CTA26003R

SNPLMA ROUND 18 CA COMMUNITY FORESTRY

ELKS CLUB CHIPPING FUEL HAZARD REDUCTION

CALIFORNIA TAHOE CONSERVANCY

October 16, 2026

You are invited to review and respond to this Invitation for Bid (IFB), entitled:

CTA26003R SNPLMA Round 18 CA Community Forestry Elks Club Chipping Fuel Hazard Reduction Project

In submitting your bid, you must comply with these instructions.

Note that all agreements entered into with the California Tahoe Conservancy (Conservancy) will include by reference General Terms and Conditions and Contractor Certification Clauses that may be viewed and downloaded at Internet site Standard Contract Language (ca.gov). If you do not have Internet access, a hard copy can be provided by contacting the person listed below.

In the opinion of the Conservancy, this Invitation for Bid is complete and without need of explanation. However, if you have questions, or should you need any clarifying information, the contact person for this IFB is:

Aga Kuligowski California Tahoe Conservancy procurement@tahoe.ca.gov

Please note that no verbal information given will be binding upon the Conservancy unless such information is issued in writing as an official addendum.

Aga Kuligowski Contract Administrator procurement@tahoe.ca.gov

B O A R D M E M B E R S

NATURAL RESOURCES AGENCY

Wade Crowfoot, Secretary

Chris Calfee, Designee

DEPARTMENT OF FINANCE

Joe Stephenshaw, Director

Michele Perrault, Designee

SENATE PUBLIC MEMBER

Jay Hansen

ASSEMBLY PUBLIC MEMBER

Adam Acosta, Chair

CITY OF SOUTH LAKE TAHOE

Tamara Wallace, Vice Chair

EL DORADO COUNTY

Brooke Laine

PLACER COUNTY

Cindy Gustafson

U.S. FOREST SERVICE (ex-officio)

Erick Walker

JASON VASQUES

Executive Director

JANE FREEMAN

Deputy Director

INVITATION FOR BID

Notice to Prospective Bidders https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language?search=Standard%20Contract%20Language

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Table of Contents

Section

A) Purpose and Description of Work

B) Bidder Minimum Qualifications

C) Bid Requirements and Information

1) Key Action Dates

2) Submission of Bid

3) Prevailing Wages and Labor Code Compliance

4) Evaluation and Selection

5) Award and Protest

6) Disposition of Bid

7) Agreement Execution and Performance

D) GenAI Disclosure

E) Required Attachments

1) Required Attachment Check List……………………………………Attachment 1

2) Bid/Bidder Certification Sheet …………………… ......................... Attachment 2

3) Rate Sheet …………………………………..... ............................... Attachment 3

4) Bidder References…………………………….. .............................. Attachment 4

5) Bidder Declaration……………………………… ............................ Attachment 5

6) Darfur Contracting Act Certification………………………………….Attachment 6

7) STD 204 Payee Data Record………………………………………...Attachment 7

F) Exhibit A1 Scope of Work Detail

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ELKS CLUB CHIPPING FUEL HAZARD REDUCTION

A) Purpose and Description of Services

The California Tahoe Conservancy (Conservancy) is seeking fuels management activities on approximately 63.69 acres of land owned by the Conservancy and the USDA Forest Service and managed by the Conservancy. Fuels management activities involve hand cutting standing live and dead trees and brush with chainsaws, piling logs, slash, and brush and chipping. All work must be completed in accordance with contract specifications. Please refer to the attached Exhibit A-1 Scope of Work Detail.

1. Timeframe

Contract term is anticipated to be upon signature by all parties or upon Department of General

Services approval, if necessary, whichever comes later, through August 1, 2028.

2. Budget

The budget for this contract will be based on a per acre cost.

B) Bidder Minimum Qualifications

No Contract will be awarded unless the contractor is properly licensed. For this contract, the Contractor must have a California Contractor License.

C) Bid Requirements and Information

1) Key Action Dates

Event Date

IFB available to prospective bidders October 16, 2026

Mandatory Pre-Bid Tour October 26, 2026 at 10:00 a.m.

Final Date for Bid Submission November 3, 2026 at 11:59 p.m.

Bid Opening November 4, 2026 at 1:00 p.m.

Notice of Intent to Award November 6, 2026

Proposed Award Date January 15, 2027

2. Submission of Bid

a) Attendance at the Pre-Bid Tour on October 26, 2026 is mandatory. The Pre-Bid Tour will start at 10:00 a.m. at the intersection of Meadow Vale Dr and Boca Raton Dr in South Lake Tahoe, CA. Google Maps link: https://maps.app.goo.gl/UbgtWbQTFQABg7HQ8 https://maps.app.goo.gl/UbgtWbQTFQABg7HQ8

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CALIFORNIA TAHOE CONSERVANCY

b) All bids must be submitted in single pdf file by email to procurement@tahoe.ca.gov with the subject line “BID: CTA26003R [Name of Bidder]” no later than the dates and times shown in Key Action Dates above. Bids received after this date (email time stamp validation) will not be considered.

c) All bids shall include the documents identified in Section G, Required Attachment Checklist.

Bids not including the proper “required attachments” shall be deemed non-responsive. A non-responsive bid is one that does not meet the basic bid requirements.

d) All documents requiring a signature must bear an original signature of a person authorized to bind the bidding firm.

e) Bids must be submitted for the performance of all the work described herein. The Scope of

Work, plans, specifications and contract terms and conditions are described in the

Standard Agreement attached to this invitation for bids. Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

f) A bid may be rejected if it is conditional or incomplete, or if it contains any alterations of form or other irregularities of any kind. The Conservancy may reject any or all bids and may waive an immaterial deviation in a bid. The State’s waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder from full compliance with all requirements if awarded the agreement.

g) Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

h) An individual who is authorized to bind the bidder contractually shall sign the Bid/Bidder

Certification Sheet. The signature should indicate the title or position that the individual holds in the firm. An unsigned bid may be rejected.

i) A bidder may modify a bid after its submission by withdrawing its original bid and resubmitting a new bid prior to the bid submission deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

j) A bidder may withdraw its bid by submitting a written withdrawal request to the Conservancy, signed by the bidder or an authorized agent. A bidder may thereafter submit a new bid prior to the bid submission deadline. Bids may not be withdrawn without cause subsequent to bid submission deadline.

k) The Conservancy may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

l) The Conservancy reserves the right to reject all bids. The Conservancy is not required to award an agreement.

mailto:procurement@tahoe.ca.gov

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m) Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

n) Where applicable, bidder should carefully examine work sites and specifications. Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications.

o) The Conservancy does not accept alternate contract language from a prospective contractor. A bid with such language will be considered a counter proposal and will be rejected. The State’s

General Terms and Conditions (GTC) are not negotiable.

p) No oral understanding or agreement shall be binding on either party.

q) On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding

Economic Sanctions against Russia and Russian entities and individuals. “Economic Sanctions” refers to sanctions imposed by the U.S. government in response to Russia’s actions in Ukraine, as well as any sanctions imposed under state law. By submitting a bid or proposal, Contractor represents that it is not a target of Economic Sanctions. Should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for rejection of the Contractor’s bid/proposal any time prior to contract execution, or, if determined after contract execution, shall be grounds for termination by the State.

3. Prevailing Wages and Labor Code Compliance

Pursuant to all applicable State laws and regulations, the Contractor shall pay all workers the general prevailing wage rate in the locality in which the work is to be performed. The Contractor shall also ensure that a copy(ies) of the appropriate prevailing wage rate is/are posted at each job site. Copies of the prevailing wage rates are on file at the office of the California Tahoe Conservancy: https://www.dir.ca.gov/oprl/DPreWageDetermination.htm.

The Conservancy will review, and, if appropriate, audit payroll records to verify compliance and withhold contract payments when payroll records are delinquent or inadequate equal to the amount of underpayment and applicable penalties when, after investigation, it is established that underpayment has occurred.

4. Evaluation and Selection

a) At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

https://www.dir.ca.gov/oprl/DPreWageDetermination.htm

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CALIFORNIA TAHOE CONSERVANCY

i. The State will evaluate each bid to determine its responsiveness to the published requirements.

ii. Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, may be rejected.

b) Award, if made, will be to the lowest responsive responsible bidder. The low bid will be the LOWEST LUMP SUM BID FOR ALL CATEGORIES (See Attachment 3). The contractors bid rates will be the basis for the rate paid for future tree removal services. The total amount of the contract shall be up to Four Hundred Ninety Thousand Dollars ($490,000.00).

5. Award and Protest

a) Notice of the proposed award shall be posted in a public place in the office of the California

Tahoe Conservancy and on the Conservancy’s website (https://tahoe.ca.gov)for five (5) working days prior to awarding the agreement.

b) If any proposer, prior to the award of agreement, files a protest with the California Tahoe

Conservancy, 1061 Third Street, South Lake Tahoe, CA 96150, and the Department of General

Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, CA 95605, on the grounds that the (protesting) proposer would have been awarded the contract had the agency correctly applied the evaluation standard in the IFB, or if the agency followed the evaluation and scoring methods in the IFB, the agreement shall not be awarded until either the protest has been withdrawn or the Department of General Services has decided the matter.

It is suggested that a protesting proposer submits any protest by certified or registered mail.

c) Within five (5) calendar days after filing the initial protest, the protesting proposer shall file with the Department of General Services, Office of Legal Services and the California Tahoe

Conservancy a detailed statement specifying the grounds for the protest.

d) Upon resolution of the protest and award of the agreement, Contractor must complete and submit to the awarding agency the Payee Data Record (STD 204), to determine if the

Contractor is subject to state income tax withholding pursuant to California Revenue and

Taxation Code Sections 18662 and 26131. This form can be found on the DGS website at https://www.dgsapps.dgs.ca.gov/osp/StatewideFormsWeb/Forms.aspx under the heading STD

Forms. No payment shall be made unless a completed STD 204 has been returned to the awarding agency.

e) Upon resolution of the protest and award of the agreement, Contractor must sign and submit to the awarding agency, page one (1) of the Contractor Certification Clauses, which can be found on the DGS website at https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-

ServicesResources-List-Folder/Standard-Contract-Language.

6. Disposition of Bids

a) Upon bid opening, all documents submitted in response to this IFB will become the property of the State of California and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

7. Agreement Execution and Performance

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a) Performance shall start not later than the express date set by the awarding agency and the Contractor, after all approvals have been obtained and the agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five

(5) days written notice to the Contractor, reserves the right to terminate the agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor’s bid price and the actual cost of performing work by the second lowest bidder or by another contractor.

b) All performance under the agreement shall be completed on or before the termination date of the agreement.

D) GenAI Disclosure

The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these new technologies.

Bidder / Offeror must notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

Failure to report GenAI to the State may result in disqualification. The State reserves the right to seek any and all relief to which it may be entitled to as a result of such non-disclosure.

Upon notification by a Bidder / Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State.

Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.

E) Required Attachment Checklist

Refer to the following pages for additional Required Attachments that are a part of this agreement.

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ATTACHMENT 1

REQUIRED ATTACHMENT CHECK LIST

A complete bid or bid package 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 package also.

Attachment Attachment Name/Description

_____ Attachment 1 Required Attachment Check List

_____ Attachment 2 Bid/Bidder Certification Sheet

_____ Attachment 3 Rate Sheet

_____ Attachment 4 Bidder References (Optional)

_____ Attachment 5 Bidder Declaration for Subcontractors

_____ Attachment 6 Darfur Contracting Act Certification

_____ Attachment 7 STD 204 Payee Data Record

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ATTACHMENT 2

BID/BIDDER CERTIFICATION SHEET

This Bid/Bidder Certification Sheet must be signed and returned along with all the “required attachments” as an entire package in duplicate with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.

Our all-inclusive bid is shown on the Rate Sheet Attached (Attachment 2-A).

A. All required attachments are included with this certification sheet.

B. I have read and understand the DVBE participation requirements and have included documentation demonstrating that I have met the participation goals or have made a good faith effort.

C. The signature affixed hereon and dated certifies compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.

D. The undersigned Contractor hereby proposes to carry out the work at the bid price and in accordance with the terms and conditions set forth in this Invitation for Bids, and the attached Standard 213, including all plans specifications.

An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection

1. Company Name 2. Telephone Number 2a. Fax Number

3. Address

Indicate your organization type:

4. Sole Proprietorship 5. Partnership 6. Corporation

Indicate the applicable employee and/or corporation number:

7. Federal Employee ID No. (FEIN) 8. California Corporation No.

9. Indicate applicable license and/or certification information:

10. Bidder’s Name (Print) 11. Title

12. Signature 13. Date

14. Are you certified with the Department of General Services, Office of Small Business Certification and Resources (OSBCR) as:

b. California Small Business Yes No

If yes, enter certification number:

b. Disabled Veteran Business Enterprise Yes No If yes, enter your service code below:

NOTE: A copy of your Certification is required to be included if either of the above items is checked “Yes”.

Date application was submitted to OSBCR, if an application is pending:

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Completion Instructions for Bid/Bidder Certification Sheet

Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below.

Item Numbers

Instructions

1, 2, 2a, Must be completed. These items are self-explanatory.

Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business.

Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit.

Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.

Enter your federal employee tax identification number.

Enter your corporation number assigned by the California Secretary of State’s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California.

Complete, if applicable, by indicating the type of license and/or certification that your firm possesses and that is required for the type of services being procured.

10,11 12, 13

Must be completed. These items are self-explanatory.

If certified as a California Small Business, place a check in the “Yes” box, and enter your certification number on the line. If certified as a Disabled Veterans Business Enterprise, place a check in the “Yes” box and enter your service code on the line. If you are not certified to one or both, place a check in the “No” box. If your certification is pending, enter the date your application was submitted to OSBCR.

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ATTACHMENT 3

RATE SHEET

CTA 26003R- Elks Club Chipping Fuel Hazard Reduction

Item: Description: Acres Price per Acre Price per Item

(acres x price/acre)

Cutting: Tree felling and brush cutting**

63.69 $ / acre

Fuels: Slash Removal, and Disposal**

63.69 $ / acre

Lump Sum (Price per Item 1 + Price per Item 2 ): $ ___________________________ Bid Total

**See Exhibit A-1 (Scope of Work Detail) for specifications

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ATTACHMENT 4

(Optional)

BIDDER REFERENCES

Submission of this attachment is (optional). Failure to complete and return this attachment with your bid will not cause your bid to be rejected and deemed nonresponsive.

List below three references for services performed within the last five years, which are similar to the scope of work to be performed in this contract.

REFERENCE 1

Name of Firm

Street Address City State Zip Code

Contact Person Telephone Number

Dates of Service Value or Cost of Service

Brief Description of Service Provided

REFERENCE 2

Street Address City State Zip Code

Contact Person Telephone Number

REFERENCE 3

Street Address City State Zip Code

Contact Person Telephone Number

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BIDDER DECLARATION

1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):

a. Identify current California certification(s) (MB, SB, NVSA, DVBE): ____________ or None ____ (If “None”, go to Item #2)

b. Will subcontractors be used for this contract? Yes ___ No ___ (If yes, indicate the distinct element of work your firm will perform in this contract e.g., list the proposed products produced by your firm, state if your firm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.

c. If you are a California certified DVBE: (1) Are you a broker or agent? Yes ___ No ___

(2) If the contract includes equipment rental, does your company own at least 51% of the equipment provided in this contract (quantity and value)? Yes ___ No ___ N/A ___

2. If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract. (Attach additional pages if necessary):

3. Certification: By signing this form, I certify under penalty of perjury that the information provided is true and correct.

Printed Name:_ ______________________________________ Signature:_ ________________________________ Date Signed: _ _________________

State of California—Department of General Services, Procurement Division GSPD–05–106 (REV 08/09) Verbal Version

Page_____ of _____

ATTACHMENT 5

BIDDER DECLARATION Instructions All prime bidders (the firm submitting the bid) must complete the Bidder Declaration.

1.a. Identify all current certifications issued by the State of California. If the prime bidder has no California certification(s), check the line labeled “None” and proceed to Item #2. If the prime bidder possesses one or more of the following certifications, enter the applicable certification(s) on the line:

1.b. Mark either “Yes” or “No” to identify whether subcontractors will be used for the contract. If the response is “No”, proceed to Item #1.c. If “Yes”, enter on the line the distinct element of work contained in the contract to be performed or the goods to be provided by the prime bidder. Do not include goods or services to be provided by subcontractors.

Bidders certified as MB, SB, NVSA, and/or DVBE must provide a commercially useful function as defined in Military and Veterans Code Section 999 for DVBEs and Government Code Section 14837(d)(4)(A) for small/ microbusinesses.

Bids must propose that certified bidders provide a commercially useful function for the resulting contract or the bid will be deemed non-responsive and rejected by the State. For questions regarding the solicitation, contact the procurement official identified in the solicitation.

Note: A subcontractor is any person, firm, corporation, or organization contracting to perform part of the prime’s contract.

1.c. This Item is only to be completed by businesses certified by California as a DVBE.

(1) Declare whether the prime bidder is a broker or agent by marking either “Yes” or “No”. The Military and Veterans Code Section 999.2 (b) defines “broker” or “agent” as a certified DVBE contractor or subcon-tractor that does not have title, possession, control, and risk of loss of materials, supplies, services, or equipment provided to an awarding department, unless one or more of the disabled veteran owners has at least 51-percent ownership of the quantity and value of the materials, supplies, services, and of each piece of equipment provided under the contract.

(2) If bidding rental equipment, mark either “Yes” or “No” to identify if the prime bidder owns at least 51% of the equipment provided (quantity and value). If not bidding rental equipment, mark “N/A” for”“not applicable.”

2. If no subcontractors are proposed, do not complete the table. Read the certification at the bottom of the form and complete “Page ___ of ___” on the form.

If subcontractors will be used, complete the table listing all subcontractors. If necessary, attach additional pages and complete the “Page ___ of ___” accordingly.

2. (continued) Column Labels

Subcontractor Name, Contact Person, Phone Number & Fax Number—List each element for all subcontractors.

Subcontractor Address & Email Address—Enter the address and if available, an Email address.

CA Certification (MB, SB, NVSA, DVBE or None)—If the subcontractor possesses a current State of California certification(s), verify on this website (www.eprocure.dgs.ca.gov).

Work performed or goods provided for this contract—Identify the distinct element of work contained in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors must provide a commercially useful function for the contract. (See paragraph 1.b above for code citations regarding the definition of commercially useful function.) If a certified subcontractor is further subcontract-ing a greater portion of the work or goods provided for the resulting contract than would be expected by normal industry practices, attach a separate sheet of paper explaining the situation.

Corresponding % of bid price—Enter the corresponding percentage of the total bid price for the goods and/or services to be provided by each subcontractor. Do not enter a dollar amount.

Good Standing?—Provide a response for each subcontractor listed. Enter either “Yes” or “No” to indicate that the prime bidder has verified that the subcontractor(s) is in good standing for all of the following:

51% Rental?—This pertains to the applicability of rental equipment. Based on the following parameters, enter either “N/A” (not applicable), “Yes” or “No” for each subcontractor listed.

Enter “Yes” if the subcontractor is a California certified DVBE providing rental equipment and the subcontractor owns at least 51% of the rental equipment (quantity and value) it will be providing for the contract.

Enter “No” if the subcontractor is a California certified DVBE providing rental equipment but the sub-contractor does NOT own at least 51% of the rental equipment (quantity and value) it will be providing.

3. Read the certification at the bottom of the page. An individual that is authorized to bind the firm contractually is to print their name, sign and date the form. Also, complete the “Page ___ of ____” accordingly.

State of California—Department of General Services, Procurement Division GSPD–05–106 (REV 08/09) Instructions for Verbal Version

ATTACHMENT 6

DARFUR CONTRACTING ACT CERTIFICATION

Pursuant to Public Contract Code section 10478, if a bidder or proposer currently or within the previous three years has had business activities or other operations outside of the United States, it must certify that it is not a “scrutinized” company as defined in Public Contract Code section 10476.

Therefore, to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete only one of the following three paragraphs (via initials for Paragraph # 1 or Paragraph # 2, or via initials and certification for Paragraph # 3):

Company/Vendor Name (Printed)

Federal ID Number

Printed Name and Title of Person Initialing (for Options 1 or 2)

1. _____ We do not currently have, and have not had within the previous three Initials years, business activities or other operations outside of the United States.

OR

2. _____ We are a scrutinized company as defined in Public Contract Code Initials 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(b). A copy of the written permission from DGS is included with our bid or proposal.

OR

3. _____ We currently have, or we have had within the previous three years, Initials business activities or other operations outside of the United States, + certification but we certify below that we are not a scrutinized company as defined below in Public Contract Code section 10476.

CERTIFICATION For # 3.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective proposer/bidder to the clause listed above in #3.

This certification is made under the laws of the State of California.

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

STATE OF CALIFORNIA – DEPARTMENT OF FINANCE

PAYEE DATA RECORD

(Required when receiving payment from the State of California in lieu of IRS W-9 or W-7) STD 204 (Rev. 03/2021)

Section 1 – Payee Information NAME (This is required. Do not leave this line blank. Must match the payee’s federal tax return)

BUSINESS NAME, DBA NAME or DISREGARDED SINGLE MEMBER LLC NAME (If different from above)

MAILING ADDRESS (number, street, apt. or suite no.) (See instructions on Page 2)

CITY, STATE, ZIP CODE E-MAIL ADDRESS

Section 2 – Entity Type Check one (1) box only that matches the entity type of the Payee listed in Section 1 above. (See instructions on page 2)

CORPORATION (see instructions on page 2)SOLE PROPRIETOR / INDIVIDUAL MEDICAL (e.g., dentistry, chiropractic, etc.)SINGLE MEMBER LLC Disregarded Entity owned by an individual

PARTNERSHIP

ESTATE OR TRUST

LEGAL (e.g., attorney services)

EXEMPT (e.g., nonprofit)

ALL OTHERS

Section 3 – Tax Identification Number Enter your Tax Identification Number (TIN) in the appropriate box. The TIN must match the name given in Section 1 of this form. Do not provide more than one (1) TIN.

The TIN is a 9-digit number. Note: Payment will not be processed without a TIN.

For Individuals, enter SSN.

If you are a Resident Alien, and you do not have and are not eligible to get an SSN, enter your ITIN.

Grantor Trusts (such as a Revocable Living Trust while the grantors are alive) may not have a separate FEIN. Those trusts must enter the individual grantor’s SSN.

For Sole Proprietor or Single Member LLC (disregarded entity), in which the sole member is an individual, enter SSN (ITIN if applicable) or FEIN (FTB prefers SSN).

For Single Member LLC (disregarded entity), in which the sole member is a business entity, enter the owner entity’s FEIN. Do not use the disregarded entity’s FEIN.

For all other entities including LLC that is taxed as a corporation or partnership, estates/trusts (with FEINs), enter the entity’s FEIN.

Social Security Number (SSN) or Individual Tax Identification Number (ITIN)

OR

Federal Employer Identification Number

(FEIN)

Section 4 – Payee Residency Status (See instructions)

CALIFORNIA RESIDENT – Qualified to do business in California or maintains a permanent place of business in California.

CALIFORNIA NONRESIDENT – Payments to nonresidents for services may be subject to state income tax withholding.

No services performed in California

Copy of Franchise Tax Board waiver of state withholding is attached.

Section 5 – Certification I hereby certify under penalty of perjury that the information provided on this document is true and correct.

Should my residency status change, I will promptly notify the state agency below.

NAME OF AUTHORIZED PAYEE REPRESENTATIVE TITLE E-MAIL ADDRESS

SIGNATURE DATE TELEPHONE (include area code)

Section 6 – Paying State Agency Please return completed form to:

STATE AGENCY/DEPARTMENT OFFICE UNIT/SECTION

MAILING ADDRESS FAX TELEPHONE (include area code)

CITY STATE ZIP CODE E-MAIL ADDRESS

CALIFORNIA TAHOE CONSERVANCY PROCUREMENT

1061 THIRD STREET

SOUTH LAKE TAHOE CA 96150 procurement@tahoe.ca.gov

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STATE OF CALIFORNIA – DEPARTMENT OF FINANCE

PAYEE DATA RECORD

(Required when receiving payment from the State of California in lieu of IRS W-9 or W-7) STD 204 (Rev. 03/2021)

GENERAL INSTRUCTIONS

Type or print the information on the Payee Data Record, STD 204 form. Sign, date, and return to the state agency/department office address shown in Section 6.

Prompt return of this fully completed form will prevent delays when processing payments.

Information provided in this form will be used by California state agencies/departments to prepare Information Returns (Form1099).

NOTE: Completion of this form is optional for Government entities, i.e. federal, state, local, and special districts.

A completed Payee Data Record, STD 204 form, is required for all payees (non-governmental entities or individuals) entering into a transaction that may lead to a payment from the state. Each state agency requires a completed, signed, and dated STD 204 on file; therefore, it is possible for you to receive this form from multiple state agencies with which you do business.

Payees who do not wish to complete the STD 204 may elect not to do business with the state. If the payee does not complete the STD 204 and the required payee data is not otherwise provided, payment may be reduced for federal and state backup withholding. Amounts reported on Information Returns (Form 1099) are in accordance with the Internal Revenue Code (IRC) and the California Revenue and Taxation Code (R&TC).

Section 1 – Payee Information Name – Enter the name that appears on the payee's federal tax return. The name provided shall be the tax liable party and is subject to IRS TIN matching (when applicable).

Sole Proprietor/Individual/Revocable Trusts – enter the name shown on your federal tax return.

Single Member Limited Liability Companies (LLCs) that is disregarded as an entity separate from its owner for federal tax purposes - enter the name of the individual or business entity that is tax liable for the business in section 1. Enter the DBA, LLC name, trade, or fictitious name under Business Name.

Note: for the State of California tax purposes, a Single Member LLC is not disregarded from its owner, even if they may be disregarded at the Federal level.

Partnerships, Estates/Trusts, or Corporations – enter the entity name as shown on the entity’s federal tax return. The name provided in Section 1 must match to the TIN provided in section 3. Enter any DBA, trade, or fictitious business names under Business Name.

Business Name – Enter the business name, DBA name, trade or fictitious name, or disregarded LLC name.

Mailing Address – The mailing address is the address where the payee will receive information returns. Use form STD 205, Payee Data Record Supplement to provide a remittance address if different from the mailing address for information returns, or make subsequent changes to the remittance address.

Section 2 – Entity Type If the Payee in Section 1 is a(n)… THEN Select the Box for…

Grantor (Revocable Living) Trust disregarded for federal tax purposes Sole Proprietor/Individual Limited Liability Company (LLC) owned by an individual and is disregarded for federal tax purposes Single Member LLC-owned by an individual Partnerships Limited Liability Partnerships (LLP) and, LLC treated as a Partnership Partnerships Estate Trust (other than disregarded Grantor Trust) Estate or Trust Corporation that is medical in nature (e.g., medical and healthcare services, physician care, nursery care, dentistry, etc. LLC that is to be taxed like a Corporation and is medical in nature

Corporation-Medical

Corporation that is legal in nature (e.g., services of attorneys, arbitrators, notary publics involving legal or law related matters, etc.) LLC that is to be taxed like a Corporation and is legal in nature

Corporation-Legal

Corporation that qualifies for an Exempt status, including 501(c) 3 and domestic non-profit corporations. Corporation-Exempt Corporation that does not meet the qualifications of any of the other corporation types listed above LLC that is to be taxed as a Corporation and does not meet any of the other corporation types listed above

Corporation-All Other

Section 3 – Tax Identification Number The State of California requires that all parties entering into business transactions that may lead to payment(s) from the state provide their Taxpayer Identification Number (TIN). The TIN is required by R&TC sections 18646 and 18661 to facilitate tax compliance enforcement activities and preparation of Form 1099 and other information returns as required by the IRC section 6109(a) and R&TC section 18662 and its regulations.

Section 4 – Payee Residency Status Are you a California resident or nonresident?

A corporation will be defined as a "resident" if it has a permanent place of business in California or is qualified through the Secretary of State to do business in California.

A partnership is considered a resident partnership if it has a permanent place of business in California.

An estate is a resident if the decedent was a California resident at time of death.

A trust is a resident if at least one trustee is a California resident.

o For individuals and sole proprietors, the term "resident" includes every individual who is in California for other than a temporary or transitory purpose and any individual domiciled in California who is absent for a temporary or transitory purpose. Generally, an individual who comes to California for a purpose that will extend over a long or indefinite period will be considered a resident. However, an individual who comes to perform a particular contract of short duration will be considered a nonresident.

For information on Nonresident Withholding, contact the Franchise Tax Board at the numbers listed below:

Withholding Services and Compliance Section: 1-888-792-4900 E-mail address: wscs.gen@ftb.ca.gov For hearing impaired with TDD, call: 1-800-822-6268 Website: www.ftb.ca.gov

Section 5 – Certification Provide the name, title, email address, signature, and telephone number of individual completing this form and date completed. In the event that a SSN or ITIN is provided, the individual identified as the tax liable party must certify the form. Note: the signee may differ from the tax liable party in this situation if the signee can provide a power of attorney documented for the individual.

Section 6 – Paying State Agency This section must be completed by the state agency/department requesting the STD 204.

Privacy Statement Section 7(b) of the Privacy Act of 1974 (Public Law 93-579) requires that any federal, state, or local governmental agency, which requests an individual to disclose their social security account number, shall inform that individual whether that disclosure is mandatory or voluntary, by which statutory or other authority such number is solicited, and what uses will be made of it. It is mandatory to furnish the information requested. Federal law requires that payment for which the requested information is not provided is subject to federal backup withholding and state law imposes noncompliance penalties of up to $20,000. You have the right to access records containing your personal information, such as your SSN. To exercise that right, please contact the business services unit or the accounts payable unit of the state agency(ies) with which you transact that business.

All questions should be referred to the requesting state agency listed on the bottom front of this form.

SNPLMA ROUND 18 CA COMMUNITY FORESTRY

ELKS CLUB CHIPPING FUEL HAZARD REDUCTION PROJECT

CONTRACTOR TBD

EXHIBIT A-1

Scope of Work Detail and Treatment Specifications SNPLMA Round 18 CA Community Forestry

Elks Club Chipping Fuel Hazard Reduction Project

1) Project Description

The intent of this scope of work is to provide contract specifications for fuels management activities on approximately 63.69 acres of California Tahoe Conservancy (Conservancy), and the USDA Forest Service (Forest Service) land (Project Area). The project will reduce wildfire risk and increase forest health by reducing the density of vegetation and interrupting the vertical and horizontal continuity of fuels. The Contractor will cut all yellow or blue marked trees, buck resulting logs for firewood, cut brush, and chip and remove contractor-generated slash and existing down fuels, as detailed below. The Contractor shall provide all equipment, tools, Caltrans encroachment permits, City/County encroachment permits, supplies, transportation, labor, and supervision to complete the scope of work. The Conservancy’s Project Coordinator, Amy Jirka, may be reached for questions at amy.jirka@tahoe.ca.gov or (530) 208.7298.

2) Project Location

The Project Area consists of 249 parcels and is approximately 63.69 acres in size. The Project Area is located on the South shore of Lake Tahoe within the community of South Lake Tahoe, CA in El Dorado County. See maps and parcel list, included below as Attachments 1 and 2. All work is located on parcels owned by the Conservancy and the USDA Forest Service and managed by the California Tahoe Conservancy (Conservancy).

The Contractor’s activities upon any Conservancy managed property shall be confined to spaces, areas, roads, and locations as directed by the Conservancy’s Project Coordinator.

Access to the Project Area is from county roads. It is expected that the Contractor’s vehicles and equipment will remain on public roads or rights-of-way, unless otherwise agreed to in advance with the Project Coordinator.

3) Performance

a. Operations Plan

Contractor shall submit to and receive acknowledgment from the Conservancy Project Coordinator a written plan of operations not less than 30 days before the date the Contractor anticipates starting work for the season. The submitted plan of operations shall include, at minimum, name and contact information for Contractor representative/foreman who will be working on the project, anticipated start date, and a description of how the contractor plans to work through the Project Area.

b. Operations Generally

Contractor shall adhere to the treatment specification set forth in Section 4 and shall make every effort during all operations and tree felling to prevent careless or unnecessary damage to residual trees. All designated trees shall be felled on Conservancy managed property, mailto:amy.jirka@tahoe.ca.gov

SNPLMA ROUND 18 CA COMMUNITY FORESTRY

and no operations of any kind shall be conducted on any adjoining property not owned or controlled by the Conservancy.

The Contractor agrees to cut designated trees and brush as described herein. The Contractor is responsible for piling all slash and cut material generated from the Project Area and covering the piles in a manner consistent with this scope of work.

The Contractor shall provide all equipment, tools, supplies, transportation, labor, and supervision necessary to complete the scope of work. At all times when work is in progress the Contractor shall have a representative readily available at the Project Area who shall be authorized to receive, on behalf of the Contractor, any notices and instructions given by the Conservancy or designee regarding performance under this scope of work, and to take such immediate action thereon as is required by the terms of this scope of work.

The Contractor shall provide and use trashcans for papers, cans, and other debris.

Petroleum containers and other debris shall be removed, and all trash shall be disposed of at Contractor's expense at a public disposal facility.

c. Timing of Operations

Unless previously authorized by the Conservancy, the Contractor’s operations shall be restricted to the hours of 8:00 a.m. to 6:00 p.m., Monday through Friday.

Once operations have commenced, the Contractor agrees to continue operations at a normal production level until all contractual provisions are completed unless shutdowns are required due to emergency response, hazardous fire conditions or other conditions identified solely by Conservancy staff.

d. Restrictions on Work

• There is NO Limited Operating Period (LOP) within the project area.

• Some parcels may contain sensitive botanical resources. Sites will be flagged and avoided.

4) Treatment Specifications

Item 1 - Cutting

A. Tree felling

Trees designated for cutting in the Project Area are marked with yellow or blue paint. Trees designated for cutting range in size from seedling (< 1 inch Diameter at Breast Height (DBH) to 30 inches DBH. All dead trees (snags) up to 20 inches DBH shall be cut, unless identified for retention. All designated trees shall be cut. Tree stumps shall be cut to a height of six (6) inches or less, measured from the uphill side or natural obstacle (rock, log, etc.) All live limbs shall be severed from the stump.

SNPLMA ROUND 18 CA COMMUNITY FORESTRY

Regeneration Tree Removal/Retention Specifications (up to 6 inches DBH)

Unless otherwise designated for retention, cut regeneration age class conifer species (up to

6 inches DBH) with a 25-foot spacing for leave trees.

Species preference for retention

1. Juniper (do not cut)

2. Sugar Pine (do not cut)

3. Incense Cedar

4. Jeffrey Pine

5. True Fir

6. Lodgepole Pine

B. Riparian Vegetation

Unless otherwise designated for removal, leave all riparian vegetation such as Aspen, Willow, Alder, Ash etc. Treatment shall consist of removal of all dead vegetation from riparian species.

C. Brush cutting

All brush occurring under the drip lines of leave trees (trees not designated for removal), within 5 feet of property lines and within 3 feet of leave logs (>25 inches diameter) shall be cut and removed. Brush within 5’ of utility infrastructure (poles and guy wires) shall be removed. The remaining brush shall be cut in a mosaic pattern, breaking up horizontal continuity, leaving gaps that are two times the average height of the brush (e.g. 2-foot-tall brush would have a 4-foot gap, 3-foot-tall brush would have a 6-foot gap, etc.). Leave no larger than a 4 by 4-foot clump of vegetation. Brush stump heights shall be six (6) inches or less as measured from the uphill side or natural obstacle (rocks, logs, etc.).

Item 2- Fuels

A. Slash Removal

Disposal of all brush, limbs, chips, and slash generated by the Contractor’s activities will be the responsibility of the Contractor and must be hauled off site, unless otherwise agreed upon. Activity generated fuels and existing ground fuels up to 10 inches diameter on the large end will be chipped and removed. For activity generated and existing down fuels larger than 10 inches diameter, see “Treatment of Logs” below. Existing down logs greater than 10 inches diameter that are partially buried into soil greater than half of its diameter or are infeasible to move because of decomposition will not be removed.

B. Treatment of logs

Logs shall remain on the parcel and shall not be removed by the Contractor. Contractor shall buck logs 10 inches in diameter or greater but less than 25 inches into rounds 16 inches in length. Contractor shall stack or pile rounds entirely on Conservancy-managed property, within 20 feet of the front property line of the parcel (or at another area designated

SNPLMA ROUND 18 CA COMMUNITY FORESTRY

by the Project Coordinator), for removal by the public as firewood. Stacked or piled firewood shall be stable such that rounds will not roll or shift into the right-of-way or onto private property and shall not exceed 4 feet in height.

Contractor shall buck each felled tree or stem at the point where its diameter is 25 inches.

The portion of the tree or stem 25 inches in diameter or greater shall not be bucked further except as provided below. The portion between the 10-inch and 25-inch bucking points shall be bucked into rounds as described above.

Logs 25 inches in diameter and greater will be left whole as downed woody debris, unless more than two (2) logs greater than 25 inches diameter exist on an individual parcel.