FORM

_____ Attachment 10 YES Nondiscrimination Compliance Statement

_____ Attachment 11 IF APP SB Preference and Certification Request

The following attachment is included in the IFB as reference only and should not be included in the bid submission.

_N/A_ Attachment 13 NO Sample Standard Agreement (STD 213) and Exhibits

ATTACHMENT 2

BIDDER DECLARATION

A Bidder must complete the Bidder Declaration form GSPD-05-105, located at the following internet site: http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05- 105.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

When completing the declaration, Bidders must identify all subcontractors proposed for participation in the contract. Bidders awarded a contract are contractually obligated to use the subcontractors for the corresponding work identified unless the State agrees to a substitution, and it is incorporated by amendment to the contract.

The completed Bidder Declaration GSPD-05-105 must be included in the bid submission, noted as Attachment 2.

http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf

ATTACHMENT 3

PAYEE DATA RECORD

A Bidder must complete the Payee Data Record form STD 204, located at the following internet site:

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf .

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

The completed Payee Data Record STD 204 must be included in the bid submission, noted as Attachment 3.

Additional Remittance Address Information

PAYEE DATA RECORD SUPPLEMENT

If contractor obtains multiple active remittance address locations, a payee data record supplement STD 205 is required. Email the contract analyst for the form.

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

ATTACHMENT 4

CONTRACTORS CERTIFICIATION CLAUSE

CERTIFICATION

I, the official named below, certify under penalty of perjury that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the state of California.

Contractor/Bidder Firm Name (Printed) Federal ID Number (must match STD 204)

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the Country of

CONTRACTOR CERTIFICATION CLAUSES

STATEMENT OF COMPLIANCE: Contractor will comply with the requirements of the Drug-Free

Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions:

a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations.

b. Establish a Drug-Free Awareness Program to inform employees about:

a. The dangers of drug abuse in the workplace;

b. The person’s or organized policy of maintaining a drug-free workplace;

c. Any available counseling, rehabilitation and employee assistance programs; and

d. Penalties that may be imposed upon employees for drug abuse violations.

c. Provide that every employee who works on the proposed agreement will:

a. Receive a copy of the company’s drug-free policy statement; and,

b. Agree to abide by the terms of the company’s statement as a condition of employment on the agreement.

Failure to comply with these requirements may result in suspension of payments under the agreement or termination of the agreement or both and contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: (1) the contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (GC 8350 et seq.)

NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one

(1) final unappealable finding of contempt of court by a Federal court has been issued against contractor within the immediately preceding two-year period because of the contractor’s failure to comply with an order of a Federal court which orders contractor to comply within a order of the National Labor Relations

Board. (PCC 10296) (Not applicable to public entities)

CONTRACTOR FOR LEGAL SERVICES $50,000 OR MORE PRO BONO REQUIREMENT: Contractor hereby certifies that contractor will comply with the requirements Section 6072 of the Business and

Professions Code, effective January 1, 2003.

Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm’s offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State.

Failure to make a good faith effort may be cause for non-renewal of the a state contract for legal services, and may be taken into account when determining the award of future contracts with the State of legal services.

EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of the Public Contract Code (PCC) Section

10286 and 10286.1, and is eligible to contract with the State of California.

SWEATFREE CODE OF CONDUCT:

a. All contractors contracting for the procurement or laundering of apparel, garments, or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no procurement points underlined in this section have been laundered or produced in whole or in party by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweat free Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov , and public Contract Code Section 6108.

b. The contractor agrees to cooperate fully in providing reasonable access to the contractor’s records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of

Justice to determine the contractor’s compliance with the requirements under paragraph (a).

DOMESTIC PARTNERS: For contracts executed or amended after July 1, 2004, the contractor may elect to offer domestic partner benefits to the contractor’s employees in accordance with Public Contract Code section 10295.3. However, the contractor cannot require an employee to cover the costs of providing any benefits which have otherwise been provided to all employee regardless of marital or domestic partner status.

DOING BUSINESS WITH THE STATE OF CALIFORNIA

The following laws apply to persons or entities doing business with the State of California.

CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or former state employees. If contractor has any questions on the status of any person rendering services or involved with the agreement, the awarding agency must be contacted immediately for clarification.

a. Current State Employees (PCC 10410):

a. No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is http://www.dir.ca.gov/ sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment.

b. No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services.

b. Former State Employees (PCC 10411):

a. For the 2-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision making process relevant to the contract while employed in any capacity by any state agency.

b. For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service.

If contractor violates any provisions of above paragraphs, such action by contractor shall render this agreement void. (PCC 10420)

Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of board or commission, payment for preparatory time and payment for per diem. (PCC 10430 (e))

LABOR CODE/WORKER’S COMPENSATION: Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker’s Compensation or to undertake self-insurance provisions before commencing the performance of the work of this agreement. (Labor Code

Section 3700)

AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.)

CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor’s name as listed on this agreement. Upon receipt of legal documentation of the name change, the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment.

CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:

a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled.

b. “Doing business” is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax.

c. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State.

RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement.

AIR OR WATER POLLUTION VIOLATION:

Under the State laws, the contractor shall not be: (1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge prohibitions; or (3) finally determined to be in violation or provisions of federal law relating to air or water pollution.

PAYEE DATA RECORD FORM STD.204: This form must be completed by all contractors that are not another state agency or other government entity.

ATTACHMENT 5

DARFUR CONTRACTING ACT

Bidder must complete and submit the Darfur Contracting Act Certification with their bid submission as Attachment 5.

Effective January 1, 2009, a company will not bid on or submit a proposal for a contract for goods or services without addressing the requirements of the Darfur Contracting Act of 2008 (Act). The Act was passed to preclude State agencies generally from contracting with “scrutinized” companies that do business in the African nation of Sudan (of which the Darfur region is a part). Understand that a scrutinized company is a company doing business in Sudan as defined in Public Contract Code Section 10476. Scrutinized companies are ineligible to, and cannot, bid on or submit a proposal for a contract with a State agency for goods or services unless it has been granted permission by the Department of General Services. (Pub. Contract Code § 10477, sub. (a)). 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 interest of the State.

Public Contract Code Sections 10475-10481, applies to any company that currently or within the previous three (3) 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:

1. A contractor that has NOT had business activities or other operations outside of the United

States within the previous three (3) years;

or

2. A contractor that has had business activities or other operations outside of the United

States within the previous three (3) years, but is NOT a scrutinized company per Public Contract Code section 10476;

or

3. A contractor that is a scrutinized company as defined in Public Contract Code section

10476, but has received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477, subdivision (b).

DARFUR CONTRACTING ACT CERTIFICATION

1. I, the official named below who is authorized to legally bind the bid submission, Certify under Penalty of Perjury that the contractor listed below has NOT had, within the previous three (3) years, business activities or other operations outside of the United States.

Contractor/ Company Name (Printed)

Federal ID Number

2. I, the official named below who is authorized to legally bind the bid submission, Certify Under Penalty of Perjury that the contractor listed below has had, within the previous three (3) years, business activities or other operations outside of the United States, but is NOT a scrutinized company per Public Contract Code section 10476. This certification is made under the laws of the State of California.

Date Executed Executed in the County and State of

OR

3. 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 (DGS) to submit a bid or proposal pursuant to public Contract Code section 10477, subdivision (b). A copy of the written permission from DGS is included with our bid submission.

ATTACHMENT 6

STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES

CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES

DGS OLS 04 (Rev. 01/17)

Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:

1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and

2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).

CERTIFICATION

I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed in the County of Executed in the State of

Date Executed

Proposer/Bidder Firm Name (Printed) Federal ID Number

ATTACHMENT 7

PROOF OF INSURANCE

A Bidder must submit current proof of insurance as Attachment 7 for the following:

• Commercial General Liability

• Commercial Automobile Insurance

• Worker’s Compensation

• Builder’s Risk (If applicable in the IFB)

A certificate of insurance (COI) may be provided as proof of insurance. The COI and/or proof of insurance documents will be named Attachment 7 and be submitted with the bid submission. Endorsements to insurance policies are not required for bid submission.

Certificates of Insurance with Endorsements are required post award as follows:

Commercial General Liability Certificate with limits of not less than $1,000,000 with:

o An additional insured endorsement.

o A Primary and Non-contributory endorsement.

Commercial Auto Liability Certificate with limits of not less than $1,000,000 for Owned, Non-Owned, and Scheduled autos with:

o An additional insured endorsement.

Worker’s Compensation Certificate with Employer’s Liability coverage of $1,000,000 per accident with:

o A waiver of subrogation in favor of the State for all work performed by the contractor, its employees, agents and subcontractors.

Builder’s Risk Insurance (If applicable in the IFB) for an amount equal to the full amount of the contract with:

o An additional insured endorsement.

o A waiver of subrogation with “State of California” or “… where required by written contract…” language.

o A loss payable clause in favor of “The State of California, California

Conservation Corps”.

Endorsements must include "State Of California, It's Officers, Agents, And Employees" or ““… where required by written contract… ” language

Contact your insurance representative to ensure your insurance program satisfies the requirements of the sample contract, prior to bidding.

ATTACHMENT 8

BID-COST SHEET

*Total price per location should have ALL expenses included*

40-HOUR HAZWOPER Trainings (10 CCC Locations):

1. Fortuna Center $___________________ (1500 Alamar Way, Fortuna, CA 95540)

2. Ukiah/Willits Center $___________________ (600 E Hill Road, Willits, CA 95490)

3. Solano Center $___________________ (1020 Chadbourne Rd, Fairfield, CA 94534)

4. Delta Center $___________________ (7000 S. Newcastle Rd, Stockton, CA 95215)

5. Monterey Center $___________________ (30 Aviation Way, Watsonville, CA 95076)

6. Los Padres Center $___________________ (1530 Madera Ave. San Luis Obispo, CA 93401)

7. Camarillo Center $___________________ (3200 Wright Road, Camarillo, CA 93010)

8. Norwalk Center $___________________ (11401 South Bloomfield Ave, Norwalk, CA 90650)

9. Pomona/LA Center $___________________

(3530 West Pomona Blvd, Pomona, CA 91768)

10. San Diego Center $___________________ (401 West 35th Street, Suite A, National City, CA 91950)

24-HOUR First Responder Awareness (3 CCC Locations):

1. Ukiah/Willits Center $___________________ (600 E Hill Road, Willits, CA 95490)

2. Delta Center $___________________ (7000 S. Newcastle Road, Stockton, CA 95215)

3. Norwalk Center $___________________ (11401 South Bloomfield Ave, Norwalk, CA 90650)

Grand Total for One Year (FY 25/26): $____________________

ATTACHMENT 9

BID FORM

EMAIL TO: armando.avila@ccc.ca.gov BEFORE 6/25/2025 @2PM

FOR: CALIFORNIA CONSERVATION CORPS

CMD: Corpsmember Development & Support

PROJECT Location: Various CCC Locations

CONTRACT C5310-116674

Within the email subject line: enter "Bid For”; followed by the above title and Project

Number.

The undersigned hereby proposes and agrees to furnish all labor, materials, and equipment, and to perform all work required for the above-named Project in the manner and time prescribed in the Drawings and Project Manual, dated (May 23, 2024, bid walk date). and such addenda thereto as may be issued prior to bid opening date and in accordance with prevailing wage rates ascertained by the Department of Industrial

Relations and set forth on the DIR web site (Prevailing Wage Requirements) for

General Prevailing Wage Rates as determined by the DIR prevailing wage published rates. The Bid Price, set forth below in clear legible figures, includes the cost of Bonds, insurance, sales tax, and every other item of expense, direct or indirect, incidental to the

Bid Price.

SEE ATTACHMENT 8 OF BID PACKET TO COMPLETE COST SHEET

IMPORTANT – READ BEFORE SIGNING: Bid Form must be executed in same name-style in which the bidder is licensed. Bidder bidding jointly or as a combination of several business organizations is specifically cautioned that such bidder must be jointly licensed in the same form and style in which the bid is executed. If making a bid as a joint venture, each person submitting the bid shall provide the information required below with respect to their licensure. The undersigned Bidder certifies and agrees to provide the information and comply with the requirements contained in Articles of Article

2; Article 4, Paragraph 4.2;Article 7and Article 9, Paragraph 9.2.1are true.

Legal Name of Bidder:________________________ Federal I.D No.:_____________

THE STATE OF CALIFORNIA

CALIFORNIA CONSERVATION CORPS

BUSINESS SERVICES AND CONTRACTS

FROM: _____________________________

(Name of Bidding Firm) mailto:armando.avila@ccc.ca.gov

Contractor’s License No.:

License Expiration Date:

Licensee Classification:

Business Address: ______________________________________________________

(Street and/or P.O Box) (City) (State) (Zip)

E-Mail Address: ________________________________________________________

Business Phone No.: ______________________ Facsimile

No.:___________________

SIGN HERE ----→ ________________________________________________

Signature of Bidder

Print Name and Title of Bidder

Contractor’s Public Works Registration No. (Dept. of Industrial Relations): ________________

ARTICLE 1–BIDDER’S BUSINESS IDENTIFICATION

THIS BID IS SUBMITTED BY (check one):

___: Individual ___: Partnership

___: Joint Venture ___: Corporation

State in which Incorporated

NOTE: If Bidder is a corporation, the State in which incorporated shall be inserted above and the legal name of the corporation shall be set forth on Page 1 of Attachment

7.1, together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if Bidder is a partnership, the true name of the firm shall be set forth on Page 1, together with the signature of a partner authorized to sign contract in behalf of the partnership; and if Bidder is an individual, that person’s signature shall be placed on page 1 of Attachment 7.1. If signature is by an agent, other than an officer of a corporation or a member of a partnership, a Power of Attorney must be on file with the

Department prior to opening bids or submitted with the bid; otherwise, the bid will be regarded as irregular and unauthorized. If bid is submitted by partnership or joint venture, the members are:

ARTICLE 2–PREFERENCES AND INCENTIVES REMOVED IN ITS ENTIRETY

ARTICLE 3 – CERTIFICATIONS – BID DEPOSITORY AND FEDERAL COURT

FINDINGS

3.1 By signing this Bid Form, Bidder certifies that in preparation of this Bid Form, no bid was received by the bidder from a bid depository, which depository (as to any portion of the work) prohibits or imposes sanctions for the obtaining by bidder, or the submission to bidder by any subcontractor or vendor or supplier of goods and services, of a bid outside the bid depository. This certification shall constitute a warranty, the falsity of which shall entitle the State to pursue any remedy authorized by law, and shall include the right, at the option of the State, of declaring any contract made as a result thereof to be void.

3.2 By signing this Bid Form, Bidder swears under penalty of perjury that representations of the bid with respect to bidder's license are true and that no more than one final un-appealable finding of contempt of court by a Federal Court has been issued against the Contractor within the immediately preceding two-year period because of the

Contractor's failure to comply with an order of a Federal Court which orders the

Contractor to comply with an order of the National Labor Relations Board.

3.3 By signing this Bid Form, Bidder acknowledges that in in accordance with the provisions of Section 3700 of the Labor Code, every contractor will be required to secure the payment of compensation to his employees. The Bidder agrees that they are aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and will comply with such provisions before commencing the performance of the work of this contract.

3.4 By signing this Bid Form, Bidder certifies they will not ask an applicant for onsite construction-related employment to disclose orally or in writing information concerning the conviction history of the applicant on or at the time of an initial employment application.

This section shall not apply to a position for which the person or the state is otherwise required by state or federal law to conduct a conviction history background check or to any contract position with a criminal justice agency, as that term is defined in Section

13101 of the Penal Code. This section shall not apply to a person to the extent that he or she obtains workers from a hiring hall pursuant to a bona fide collective bargaining agreement.

ARTICLE 4 – STATEMENT OF COMPLIANCE – NONDISCRIMINATION

Bidder (hereinafter referred to as "prospective contractor" in this Statement), by signing this Bid Form, hereby certifies, unless specifically exempted, compliance with

Government Code Section 12990 (a-f), and CCR, Title 2, Division 4.1,Chapter 5 and

Subchapter 5, Section 11102, in matters relating to reporting requirements and the development, implementation and maintenance of a Nondiscrimination Program; as set forth in the General Conditions of the Contract for Construction. Prospective contractor agrees not to unlawfully discriminate, harass or allow harassment against any employee or applicants for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), medical disability (cancer), age (over 40), marital status, and denial of family care leave.

ARTICLE 5 – QUESTIONNAIRE

5.1 In accordance with Public Contract Code, Section 10162, the Bidder shall complete the following questionnaire:

6.1.1 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State or Local government project because of a violation of law or a safety regulation?

_____ YES _____ NO

6.1.2 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever received a safety violation or failed to file notifications to the Cal-OSHA, Federal OSHA, or EPA Agencies for employee records as required by CCR, Title 8, Section 5208 and CFR 40, Part 61?

_____ YES _____ NO

If the answer to either 6.1.1 or 6.1.2 above is “Yes”, then give the date(s) of the citation(s) or failure to make notifications, and explain the circumstances by attachment to this Bid Form.

ARTICLE 6 – NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER

AND SUBMITTED WITH BID

By signing this Bid Form, Bidder, being first duly sworn, deposes and says that he or she is the authorized representative of the Bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and is not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or that of any other Bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the

Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

ARTICLE 7 – ADDENDA

In submitting this bid, Bidder represents that Bidder has examined copies of all the

Contract Documents and acknowledges receipt of the following addenda:

Addendum No.: ___________________

Date:

*If addendum was issued during the bidding process, contractor must enter the addendum number above to ensure contractor is bidding on the most recent and correct addendum.

Failure to acknowledge on the Bid Form receipt of an addendum shall not in itself be cause for withdrawal or rejection of bids, if it can be shown that bidder did, in fact, receive such addendum prior to bid opening.

ARTICLE 8 - DVBE COMPLIANCE & PARTICIPATION SUMMARY REMOVED IN ITS

ENTIRETY

ATTACHMENT 10

NONDISCRIMINATION COMPLIANCE STATEMENT

A Bidder must complete the Nondiscrimination Compliance Statement (STD 19), located at the following internet site:

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std019.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

Unless specifically exempted, prospective contractor agrees not to unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability, medical condition, age, marital status, denial of family care leave and denial of pregnancy disability leave.

The completed Bidder Declaration GSPD-05-105 must be included in the bid submission, noted as Attachment 10.

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std019.pdf

ATTACHMENT 11

SMALL BUSINESS PREFERENCE AND CERTIFICATION REQUEST

For Construction Contractors Only

If applicable, a Bidder must complete the Small Business Preference and Certification Request (STD 811) located at the following site:

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std811.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std811.pdf

File details come from the government source that posted it. Updated .