Contractor's_Declaration_Form_JOC_2716_and_2717_-_Electrical.pdf
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- Solicitation number
- 2027-RFP-00202
- Issued by
- San Mateo County, California
About this file
This is a Contractor's Declaration Form for the County of San Mateo's Electrical Job Order Contracts (JOC 2716 and 2717) under a Class C10 license, required to be submitted with all bids. The form mandates full completion and submission as a condition of bid consideration. The contract involves providing all labor, materials, tools, and equipment for electrical work at various County-owned facilities, with work scope to be directed by the Director of Public Works or designee. San Mateo County intends to award up to two contracts with an aggregate fiscal obligation not to exceed $2 million per agreement during a maximum individual term of one year. Separate job orders will be issued as needed, and the lowest responsive and responsible bidder for each JOC is excluded from consideration for successive contracts. Bids were due December 10, 2026, with the solicitation posted November 2, 2026.
The declaration form requires contractors to certify compliance with several County ordinances, including the Equal Benefits Ordinance (applicable to contracts exceeding $5,000), the Employee Jury Service Ordinance (applicable to contracts exceeding $100,000), and non-discrimination requirements. Contractors must declare their compliance status or exemption for each requirement and confirm under penalty of perjury that all information is accurate. The form does not identify any set-asides, local vendor preferences, or incumbent contractors. Bidders must also submit a bid form workbook, bid bond, anti-trust questionnaire, EEO certification of compliance, EEO questionnaire, and other supporting documentation including proof of Class C10 licensing and compliance with applicable County construction and environmental ordinances.
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Text version
CONTRACTOR’S DECLARATION FORM
THIS FORM MUST BE COMPLETED IN FULL AND SUBMITTED WITH THE BID
Project: Job Order Contract for JOCs 2716 and 2717 - Electrical at various County of San Mateo Mateo owned facilities
I CONTRACTOR INFORMATION
Contractor Name: Phone:
Contact Person: Fax:
II EQUAL BENEFITS (check one or more boxes)
Contractors with contracts in excess of $5,000 must treat spouses and domestic partners equally as to employee benefits.
Contractor complies with the County’s Equal Benefits Ordinance by:
offering equal benefits to employees with spouses and employees with domestic partners.
offering a cash equivalent payment to eligible employees in lieu of equal benefits.
Contractor does not comply with the County’s Equal Benefits Ordinance.
Contractor is exempt from this requirement because:
Contractor has no employees, does not provide benefits to employees’ spouses, or the contract is for $5,000 or less.
Contractor is a party to a collective bargaining agreement that began on
(date) and expires on (date), and intends to offer equal benefits when said agreement expires.
III NON-DISCRIMINATION (check appropriate box)
Finding(s) of discrimination have been issued against the Contractor within the past year by the Equal
Employment Opportunity Commission, Fair Employment and Housing Commission, or other investigative entity.
Please see attached sheet of paper explaining the outcome(s) or remedy for the discrimination.
No finding of discrimination has been issued in the past year against the Contractor by the Equal Employment
Opportunity Commission, Fair Employment and Housing Commission, or any other entity.
IV EMPLOYEE JURY SERVICE (check one or more boxes)
Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County.
Contractor complies with the County’s Employee Jury Service Ordinance.
Contractor does not comply with the County’s Employee Jury Service Ordinance.
Contractor is exempt from this requirement because:
the contract is for $100,000 or less.
Contractor is a party to a collective bargaining agreement that began on
(date) and expires on (date), and intends to comply when said agreement expires.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually.
Signature Name
Date Title
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