DFW1082ext__Bidder_s_Declaration_.pdf

PDF 102 KB Posted

Attached to
PE-R6-0627-01, Skid Steer
Solicitation number
0000040248
Issued by
Sacramento County, California

About this file

This is a Bidder's Declaration form associated with the California Department of Fish and Wildlife's solicitation for a new skid steer (PE-R6-0627-01) to manage vegetation and repair infrastructure on Department-managed lands. The declaration form serves as part of the bidding documentation and establishes the bidder's acknowledgment of and compliance with the terms, conditions, and requirements specified in the contract opportunity. Bidders completing this form confirm their understanding of project specifications, delivery requirements, and all contractual obligations associated with the skid steer acquisition.

The Bidder's Declaration requires prospective vendors to formally attest to their qualifications, certifications, and ability to fulfill the contract requirements. By executing this declaration, bidders confirm receipt of all contract documents, acknowledge any addenda issued, and verify their authority to submit a binding bid. This form is a standard component of the procurement process that ensures bidder accountability and compliance with California state procurement regulations and the specific requirements outlined in the Department of Fish and Wildlife's solicitation.

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Other files

File Type Posted
Attachment_5_Work_Authorization_Form.docx DOCX document
25-26_FAP_IDR_2_Skid_Steer_Specifications.docx DOCX document
Attachment_3_Cost_Worksheet.xlsx XLSX spreadsheet
PE-R6-0627-01_Skid_Steer_Invitation_for_Bid.docx DOCX document
DFW_1080_Darfur.pdf PDF
Attachment_4_Narrative_Response.docx DOCX document
Purchase_Estimate_Administrative_Requirements__Skid_Steer_.docx DOCX document
Attachment_8_-_CUF_Certification.docx DOCX document

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Text version

BIDDER DECLARATION

1. Prime bidder information:

a. What is your California vendor name?

b. Identify your current California Certification(s) number(s):

(MB/SB/DVBE):__________ or None_______(If “None”, proceed to number 2)

c. Will subcontractors be used for this contract? YES ______ NO______(If yes, indicate in the space below the distinct element of work your business will perform in this contract. If no, skip to the certification at the bottom of this page.)

2. If subcontractors will be used, list all subcontractors for this contract in the table below. (Attach additional pages if necessary):

EXAMPLE

Subcontractor Name, Contact Person, Phone Number & Email

Fix it Now John Smith Jr.

(916) 445-1234

JSmithJr@fixitnow.com

Subcontractor complete address

1234 Fix It Pl.

Sacramento, CA

95821

CA Certification Number (MB, SB, DVBE, or None)

SB # 15245

Work performed or good provided for this contract

Office repairs

Corresponding % of bid price

25%

CERTIFICATION: By signing this form (Bidder Declaration), I certify under penalty of perjury that the information provided is true and correct.

Authorizers printed name: _______________________________________ Date: _______________

Authorizers signature: ____________________________________________

(New 10/2019)

DFW 1082

CA Vendor name:
MB/SB/DVBE Certification Number:
None chek box: Off
Check box yes: Off
Check Box No: Off
Distinct element of work:
Subcontractor information 1:
Subcontractor information 2:
Subcontractor information 3:
Subcontractor information 4:
Subcontractor address 1:
Subcontractor address 2:
Subcontractor address 3:
Subcontractor address 4:
Subcontractor CA Cert number 1:
Subcontractor CA Cert number 2:
Subcontractor CA Cert number 3:
Subcontractor CA Cert number 4:
Work performed 1:
Work performed 2:
Work performed 3:
Work performed 4:
percent 1:
percent 2:
percent 3:
percent 4:
Authorizers printed name:
Date:

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